ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Arthroscopic primary repair of proximal anterior cruciate ligament tears: outcomes of the first 56 consecutive patients and the role of additional internal bracing.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.
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Who cites it
75 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Arthroscopic primary repair of the anterior cruciate ligament with internal brace ligament augmentation: a viable alternative to reconstruction? A systematic literature review and analysis.BMC musculoskeletal disorders · 2026Pooled it
- Application of internal brace ligament augmentation technique in knee ligament injury: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Pooled it
- Comparable Instrumented Knee Joint Laxity and Patient-Reported Outcomes After ACL Repair With Dynamic Intraligamentary Stabilization or ACL Reconstruction: 5-Year Results of a Randomized Controlled Trial.The American journal of sports medicine · 2022Trial
- Real-time indocyanine green perfusion assessment demonstrates regional vascularity and loss of perfusion in the anterior cruciate ligament during knee arthroscopy.Journal of experimental orthopaedics · 2026Article
- Primary anterior cruciate ligament repair with suture tape augmentation: indications, failure predictors, clinical outcomes, and evidence gaps.Frontiers in sports and active living · 2026Review
- Low Failure Rates and Favorable Outcomes of Meniscal Repair With Concomitant Anterior Cruciate Ligament Primary Repair at Minimum 2-Year Follow-up.Orthopaedic journal of sports medicine · 2026Article
- Limited Agreement on ACL Tear Location Between Arthroscopy and MRI: A Prospective Evaluation.Orthopaedic journal of sports medicine · 2025Article
- Reliability of Preoperative Magnetic Resonance Imaging in Determining the Anterior Cruciate Ligament Tear Location.Orthopaedic journal of sports medicine · 2025Article
- Suture-augmented primary anterior cruciate ligament repair with internal brace shows acceptable re-rupture rates, favourable outcomes and high return-to-sport rates: A systematic review.Journal of experimental orthopaedics · 2025Review
- Reliability of Preoperative MRI in the Prediction of ACL Tear Type.Orthopaedic journal of sports medicine · 2025Article
- Primary repair of proximal anterior cruciate ligament injury: a global expert consensus statement.Burns & trauma · 2025Article
- Modified Bridge-Enhanced Anterior Cruciate Ligament Repair.Arthroscopy techniques · 2024Article
- Rate of Revision Surgery and Associated Risk Factors After Primary Arthroscopic ACL Repair With Additional Suture Augmentation.Orthopaedic journal of sports medicine · 2024Article
- Review
- Preliminary Outcomes of Scapholunate Ligament Augmentation with Internal Brace Technique.Journal of hand surgery global online · 2024Article
- Anterior Cruciate Ligament Repair Using a Re-tensionable All-Suture Construct.Arthroscopy techniques · 2024Article
- Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Rehabilitation Following ACL Repair with Internal Brace Ligament Augmentation in Female Gymnast: A Resident's Case Report.International journal of sports physical therapy · 2024Article
- Traditional suture tape versus multiple high-strength sutures for augmentation of anterior cruciate ligament primary repair: A time-zero biomechanical study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Promising functional outcomes following anterior cruciate ligament repair with suture augmentation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRecent outcomes of arthroscopic primary repair of proximal anterior cruciate ligament (ACL) tears have been promising in small cohort studies. The purpose of this study was to assess outcomes of arthroscopic ACL repair in a larger cohort and to assess the role of additional augmentation.
methodsThe first 56 consecutive patients that underwent arthroscopic ACL repair were examined at minimum 2-year follow-up. The latter 27 patients [48.2% (27/56)] received additional internal bracing with ACL repair. All 56 patients were included (100% follow-up). Mean age at surgery was 33.5 ± 11.3 years (59% male) and mean follow-up 3.2 ± 1.7 years. Clinical examination was performed using the objective International Knee Documentation Committee (IKDC) form. Subjective outcomes were obtained using the Lysholm, modified Cincinnati, Single Assessment Numeric Evaluation (SANE), and subjective IKDC scores.
resultsSix repairs (10.7%) failed and four additional patients underwent reoperation (7.1%): two for meniscus tears and two for suture anchor irritation. Objective IKDC scores were A in 38 (73%), B in 8 (15%) and C/D in 6 (12%) patients. Mean Lysholm score was 94 ± 7.6, modified Cincinnati 94 ± 8.9, SANE 90 ± 12.5, pre-injury Tegner 6.7 ± 1.5, current Tegner 6.2 ± 1.5, and subjective IKDC 90 ± 10.9. Failures rates were 7.4% with and 13.8% without internal bracing (P = 0.672). There were no statistically significant or clinically relevant differences in subjective outcomes.
conclusionArthroscopic primary repair has resulted in good objective and subjective outcomes at 3.2-year follow-up in a carefully selected population. The role of additional internal bracing is possibly beneficial, but larger groups are needed to assess this. LEVEL OF EVIDENCE: III.
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