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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
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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
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