Editorial Commentary: Anterior Cruciate Ligament Augmentation: A Bold, Technically Demanding Surgical Technique… But Don't Forget to Evaluate the Benefit-Risk Ratio!

Preserving the remnant tissues in anterior cruciate ligament reconstruction, commonly referred to as anterior cruciate ligament augmentation, is an option in the "surgery à la carte" menu that the surgeon may choose from to adapt the surgical technique depending on each patient's specific needs. When possible, preserving this remnant offers definite benefits: improved vascularization, presence of neurosensors, and even mechanical advantages. However, this technique may prove to be tricky, especially when the intercondylar notch is not clearly visible and when the surgeon lacks experience. The benefit-risk ratio must be carefully weighed for each case.