RESUMO
Recent orthopedic literature has shown that primary repair for femoral-sided avulsion tears of the anterior cruciate ligament (ACL) can be successful. Primary ACL repair avoids invasive reconstruction techniques, graft-site morbidity, and the loss of native anatomy while producing excellent results in appropriately selected patients. Here we describe our patient selection parameters, ACL repair technique, and rehabilitation protocol.
RESUMO
The anterior cruciate ligament (ACL) is the most common ligamentous knee injury and often is encountered in those participating in multidirectional sports. ACL reconstruction is the most commonly performed knee ligament reconstruction and employs a variety of surgical techniques but still is challenged by residual laxity and graft rupture. To help address and prevent future ACL failures, new repair and reconstruction techniques have been employed that incorporate suture augmentation (InternalBrace; Arthrex, Naples, FL), which protects the graft during healing and ligamentization. Our goal of this article is to provide a surgical technique of suture augmentation with ACL reconstruction.