Suture Tape Augmentation Repair For Partial ACL Tears: A Prospective Case Series And Surgical Technique

Abstract

Purpose: In the setting of anterior cruciate ligament (ACL) rupture, the repair is still avoided by some surgeons in favour of reconstruction. The latter has been considered a gold standard approach for many decades due to poor postoperative outcomes following ACL repair. However, the main advantage of ACL repair, which is the preservation of the native ligament, cannot be ignored. Methods:Patients with partial ACL tear that underwent ACL tightening from 2019 to 2022 were included. Baseline characteristics (gender, age, BMI, injury mechanism, time from injury to surgery, concomitant injuries, preoperative and postoperative anterior drawer test, Lachman test, and Modified cincinnati knee rating system) were collected.Results: A total of 14 patients (mean age: 32.1±6.3 years, range: 19-42 years) diagnosed with a partial ACL tear on MRI underwent a modified suture tape augmentation. The mean follow-up was 31.1±7.7 months (range: 24-44 months). During the follow-up, no major complications were observed, and none of the patients required ACLR. Treatment was successful in 100% of patients. Postoperative Lachman and anterior drawer tests were negative, the mean modified cincinnati rating system scores 3 months, 6 months, 12 months, and 24 months after surgery were 79. 1±9.4, 92.4±5.4, 96.3±2.3, and 98.9±1.7, respectively. Conclusion:This technique is not only safe but also straightforward and competent, as it results in excellent patient outcomes.