AANA19 Knee Access Pass-Failure and Reoperation Rates Following Arthroscopic Primary Repair vs. Reconstruction of the Anterior Cruciate Ligament-Dr. Gregory S. DiFelice, M.D.

Failure and Reoperation Rates Following Arthroscopic Primary Repair vs. Reconstruction of the Anterior Cruciate Ligament-Dr. Gregory S. DiFelice, M.D.

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Video Summary

This presentation compared failure and reoperation rates between ACL repair and reconstruction. The study analyzed 121 adults, finding similar failure rates (12% repair, 16% reconstruction) and reoperation rates (7% vs. 8%). Younger age was the only significant failure predictor. Revision surgeries after repair had favorable outcomes comparable to primary reconstruction. Advantages of repair include preserving the native ligament and quicker recovery, though higher failure rates in adolescents remain a concern. Limitations include retrospective design and small numbers. The conclusion supports ACL repair as a viable option in adults, but larger prospective studies are needed to confirm findings and assess younger patients.

Keywords

ACL repair

ACL reconstruction

failure rates

reoperation rates

younger age predictor