[Secondary replacement reconstruction of the anterior cruciate ligament using pediculated gracilis tendons from the proximal musculature (Lindemann)].

Between 1976 and 1987 350 reconstructions of the ACL in accordance to Lindemann have been undergone. 81% were injuries caused by sport accidents. Only 3.5% have had relative acute injuries at the time of operation. 344 patients were followed up. 50% have had good results, in 38% of patients no distinction was possible to the controlateral healthy knee joint. The advantages of the dynamic reconstruction of the ACL seemed to be in easy extraction of autogeneous graft, the dynamic function, the circulation and proprioception of the proximal pediculated gracilis tendon and the good results withoutloosening of the muscular pediculated graft.