[Primary and secondary augmentation reconstruction of the anterior cruciate ligament with the gracilis tendon]

In both immediate and secondary surgical treatment for teared anterior cruciate ligament an additional augmentation procedure protecting the reinserted original ligament structures seems to be consequent. Main indications for augmentation are the gravity of destruction, an intermediate type of rupture, fibre displacement and atrophy. Respecting the quite good long term results of 40 isolated Lindemann-procedures (1975-1982) 6 to 14 years after treatment, and the results of 43 primary and 77 secondary augmentation procedures performed in a 4 year's period (1984-1988) the Lindemann dynamic transfer technique can be recommended for replacement and augmentation as well.