Acute Primary Repair of the Anterior Cruciate Ligament With Anterolateral Ligament Augmentation

Monaco, Edoardo; Mazza, Daniele; Daggett, Matthew; Marzilli, Fabio; Annibaldi, Alessandro; Carrozzo, Alessandro; Ferretti, Andrea

doi:10.1016/j.eats.2021.03.007

Cited by 6 publications

(5 citation statements)

References 35 publications

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“…Augmentation techniques have emerged as a procedure for enhancing ACL reconstruction success [1,14,18]; they were applied both in ACL-R [46][47][48] and ACL repair [1,14,18,19]. In the ACL repair setting, they follow the same principles and indications as in ACL-R [46,47].…”

Section: Augmentation Procedures With Acl Repairmentioning

confidence: 99%

“…Monaco et al have contributed to the field by presenting a specific technique that combines ACL repair with ALL suture augmentation, offering a comprehensive approach to addressing ligamentous laxity and rotational instability [19]. This technique underscores the importance of addressing both the primary ACL injury and potential deficiencies in the lateral structures of the knee to optimize overall joint stability and function.…”

Section: Laterally Based Proceduresmentioning

confidence: 99%

“…Direct repair with sutures alone, the suture anchor technique, bridge-enhanced repair (BEAR), dynamic intraligamentary stabilization (DIS), adjustableloop cortical button device techniques, and internal brace augmentation procedures have all been described [1,2,18]. Moreover, additional procedures, such as the anterolateral ligament complex reconstruction (ALL-R) or lateral extra-articular tenodesis (LET), have been associated [1,19].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Advancements in Anterior Cruciate Ligament Repair—Current State of the Art

Bosco,

Rovere,

Giustra

et al. 2024

Surgeries

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While anterior cruciate ligament reconstruction (ACL-R) has been considered the gold standard for ACL tears, renewed interest in ACL repair has emerged. This review aims to examine the current knowledge regarding ACL repair. A comprehensive literature search was conducted on the PubMed, Web of Science, Scopus, and Embase databases, focusing on the most recent studies up to January 2024. Arthroscopic ACL repair has several advantages, such as resulting in a natural ligament with proprioceptive properties, preservation, and donor graft comorbidity absence. Several ACL repair surgical procedures have been developed thanks to the advancement in new fixation devices. The current literature showed that when performed on a suitable patient with the appropriate lesion type, corresponding to the proximal third with good tissue quality, ACL repair leads to satisfactory outcomes. Despite the benefits of ACL repair with promising results, ACL-R remains the gold standard for ACL lesions. There is still a lack of literature analyzing long-term outcomes; large series with homogenous populations and types of lesions are lacking. Based on the current evidence, further research and higher-quality studies investigating ACL repair will be necessary.

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Section: Augmentation Procedures With Acl Repairmentioning

confidence: 99%

Section: Laterally Based Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Advancements in Anterior Cruciate Ligament Repair—Current State of the Art

Bosco,

Rovere,

Giustra

et al. 2024

Surgeries

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“…Early reports of direct suture repair of the ACL showed that 40% to 100% of cases ended in failure [8]. With the development of surgical techniques and devices, primary repair of acute ACL proximal tears with intact tibial remnants has attracted interest [9][10][11][12]. Although primary repair has advantages, it is not suitable for all types of ACL rupture [13].…”

Section: Introductionmentioning

confidence: 99%

All-Inside Anterior Cruciate Ligament Reconstruction: A Review of Advance and Trends

Yang¹,

Cai²,

He³

et al. 2022

Front. Biosci. (Landmark Ed)

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Anterior cruciate ligament (ACL) injury is a common disease in orthopedics and mostly occurs as a noncontact injury in athletes. Patients' knee joint stability, which is crucial to their athletic ability, cannot be restored through conservative treatment; it can only be restored through ACLR (ACL reconstruction) surgery. The surgical techniques of ACLR are constantly evolving, from bone tendon bone (BTB) grafting combined with interface screw fixation to hamstring tendon autograft or allogeneic tendon and of suspension device constructs. In particular, the currently prevalent all-inside technique featuring good cosmetic results and quick recovery of early functions not only ensures the stable fixation of grafts but also reduces surgical trauma. This review compares the advantages and disadvantages of different aspects of all-inside ACLR, including graft selection and preparation, bone socket reconstruction, fixation methods, and surgical technique effects and limitations. It has been found that the all-inside technique excels both anatomically and clinically but still requires further development. Besides, it has some limitations, and high-quality randomized controlled trials are still required to compare the long-term effects of the all-inside technique and other ACLR techniques.

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“…[7] Moreover, new techniques such as dynamic intraligamentary stabilization (DIS) which improves biological healing capacity and bridge-enhanced ACL repair (BEAR) grafts (with use of resorbable protein-based implant containing autologous blood to promote ligament healing) have shown encouraging results and renewed interest in the concept of primary repair of ACL. [7,15,[20][21][22][23][24][25][26][27] Some authors have speculated that the promising results of primary repair could lead to a shift away from ACL reconstruction and back to ACL repair but, so far, there has been no systematic review comparing these 2 methods for treatment of acute ACL injury. [14,28,29] Therefore, we performed this systematic review of randomized controlled trials (RCTs) to examine outcomes in patients undergoing primary ACL repair versus patients undergoing ACL reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Early outcomes of primary repair versus reconstruction for acute anterior cruciate ligament injury: A systematic review and meta-analysis

Shen

Chen

et al. 2022

Medicine

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Background: Contemporary techniques for repair of acute anterior cruciate ligament (ACL) rupture have been receiving renewed interest recently because of reports of good outcomes. Methods: A literature search of PUBMED, MEDLINE, EMBASE, and the Cochrane Library was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Only RCTs published in English and comparing clinical outcomes of ACL repair versus reconstruction were included. Outcomes were evaluated using the International Knee Documentation Committee subjective score, Lysholm score, Tegner activity scale, visual analog scale pain score, anterior laxity, Lachman test, hop tests, knee injury and osteoarthritis outcome score, extension deficit, revision rate, and re-rupture rate. Statistical analysis was performed with Review Manager 5.4 and Stata 14.0. Two-tailed P < .05 was considered statistically significant. Results: Four RCTs (with a total of 293 patients) that met the eligibility criteria were included in this review. Over short-term follow-up, none of the studies found significant differences between the repair groups and reconstruction groups with respect to International Knee Documentation Committee, Lysholm, Tegner, visual analog scale, anterior laxity, Lachman test, re-rupture rate, extension deficit, and performance of 3 hop tests ( P > .05). In both groups, the hop tests scores were >90%. Conclusion: ACL repair and ACL reconstruction appear to provide comparable short-term outcomes. The low revision rate after primary repair is encouraging. For patients with ACL injury, current repair techniques such as dynamic intraligamentary stabilization and bridge-enhanced ACL repair may be an effective alternative to reconstruction.

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Acute Primary Repair of the Anterior Cruciate Ligament With Anterolateral Ligament Augmentation

Cited by 6 publications

References 35 publications

Advancements in Anterior Cruciate Ligament Repair—Current State of the Art

Advancements in Anterior Cruciate Ligament Repair—Current State of the Art

All-Inside Anterior Cruciate Ligament Reconstruction: A Review of Advance and Trends

Early outcomes of primary repair versus reconstruction for acute anterior cruciate ligament injury: A systematic review and meta-analysis

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