Primary anterior cruciate ligament repair: Current concepts

Robinson Jr., John D.; Williamson, Tyler; Carson, Taylor; Whelan, Ryan J.; Abelow, Stephen P.; Gilmer, Brian B.

doi:10.1016/j.jisako.2023.08.008

Cited by 7 publications

(45 citation statements)

References 54 publications

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“…Anterior cruciate ligament (ACL) treatment is one of the hottest topics in the orthopedic field and is continuously evolving [1,2]. Recent epidemiological studies have highlighted ACL tears as among the most prevalent knee injuries, with an estimated annual incidence ranging from 100,000 to 200,000 cases in the United States alone [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Discussing ACL management necessitates the dichotomous distinction between ACL repair and reconstruction (ACL-R) [1,2,9,10]. Open ACL repair was the main surgical strategy in the 20th century; despite promising early results, high medium-to long-term failure rates led to the switch to ACL-R [1,2,[9][10][11][12]. In recent decades, renewed interest in ACL repair has developed, as evidenced by the increased number of publications in the literature [1,2,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Open ACL repair was the main surgical strategy in the 20th century; despite promising early results, high medium-to long-term failure rates led to the switch to ACL-R [1,2,[9][10][11][12]. In recent decades, renewed interest in ACL repair has developed, as evidenced by the increased number of publications in the literature [1,2,[9][10][11]. Technology advancements associated with appropriate patient and lesion selection have resulted in promising ACL repair outcomes [1,2,[9][10][11]13,14].…”

Section: Introductionmentioning

confidence: 99%

“…In recent decades, renewed interest in ACL repair has developed, as evidenced by the increased number of publications in the literature [1,2,[9][10][11]. Technology advancements associated with appropriate patient and lesion selection have resulted in promising ACL repair outcomes [1,2,[9][10][11]13,14]. Pang et al, in their meta-analysis, highlighted that for proximal ACL ruptures, arthroscopic ACL repair was reported to have similar clinical outcomes compared with ACL-R [15].…”

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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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: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 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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Anterior cruciate ligament repair using dynamic intraligamentary stabilization grants 88.5% survival at minimum follow‐up of 5 years

Henle,

van Rooij,

Agu

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe aim of this study was to report on the revision rates and clinical outcomes following dynamic intraligamentary stabilization (DIS) at a minimum follow‐up of 5 years and to investigate which preoperative or intraoperative characteristics could influence revision rates or clinical scores.MethodsThe authors retrospectively assessed all 609 knees that underwent ACL repair using DIS at a single centre. At a minimum follow‐up of 5 years, patients were assessed using the Lysholm, International Knee Documentation Committee (IKDC) and Tegner scores, as well as passive flexion and extension.ResultsAt a follow‐up of 5.1 ± 0.3 years (range, 5–10), of the 609 patients, 428 patients were available for clinical assessment. Anterior tibial translation decreased from 9.7 ± 2.1 to 7.8 ± 1.9 mm, and side‐to‐side difference decreased from 4.3 ± 2.3 to 1.5 ± 1.8 mm. The postoperative Lysholm score was 96.9 ± 5.6, subjective IKDC was 95.6 ± 6.1 and Tegner scores ranged from 4 to 11, of which 51% of patients had a score of 7 or more. The estimated survival rate was 86% for the first half of the cohort and increased to 91% for the second half of the cohort.ConclusionAt a minimum follow‐up of 5 years following ACL repair using DIS, it was found that it grants satisfactory clinical outcomes and that surgeons should inform patients who have predispositions about the higher risk of revision.Level of EvidenceLevel IV retrospective study.

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ACL Reconstruction

Sauer

2024

ACL Reconstruction: Current Concepts

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Primary anterior cruciate ligament repair: Current concepts

Cited by 7 publications

References 54 publications

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

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

Anterior cruciate ligament repair using dynamic intraligamentary stabilization grants 88.5% survival at minimum follow‐up of 5 years

ACL Reconstruction

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