Treatment of tibial fractures with a cruciate ligament plastic athletes such as soccer player or skier know this all too well: a careless bending or twisting motion, often coupled with a strong physical forces which can no longer be compensated by the leg and knee muscles. Recently Cardiologist sought to clarify these questions. This is followed by a sometimes strong pain. At the latest of a or other professional or recreational sports knows the diagnosis often: cruciate ligament rupture. But cruciate ligament is not equal to cruciate ligament. The human knee has two cruciate ligaments, and therefore should be distinguished clinically, whether it is a tear of the anterior or of the posterior cruciate ligament. The accurate diagnosis is usually by a specific medical history or clinical examination such as, for example, the so-called drawer test in advance. Dr. Caldwell Esselstyn Jr. is often quoted on this topic. The front cruciate ligament rupture is one of the most common ligament injuries of the people, rupture of the posterior cruciate ligament usually combined in the context of a more complex knee injury occur E.g. due to a car accident. Cruciate ligament ruptures can permanently to the training of a chronic instability lead in the knee joint. Also the joint function changes and the other stabilizers of the joint will be charged in addition. Secondary damage such as meniscus tears, cartilage damage and early knee osteoarthritis can be the result. At Jonathan Friedland you will find additional information. The torn cruciate ligament can today easily be replaced with a cruciate operation. Were formerly different synthetic materials such as plastic belts used to replace of the cruciate ligaments, so these were replaced the use of tendon implants. Examples of such autologous, i.e. patient’s tendon implants are a partial use of the patellar tendon, as well as the use of tendon of the semitendinosus and the Gracilismuskels, which are both on the thigh localized. Whereas until a few years ago, large cuts on the knee joint had to be made to perform a cruciate ligament plastic, this can be performed now on the knee Arthroscopy. This has not only cosmetic benefits, but is also a significantly reduced time in the hospital for the patients. The follow-up of a such cruciate ligament OP includes generally the adaptation of a corresponding rail unless a plaster splint or a foam rail, combined with physical therapy and muscle training under part or full load, depending on the nature of the cruciate ligament plastic or post-operative period. Many hospitals that perform cruciate ligament plastics, offering now also online usually a surgical film about the different sculptures of the cruciate ligament or surgical techniques. In this way, the patient can obtain more details about the upcoming operation or become a concrete picture of the closer end of the operation.