Primary Repair of the Anterior Cruciate Ligament: A Systematic Review

Taylor, Samuel A.; Khair, M. Michael; Roberts, Timothy; DiFelice, Gregory S.

doi:10.1016/j.arthro.2015.05.007

Cited by 120 publications

(95 citation statements)

References 41 publications

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“…Improvements in diagnostic and technologic standard techniques have resulted in increased interest in primary ACL repair. 7 Sherman et al 8 distinguished 4 patterns of ACL tears regarding the type of tear and tissue quality. True midsubstance tears occurred most frequently, followed by proximal femoral and distal tibial tears.…”

mentioning

confidence: 98%

Acute Proximal Anterior Cruciate Ligament Tears: Outcomes After Arthroscopic Suture Anchor Repair Versus Anatomic Single-Bundle Reconstruction

Achtnich

Herbst

Forkel

et al. 2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

153

178

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mentioning

confidence: 98%

Acute Proximal Anterior Cruciate Ligament Tears: Outcomes After Arthroscopic Suture Anchor Repair Versus Anatomic Single-Bundle Reconstruction

Achtnich

Herbst

Forkel

et al. 2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

153

178

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“…Strand et al [12] when reporting there long term follow up results, even opined that "if the same results could be accomplished by a smaller, arthroscopic procedure, primary repair might reduce the number of patients needing later reconstructions with the small costs in the way of risk and inconvenience to the patients," Therefore the research for better fixation methods are justified. Early outcomes with primary repair of the ACL tears have been promising with success rates far exceeding those described historically [13] . There have been equal number of reports stating that the primary repair is associated with very high failure rates and less than acceptable results.…”

Section: Discussionmentioning

confidence: 96%

Results with primary repair of the avulsed anterior cruciate ligament and internal fiber ligament augmentation

Agrawal¹,

Siddiqui²,

Khera³

et al. 2017

Int. J. Orthop. Sci.

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Introduction: ACL repair was first performed over a century ago, but reconstruction has overwhelmingly been the surgery of choice for operative ACL ruptures since the 1970s. Modern arthroscopic surgical instrumentation has made repair of ACL tissue easier and advancements in functional tissue engineering and regenerative medicine have resulted in a renewed interest in ACL repair. This is an attractive option to restore normal patient anatomy, retaining proprioceptive fibers, and not causing donor site morbidity that can be associated with reconstructions. Material & Methods:The study included 10 consecutive patients who presented with traumatic ACL avulsions (including bony avulsions) in outpatient or emergency department in last 2 years. Our inclusion criteria were cases with primary ACL injury (avulsion / proximal or distal end) not exceeding 3 months. Patients with severe arthritis of knee, multiligamantous ligament injury, history of previous surgery, bleeding disorders, any comorbidility leading to a non-operable condition were excluded from the study. Results: Out of 10 cases three cases had an avulsion from femoral end while seven had it from the tibial end. The injury surgey interval was in a range of six days to sixtythree days. Post operatively four patients had restriction of knee extension (5 degrees) at 4 weeks follow up. Rest of the cases had attained full range of motion at four weeks. All the cases had pain free gait pattern but needed aggressive physiotherapy to reinforce the normal gait pattern. There was no clinical ACL laxity in any of the cases, whenever seen at routine follow ups Conclusion: The internal brace acts as secondary pillar which supports the strength of the repaired ligament. Patients have a better proprioception, faster recovery to work & are safe guarded against an unpredictable outcome of ACL reconstruction.

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“…если удается избежать формирования диастаза путем качественного шва связки при определенном типе разрывов, то возникают пред-посылки к ее прямому сращению [7,8]. однако та-ких разрывов пкс в общей массе ее повреждений немного, предпочтение обычно отдается ее пер-вичной реконструкции [9,10].…”

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“…к тому же с увеличением вре-мени после травмы происходит его дальнейшее уменьшение [15]. В связи с этим такая тактика может быть перспективной в основном для па-циентов молодого возраста в ранние сроки после травмы [10,16]. однако это положение оспари-вается M.S.…”

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Modern Trends in Surgical Treatment of Patients With Acl Ruptures (Literature Review)

Rikun

Хоминец

Федотов

2017

Traumatology and Orthopedics of Russia

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The authors conducted an analysis of national and foreign scientific publications dedicated to the problems in treatment of patients with ruptures of the anterior cruciate ligament of the knee joint. The results of the analysis demonstrated that such lesions still remain the key knee pathology resulting from sports injuries that significantly affect knee function and require timely reconstructive surgical correction. Based on the study the key areas of improvement in treatment for mentioned category of patients have been identified. This is the biomechanically justified single bundle anatomical ACL reconstruction which is currently widely applied in the clinical practice by using of an isometrically located autograft. Such technique represents a radically new stage in the development of treatment methods for young and middle-aged patients with high functional demands.

show abstract

Primary Repair of the Anterior Cruciate Ligament: A Systematic Review

Cited by 120 publications

References 41 publications

Acute Proximal Anterior Cruciate Ligament Tears: Outcomes After Arthroscopic Suture Anchor Repair Versus Anatomic Single-Bundle Reconstruction

Acute Proximal Anterior Cruciate Ligament Tears: Outcomes After Arthroscopic Suture Anchor Repair Versus Anatomic Single-Bundle Reconstruction

Results with primary repair of the avulsed anterior cruciate ligament and internal fiber ligament augmentation

Modern Trends in Surgical Treatment of Patients With Acl Ruptures (Literature Review)

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