Endoscopic anterior cruciate ligament reconstruction using a four strand hamstring tendon construct.

Disruption of the anterior cruciate ligament (ACL) may result in recurrent episodes of giving way of the knee with the risk of concomitant damage to the menisci and chondral surfaces. Surgical reconstruction for ACL ligament deficiency is aimed at restoring normal knee kinematics, thereby, allowing for return to pre-injury function. Endoscopic reconstruction of the ACL using a four-strand tendon autograft is a well documented, prospectively evaluated methodology. This article outlines the authors' technique and identifies key points of the surgical procedure.