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What did I do?
I investigated the role of modern anterior cruciate ligament (ACL) suture repair (ACLSR) in the treatment of ACL ruptures (ACL#). The aims were (1) to systematically review the literature on the clinical outcomes of ACLSR techniques; (2) to investigate the role of bracing of the ACLSR with a strong small-diameter braid that is positioned parallel to the repaired ACL (augmentation) to negate residual anterior translation forces during early rehabilitation; (3) to assess the early and midterm outcomes of dynamic augmented ACLSR in relation to the current surgical gold standard, ACL reconstruction (ACLR) with an autologous tendon graft and (4) to assess the role of MRI in determining ACL# morphology.
Why did I do it?
The overall goal in treatment of patients with ACL# is return to their previous activity level with normal knee function and prevention of degenerative joint disease. However, ACLR fails to meet its purpose in ful (as does non-operative treatment): half of patients do not return to competitive level sport, one-third do not return to their preinjury type of sports and a fifth do not return to sports at all. Furthermore, early-onset post-traumatic osteoarthritis is not prevented. Although in the late last century historical ACLSR techniques were abandoned in favour of ACLR because of overall disappointing results, in recent years, there has been renewed interest in the concept of ACLSR for treatment of …
Footnotes
Contributors RH has been responsible for all the work in this submission, and accepts full responsibility for the finished work.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.