Arthroscopic Primary Repair of Proximal Anterior Cruciate Ligament Tears

Gregory S DiFelice; Jelle P van der List

doi:10.1016/j.eats.2016.05.009

Arthroscopic Primary Repair of Proximal Anterior Cruciate Ligament Tears

Arthrosc Tech. 2016 Sep 19;5(5):e1057-e1061. doi: 10.1016/j.eats.2016.05.009. eCollection 2016 Oct.

Authors

Gregory S DiFelice¹, Jelle P van der List²

Affiliations

¹ Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, New York, U.S.A.
² Orthopaedic Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, New York, U.S.A.

Abstract

In a select group of patients with proximal anterior cruciate ligament (ACL) tears, primary repair can be a useful technique. Preservation of the native ACL may be advantageous for proprioceptive function and is thought to restore normal knee joint kinematics. The procedure is a less morbid and more conservative surgical approach to restore knee stability. Primary repair is preferably performed in the acute setting because of better healing capacity and tissue quality. We present the surgical technique of arthroscopic primary ACL repair with suture anchors in patients with proximal tears and excellent tissue quality.