Suture-Augmented Anterior Cruciate Ligament Repair for Proximal Avulsion or High-Grade Partial Tears Shows Similar Side-to-Side Difference and No Clinical Differences at Two Years Versus Conventional Anterior Cruciate Ligament Reconstruction for Mid-Substance Tears or Poor Anterior Cruciate Ligament Tissue Quality

Rate of Revision Surgery and Associated Risk Factors After Primary Arthroscopic ACL Repair With Additional Suture Augmentation

“…Concomitant injuries were initially seen as a contraindication to performing an ACL repair with SA 6 ; however, studies have included patients with concomitant ligamentous, meniscal, and chondral lesions with an ACL injury but have not assessed them as potential risk factors for revision surgery. 7,12 In their analysis, Cruz et al 4 were not able to identify meniscal or The Orthopaedic Journal of Sports Medicine Revision Surgery ACL Repair 5 chondral concomitant injuries as a risk for revision surgery after ACL repair with SA. Cruz et al 4 reported a significantly higher mean interval between injury and surgery in the failure group (164 6 59 days compared with 107 6 98 days in the nonfailure group).…”

“…Nonetheless, with a mean time from injury to surgery of 96.8 677.4 days, the degree of strictness with which this cohort's patients were selected remains to be questioned, as the shortest injury-to-surgery interval was still longer than the longest interval within the presented cohort. 4 In a prospective cohort study, Douoguih et al 7 reported a revision rate of 10% in 30 patients undergoing ACL repair with SA. All 3 patients undergoing revision surgery sustained a traumatic retear: playing volleyball (17 months postoperatively), playing soccer in an Olympic development team (11 months after surgery), and playing competitive recreational soccer (12 months after surgery), respectively.…”

“…All 3 patients undergoing revision surgery sustained a traumatic retear: playing volleyball (17 months postoperatively), playing soccer in an Olympic development team (11 months after surgery), and playing competitive recreational soccer (12 months after surgery), respectively. 7 In ACL research, retear rates should not be considered and interpreted as a stern parameter. Surgical techniques that lead to high rates of return to competitive sports inevitably will have higher retear rates than an approach with only a limited resumption of sporting activities.…”

“…8,9,16,18,22,25 Although numerous studies have evaluated revision rates after different types of ACL surgery, there is a paucity of this information for the recent concept of arthroscopic ACL repair with SA, and the few data available are often derived from small heterogeneous patient cohorts partly without strict preoperative patient selection applied. 1,3,6,7,25 Furthermore, potential risk factors such as demographic characteristics or concomitant ligamentous, meniscal, and chondral injuries have often not been evaluated regarding their impact on the revision-free survival rate of the augmented ACL repair. 25 Thus, the aims of this study were to (1) determine the revision rate and revision-free survival rate of arthroscopic ACL repair with SA and (2) identify potential patient-and injury-related risk factors for revision surgery in a large patient cohort subject to strict patient selection.…”

“…Although numerous studies have evaluated revision rates after different types of ACL surgery, there is a paucity of this information for the recent concept of arthroscopic ACL repair with SA, and the few data available are often derived from small heterogeneous patient cohorts partly without strict preoperative patient selection applied. 1,3,6,7,25 Furthermore, potential risk factors such as demographic characteristics or concomitant ligamentous, meniscal, and chondral injuries have often not been evaluated regarding their impact on the revision-free survival rate of the augmented ACL repair. 25…”