Arthroscopic ACL Primary Repair: Indications, Techniques and Outcomes (AANA19)-ACL Repair_ Current Thoughts, Technique & Results-Dr. Kevin F. Bonner, M.D.

ACL Repair_ Current Thoughts, Technique & Results-Dr. Kevin F. Bonner, M.D.

Video Transcription

Video Summary

Kevin Bonner, with 21 years of experience, discusses the evolving approach to primary ACL repair, particularly proximal avulsion tears. Historically abandoned due to poor outcomes, ACL repair has seen renewed interest but remains controversial regarding indications and techniques. Bonner credits peers like Greg DeFelice and Dr. Murray for advancing the science. He emphasizes patient selection, favoring older patients (35+) with proximal tears who may benefit most due to lower morbidity and quicker recovery compared to reconstruction. Bonner shares his experience performing repairs without internal bracing to assess true ACL healing and notes about an 85% success rate in his studied cohort, although failure risk is higher than reconstruction. He stresses individualized risk-benefit discussions and acknowledges that ACL repair may not suit high-level athletes currently due to higher failure rates. Overall, Bonner advocates for cautious optimism, urging clinicians to study outcomes carefully and highlighting ACL repair’s potential benefits as a less invasive, more anatomic option.

Asset Caption

Instructional Course Lecture: Arthroscopic ACL Primary Repair: Indications, Techniques and Outcomes.

Keywords

ACL repair

primary ACL repair

proximal avulsion tears

patient selection

ACL reconstruction

orthopedic surgery