AANA Knee Arthroscopy - September 2024-ACL Primary Repair: is There a Role Debate 1--Yes

ACL Primary Repair: is There a Role Debate 1--Yes

Video Transcription

Video Summary

Bettina Henkel discusses ACL repair, highlighting its renewed interest due to improved techniques. Success depends on factors like tear type (proximal tears with good tissue quality are best), patient age, activity level, and timing of surgery. MRI helps predict reparability. Stability and healing have been confirmed biomechanically and via imaging. Younger patients may heal robustly but face higher retear risks. Augmentation with suture tape and biological methods show promise in improving outcomes. While ACL reconstruction remains standard, careful patient selection and modern repair techniques can yield favorable results, especially for acute proximal tears in less active or older patients.

Asset Caption

Dr. Betina Hinckel

Keywords

ACL repair

proximal tears

MRI prediction

suture tape augmentation

patient selection