ArticleOrthopaedic journal of sports medicine2020
Treatment of Acute Proximal Anterior Cruciate Ligament Tears-Part 2: The Role of Internal Bracing on Gap Formation and Stabilization of Repair Techniques.
Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Categorize the existing clamps used for tensile test of human graft- a systematic review.BMC musculoskeletal disorders · 2022Pooled it
- Primary anterior cruciate ligament repair with suture tape augmentation: indications, failure predictors, clinical outcomes, and evidence gaps.Frontiers in sports and active living · 2026Review
- Internal brace augmentation in ACL reconstruction increases structural strength and stiffness: a biomechanical study in a porcine tibia model.Scientific reports · 2025Article
- Anterior Cruciate Ligament Repair With Suture Tape Augmentation Using Self-Tapping Knotless Anchors.Arthroscopy techniques · 2025Article
- Primary Suture Tape Repair and Dynamic Internal Brace Augmentation for the Partial Anterior Cruciate Ligament Tears.Arthroscopy techniques · 2025Article
- Arthroscopic Primary Repair of Proximally Based Anterior Cruciate Ligament Tear With Augmentation and All-Epiphyseal Fixation.Arthroscopy techniques · 2024Article
- Primary anterior cruciate ligament repair-morphological and quantitative assessment by 7-T MRI and clinical outcome after 1.5 years.European radiology · 2024Article
- Anterior Cruciate Ligament Repair Using a Re-tensionable All-Suture Construct.Arthroscopy techniques · 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
- Refixation of the anterior cruciate ligament: A biomechanical analysis of suture techniques in a porcine model.Journal of experimental orthopaedics · 2024Article
- Outcomes of Anterior Cruciate Ligament Reconstruction With Independently Tensioned Suture Tape Augmentation at 5-Year Follow-up.The American journal of sports medicine · 2023Article
- Stabilization and Gap Formation of Adjustable Versus Fixed Primary ACL Repair With Internal Brace: An in Vitro Full-Construct Biomechanical Cadaveric Study.Orthopaedic journal of sports medicine · 2023Article
- Augmentation with Fibertape Leads to Biomechanically Superior but Similar Clinical Outcomes in ACL Surgeries: Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2023Article
- Augmenting ACL Repair With Suture Tape Improves Knee Laxity: A Biomechanical Study.Orthopaedic journal of sports medicine · 2023Article
- Clinical Research Progress of Internal Brace Ligament Augmentation Technique in Knee Ligament Injury Repair and Reconstruction: A Narrative Review.Journal of clinical medicine · 2023Review
- The Chinese knotting technique assist anatomical anterior cruciate ligament reconstruction for aggressive rehabilitation.Medicine · 2022Article
- Combined Anterior Cruciate Ligament Repair and Anterolateral Ligament Reconstruction With a Single-Strand Gracilis Graft.Arthroscopy techniques · 2021Article
- The Comparison of Clinical Result between Primary Repair of the Anterior Cruciate Ligament with Additional Internal Bracing and Anatomic Single Bundle Reconstruction-A Retrospective Study.Journal of clinical medicine · 2021Article
- Arthroscopic ACL Reconstruction After Failed ACL Repair.Arthroscopy techniques · 2021Article
- Suture Tape Augmentation Has No Effect on Anterior Tibial Translation, Gap Formation, or Load to Failure of Anterior Cruciate Ligament Repair: A Biomechanical Pilot Study.Arthroscopy, sports medicine, and rehabilitation · 2021Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe latest biomechanical studies on some form of internal bracing have shown improved stabilization for anterior cruciate ligament (ACL) repair, but gap formation and load-sharing function have not yet been reported. HYPOTHESIS: Internal bracing of an adjustable ACL repair construct provides improved stabilization with reduced gap formation and higher residual loading on the ACL. STUDY
designControlled laboratory study.
methodsInternally braced ACL repair constructs with single- and double-cinch loop (CL) cortical buttons, a knotless suture anchor, and a single-CL cortical button with adjustable loop fixation (CLS-ALD) were tested (n = 20 each) in a porcine model at 4 different loads (n = 5 each) over 4000 cycles at 0.75 Hz (n = 80 total). The CLS-ALD technique allowed for additional preconditioning (10 cycles at 0.5 Hz). Test results of the isolated internal brace groups served as a baseline for comparison. Lastly, specimens were pulled to failure (50 mm/min) with a cut internal brace. Final loading and gap formation on the ACL repair construct as well as ultimate strength were analyzed.
resultsA statistical significance for peak loads over peak elongation was found between the CLS-ALD and all other reinforced groups (analysis of covariance,
conclusionInternal bracing had a crucial role in improving the stabilization potential of ACL repair at loads occurring during normal daily activity. The added strength of the internal brace allowed for reducing peak loads on the ACL repair construct as well as restricting gap formation to below 3 mm at loads up to 350 N. CLINICAL RELEVANCE: Improvements in the mechanical characteristics of current ACL repair techniques that enable reduced gap formation and allow for early range of motion and accelerated rehabilitation may strengthen the self-healing response with the formation of stable scar tissue.
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Registered trials
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