I met Andrea Ferretti， a young resident， in the 1970s at the Orthopaedic Institute at the University of Rome where I was an Associate Professor. We worked together for almost 10 years， and like me， he was dedicated mostly to the treatment of athletes， and especially to knee surgery. His dedication to this specialty was demonstrated when， 20 years later， he was named Professor of Orthopaedics at the Sant’Andrea Hospital in Rome and Chief Doctor of the Italian Football Association and a UEFA Medical Committee member.
When Andrea invited me to write the foreword for this book， I was not only honored， but for me， it was like a return to the past.
Since a normal sports life is impossible without proper joint function and since proper joint function cannot occur with laxity， orthopaedic surgeons need to know not only the treatments for instability but also the history of the treatments. Many facets of surgery have changed， and many others are the same. Often， the techniques of the past are abandoned， and years later， they start to be used again.
Considering the past 10 years， advances in the number and development of newer arthroscopic procedures， knee ligament reconstructions， meniscus repairs， and the treatment of articular cartilage pathology have resulted in corresponding needs for education， training， and knowledge.
All of this new knowledge introduces challenging problems for practicing surgeons and to orthopaedic residents in training.
Most importantly， this knowledge provides the basis upon which an orthopaedist counsels a patient regarding the risks and benefits of every operative treatment. Many patients， before or after the physician visit， search the internet to try to understand if the suggestions of the treating surgeon are the same as those suggested by the “opinion leaders”.
They often become confused and frightened by very different suggestions and proposals. These patients have high expectations for overcoming their complaints and their ability to return to their previous activity level.
The text of this book is comprehensive and covers all aspects of the anatomy and biomechanics of anterior cruciate reconstruction.
Wishing great success to Andrea Ferretti and all other authors， I would like to share four quotations， with the first from William Harvey (1578–1657): “I would say with Fabricius1: let all reasoning be silent when experience gainsays its conclusion. The too familiar vice of the present age is to obtrude as manifest truths， mere fancies， born of conjecture and superficial reasoning， altogether unsupported by the testimony of sense”. The second is from Robert Leach: “Enjoy the book， absorb the material that was so assiduously collected by the editors and use that material to the benefit of your patients”. The third quotation is from my mentor Jack C.?Hughston: “To readers I would say， let the experience presented in this book speak for itself”. The fourth is from Andrea Ferretti himself: “You will never fully understand rotatory instability as long as you look only at ACL”.
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