Arthroscopic Primary Repair of Proximally Based Anterior Cruciate Ligament Tear With Augmentation and All-Epiphyseal Fixation

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2024 Sep 23

PMID 39308583

Authors

Dillon L Morrow

Austin G Hughes

Richard D Murray

Jeremy R Bruce

Affiliations

Soon will be listed here.

Abstract

Arthroscopic anterior cruciate ligament (ACL) reconstruction has been the gold standard of care for ACL injuries for many years. Recently, there has been growing literature and interest in arthroscopic primary ACL repair in select patients with predominantly proximally based ACL tears. This Technical Note demonstrates a surgical technique that offers an efficient minimally invasive and physeal-sparing anatomic ACL repair with all-inside internal brace augmentation that in the short term has offered good results for our patients.

References

Strassman A, Stokes D, Sanchez R, Shinsako K, Smith P, DiFelice G . Anterior Cruciate Ligament Repair Using a Re-tensionable All-Suture Construct. Arthrosc Tech. 2024; 13(3):102890. PMC: 10995730. DOI: 10.1016/j.eats.2023.11.018. View

Wiggins A, Grandhi R, Schneider D, Stanfield D, Webster K, Myer G . Risk of Secondary Injury in Younger Athletes After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis. Am J Sports Med. 2016; 44(7):1861-76. PMC: 5501245. DOI: 10.1177/0363546515621554. View

Sherman M, LIEBER L, Bonamo J, Podesta L, Reiter I . The long-term followup of primary anterior cruciate ligament repair. Defining a rationale for augmentation. Am J Sports Med. 1991; 19(3):243-55. DOI: 10.1177/036354659101900307. View

Robinson Jr J, Williamson T, Carson T, Whelan R, Abelow S, Gilmer B . Primary anterior cruciate ligament repair: Current concepts. J ISAKOS. 2023; 8(6):456-466. DOI: 10.1016/j.jisako.2023.08.008. View

Ferretti A, Monaco E, Annibaldi A, Carrozzo A, Bruschi M, Argento G . The healing potential of an acutely repaired ACL: a sequential MRI study. J Orthop Traumatol. 2020; 21(1):14. PMC: 7459035. DOI: 10.1186/s10195-020-00553-9. View

Kaeding C, Leger-St-Jean B, Magnussen R . Epidemiology and Diagnosis of Anterior Cruciate Ligament Injuries. Clin Sports Med. 2016; 36(1):1-8. DOI: 10.1016/j.csm.2016.08.001. View

Bachmaier S, DiFelice G, Sonnery-Cottet B, Douoguih W, Smith P, Pace L . Treatment of Acute Proximal Anterior Cruciate Ligament Tears-Part 2: The Role of Internal Bracing on Gap Formation and Stabilization of Repair Techniques. Orthop J Sports Med. 2020; 8(1):2325967119897423. PMC: 6987493. DOI: 10.1177/2325967119897423. View

Musahl V, Karlsson J . Anterior Cruciate Ligament Tear. N Engl J Med. 2019; 380(24):2341-2348. DOI: 10.1056/NEJMcp1805931. View

Mackay G, Blyth M, Anthony I, Hopper G, Ribbans W . A review of ligament augmentation with the InternalBrace™: the surgical principle is described for the lateral ankle ligament and ACL repair in particular, and a comprehensive review of other surgical applications and techniques is presented. Surg Technol Int. 2015; 26:239-55. View

10.

Vermeijden H, van der List J, OBrien R, DiFelice G . Patients Forget About Their Operated Knee More Following Arthroscopic Primary Repair of the Anterior Cruciate Ligament Than Following Reconstruction. Arthroscopy. 2020; 36(3):797-804. DOI: 10.1016/j.arthro.2019.09.041. View

11.

Massey P, Parker D, McClary K, Robinson J, Barton R, Solitro G . Biomechanical comparison of anterior cruciate ligament repair with internal brace augmentation versus anterior cruciate ligament repair without augmentation. Clin Biomech (Bristol). 2020; 77:105065. DOI: 10.1016/j.clinbiomech.2020.105065. View

12.

Murray M, Fleming B . Use of a bioactive scaffold to stimulate anterior cruciate ligament healing also minimizes posttraumatic osteoarthritis after surgery. Am J Sports Med. 2013; 41(8):1762-70. PMC: 3735821. DOI: 10.1177/0363546513483446. View

13.

Nguyen D, Ramwadhdoebe T, van der Hart C, Blankevoort L, Tak P, van Dijk C . Intrinsic healing response of the human anterior cruciate ligament: an histological study of reattached ACL remnants. J Orthop Res. 2014; 32(2):296-301. DOI: 10.1002/jor.22511. View

14.

DiFelice G, Villegas C, Taylor S . Anterior Cruciate Ligament Preservation: Early Results of a Novel Arthroscopic Technique for Suture Anchor Primary Anterior Cruciate Ligament Repair. Arthroscopy. 2015; 31(11):2162-71. DOI: 10.1016/j.arthro.2015.08.010. View

15.

Hoogeslag R, Brouwer R, de Vries A, Boer B, Veld R . Efficacy of Nonaugmented, Static Augmented, and Dynamic Augmented Suture Repair of the Ruptured Anterior Cruciate Ligament: A Systematic Review of the Literature. Am J Sports Med. 2020; 48(14):3626-3637. DOI: 10.1177/0363546520904690. View

16.

Douoguih W, Apseloff N, Murray J, Kelly R, Svoboda S . 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.... Arthroscopy. 2023; 40(3):857-867. DOI: 10.1016/j.arthro.2023.07.011. View

17.

van der List J . Arthroscopic primary repair of the anterior cruciate ligament: rationale, patient selection and early outcomes (PhD Academy Award). Br J Sports Med. 2022; . DOI: 10.1136/bjsports-2021-105295. View

18.

Wilson W, Hopper G, Banger M, Blyth M, Riches P, MacKay G . Anterior cruciate ligament repair with internal brace augmentation: A systematic review. Knee. 2022; 35:192-200. DOI: 10.1016/j.knee.2022.03.009. View

19.

van der List J, DiFelice G . Preservation of the Anterior Cruciate Ligament: Surgical Techniques. Am J Orthop (Belle Mead NJ). 2016; 45(7):E406-E414. View

20.

van der List J, Vermeijden H, Sierevelt I, DiFelice G, van Noort A, Kerkhoffs G . Arthroscopic primary repair of proximal anterior cruciate ligament tears seems safe but higher level of evidence is needed: a systematic review and meta-analysis of recent literature. Knee Surg Sports Traumatol Arthrosc. 2019; 28(6):1946-1957. PMC: 7253375. DOI: 10.1007/s00167-019-05697-8. View