Repair of the anterior cruciate ligament: Augmentation versus conventional suture of fresh rupture

Aho, A. J.; Lehto, Matti; Kujala, Urho M.

doi:10.3109/17453678608994410

Cited by 24 publications

(15 citation statements)

References 15 publications

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“…Therefore, the authors stated, Bgiven these successful outcomes, our results beg the question as to whether the acuity of surgery is the most important variable or whether adequate tissue length and quality are the true predictors of success.^Similarly, the current case did not qualify for a repair in the acute setting but did qualify with regard to the optimal conditions for arthroscopic ACL repair of (1) proximal location of the tear, (2) sufficient tissue length, and (3) excellent tissue quality. The case presented suggests that maybe it is not the time from injury to repair that is critical for ACL repair as traditionally suggested [2,20,21,36], but that the conditions of the ligament may actually be more important. These conditions are indeed frequently seen in the acute setting but can also be seen in the non-acute setting.…”

Section: Discussionmentioning

confidence: 86%

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Successful Arthroscopic Primary Repair of a Chronic Anterior Cruciate Ligament Tear 11 Years Following Injury

List

DiFelice

2017

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Section: Discussionmentioning

confidence: 86%

“…It was thought that performing repair in the acute setting provided optimal tissue quality and prevented ligament retraction and/or reabsorption [2,21,22,36]. Therefore, primary ACL repair was not performed in the nonacute setting as surgeons tended to prefer ACL reconstruction under these circumstances.…”

Section: Introductionmentioning

confidence: 99%

Successful Arthroscopic Primary Repair of a Chronic Anterior Cruciate Ligament Tear 11 Years Following Injury

List

DiFelice

2017

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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“…We would agree to these observations that an attempt to primary repair could be successfully attempted till 3 months post injury. Although literature suggest that the key to success in these repairs is to perform it acutely preferably within days [17,18] . One of the limitations of our study is our small sample size.…”

Section: Discussionmentioning

confidence: 99%

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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“…Due to high failure rates and poor clinical outcomes the primary repair lost popularity, and currently, ligament reconstruction, with either autogenous or allogenous material, is the treatment of choice. [7][8][9][10][11] Autogenous refers to the graft material being harvested from the same individual, whereas an allogenous graft is taken from a specially prepared cadaveric specimen. The mid-third patella tendon as well as the hamstring tendons are common donor sites, with a slight preference for the hamstring tendons, because of lower donor site morbidity.…”

Section: Introductionmentioning

confidence: 99%

Double‐bundle reconstruction of the anterior cruciate ligament

Nau

Spotswood

2007

Australian J Rural Health

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Injuries of the anterior cruciate ligament often present in rural practices and rural regional hospitals. Surgical reconstruction is the treatment of choice in the young and active patient. Better biomechanical understanding has led to a further improvement of the surgical technique. The double-bundle reconstruction, which aims to address both functional bundles of the anterior cruciate ligament, represents the latest development in this field. In this review article the basic biomechanical principles as well as a new surgical technique are presented for practitioners in rural practice and rural regional hospitals.

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Repair of the anterior cruciate ligament: Augmentation versus conventional suture of fresh rupture

Cited by 24 publications

References 15 publications

Successful Arthroscopic Primary Repair of a Chronic Anterior Cruciate Ligament Tear 11 Years Following Injury

Successful Arthroscopic Primary Repair of a Chronic Anterior Cruciate Ligament Tear 11 Years Following Injury

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

Double‐bundle reconstruction of the anterior cruciate ligament

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