AANA19 Knee Access Pass-Loco! Internal Bracing-Dr. Juan P. Previgliano, M.D.

Loco! Internal Bracing-Dr. Juan P. Previgliano, M.D.

Video Transcription

Video Summary

Dr. Riverola discussed the evolving landscape of ACL primary repair, highlighting its history from early open repairs in the late 19th century to decline due to poor mid-term outcomes and the rise of reconstruction in the 1990s. Recent advances in arthroscopic techniques, selective tear treatment (particularly proximal tears in young patients), and bio-enhancements have renewed interest in repair. Modern methods, including internal bracing and graft augmentation, show promising results, especially in acute, isolated proximal tears. While not suitable for most patients, primary ACL repair may become a valuable option pending long-term outcome studies, representing an exciting frontier in orthopedic research.

Keywords

ACL primary repair

arthroscopic techniques

internal bracing

proximal ACL tears

orthopedic research