Abstract
The aim of this study was to evaluate the functional outcome of primary anterior cruciate ligament (ACL) repair using suture augmentation (SA) in 93 consecutive patients (67 female) with a minimum follow-up of 12 months. Patients’ outcomes were determined using International Knee Documentation Committee (IKDC) score, Lysholm score (LS) and Tegner score (TS). Knee-laxity was assessed using the KT-1000 arthrometer. Eighty-eight patients (67 female, mean age 42 years ± standard deviation (SD) 13) were available for follow-up after a mean time of 21 months (range 12–39). Three patients (3%) underwent revision surgery and were excluded from functional analysis. The mean IKDC score was 87.4 ± 11, mean LS was 92.6 ± 11, mean pre-traumatic TS was 6 ± 2 and mean postoperative TS was 6 ± 2, with a mean difference (TSDiff) of 1 ± 1. The interval from injury to surgery had no significant impact on the postoperative IKDC (p = 0.228), LS (p = 0.377) and TSDiff (p = 0.572). Patients’ age (>40 years), BMI (>30) and coexisting ligament or meniscal injuries did not seem to influence postoperative functional results. Primary ACL repair using SA provides good to excellent functional outcomes with a low probability of revision surgery at a minimum of 12 months.
Highlights
The optimal treatment of an anterior cruciate ligament (ACL) tear remains debatable; in the demanding athletic patient, ACL reconstruction using a tendon autograft is usually recommended [1,2,3]
Eighty-eight patients (67 female) with a mean BMI of 24 and a mean age on the day of surgery of 42 years ± 13 were available with a mean follow-up of 21 months
All collateral ligament lesions were stable during clinical examination under anaesthesia and required no further surgical treatment
Summary
The optimal treatment of an anterior cruciate ligament (ACL) tear remains debatable; in the demanding athletic patient, ACL reconstruction using a tendon autograft is usually recommended [1,2,3]. In the 1970s and 1980s, open primary ACL repair was the gold standard surgical treatment [4,5,6]. A resurgence of focused attention on restoring native anatomy, preservation of proprioceptive abilities and reduction in donor site morbidity have led to a renewed interest in ACL repair for patients presenting with a proximal tear pattern, with excellent tissue quality and a short delay to surJ.gCelirny. CTLhutesa,rtsh, ewphuilerpinose of this setuvedryydwayasptroacrteicpeo, rttyipfipcarlimcoanrcyomaritthanrot slcigoapmicenAtoCuLs,rmepeaniirscuasl ianngdsuchtuonredraaul ginmjuernietsataioren p(SreAse)nwt.ould resultTihnugs,otohde fpuunrcptoiosenaolf otuhitscosmtuedyscworaesstaonrdeplorwt irfevpirsimioanryraatretshrinosacolpaircgeApCaLtireenptacirohuosirntgwsiuthtutryepical concoamugitmanenttiantijuonri(eSsA. ) would result in good functional outcome scores and low revision rates in a large patient cohort with typical concomitant injuries
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
