Q: What are the treatment options for cruciate ligament injuries?

Answer: Cruciate ligament surgery used to be an open surgical procedure, where the knee was cut right open and a new ligament was fashioned in a different position from the normal ligament. This was a big operation and required a stay in hospital of a number of days following the surgery.  We now perform the procedure as keyhole surgery, using just a few small cuts around the knee.  There are a wide range of variables when considering cruciate ligament reconstruction.  Probably the most important of these is the choice of what to use to make the new ACL (the graft) and the position in which to put it.  This is referred to as the tunnel positions and there is a range of opinion as to exactly where the ACL graft should be put. -- Mr Charles Willis-Owen, Consultant Knee Surgeon.