Over the past three decades, there have been revolutionary changes in the concepts of knee joint pathology and methods of its correction. The most frequent and significant functional and prognostic pathology of the knee joint for young and middle-aged people is a rupture of the anterior cruciate ligament, which occurs on average in every third of patients with a sports injury of this segment. Advances in the diagnosis and treatment of anterior cruciate ligament injuries are associated with further deepening of subspecialization in traumatology and orthopedics. The article reflects the latest trends in domestic and world orthopedic arthrology. Today's operations for the reconstruction of the anterior cruciate ligament are technically complex and constantly improving surgical interventions. In addition to the dominance of the endoscopic approach in the diagnosis and organ-preserving treatment of various types of knee joint pathology, it is characterized by the complexity of reconstructive and reconstructive interventions. The narrow specialization in traumatology has accelerated the development and implementation of new approaches, methods, tools, and materials. The purpose of this article is to eliminate the gap in the issues of modern diagnosis and treatment in people with anterior cruciate ligament of the knee joint with an emphasis on real opportunities to work in medical institutions.