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Review of Jones (1963) on ‘Reconstruction of the anterior cruciate ligament. A technique using the central one-third of the patellar ligament’
  1. Nicola Maffulli1,2,3,
  2. Antonio Oliviero1
  1. 1 Department of Trauma and Orthopaedic Surgery, University of Salerno, Surgery and Dentistry, Salerno, Italy
  2. 2 Institute of Science and Technology in Medicine, Keele University School of Medicine, Stoke on Trent, United Kingdom
  3. 3 Centre for Sports and Exercise Medicine, Queen Mary University of London, London, United Kingdom
  1. Correspondence to Professor Nicola Maffulli, Departiment of Trauma and Orthopaedics, University of Salerno School of Medicine, Surgery and Dentistry, Salerno, Italy; n.maffulli{at}


This classic discusses the original publication ‘Reconstruction of the anterior cruciate ligament (ACL). A technique using the central one-third of the patellar ligament’ on the Jones procedure. Published in 1963 in the ‘Journal of Bone and Joint Surgery American Volume’, it was inspired by pioneering surgeons in the field of knee ligament reconstruction. Jones introduced a technique that reconstructed the ACL using the middle third of the patella tendon, leaving it attached to a strip of patella and quadriceps tendon to obtain the necessary length. The strip of patellar tendon was then introduced and secured in a tunnel drilled in an inside-out fashion through the lateral femoral condyle. Although with time technological advances and clinical and biomechanical studies led to profound modifications of the technique described in the original article, the concepts introduced by Jones are still at the base of all the reconstructive techniques of the ACL using a patellar tendon graft.

  • anterior cruciate ligament reconstruction
  • patellar tendon
  • patellar tendon bone grafting
  • ACL injuries
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  • Collaborator Mr David Dandy MD FRCS, Emeritus Consultant Orthopaedic Surgeon, Cambridge, UK.

  • Contributors NM conceived the idea and supervised the preparation of the manuscript. AO undertook the literature search and helped in the preparation of the manuscript. David Dandy wrote the historical perspective section of the paper

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.

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