ACL femoral avulsion repair using suture pull-out technique: A case series of thirteen patients

Anterior cruciate ligament (ACL) repair was first described in the mid 1900's. However, due to poorly selected patients led to unsatisfactory early results. We aim to study the outcome of ACL repair in a carefully selected cohort. Thirteen consecutive patients of acute Type 1 (proximal ACL avul...

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Bibliographic Details
Published in:Chinese journal of traumatology 2018-12, Vol.21 (6), p.352-355
Main Authors: Mukhopadhyay, Reetadyuti, Shah, Nishith, Vakta, Rohan, Bhatt, Jaymin
Format: Article
Language:English
Subjects:
Anterior cruciate ligament
Avulsion
Original
Sutures
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Summary:Anterior cruciate ligament (ACL) repair was first described in the mid 1900's. However, due to poorly selected patients led to unsatisfactory early results. We aim to study the outcome of ACL repair in a carefully selected cohort. Thirteen consecutive patients of acute Type 1 (proximal ACL avulsion) were treated with arthroscopic ACL repair using a suture pull out technique. At the latest follow-up the patients were evaluated for Lysholm score, KT-1000 measurement and clinical assessment for any laxity. At a mean follow-up of 31.3 months, none of the patients had any subjective laxity. The mean Lysholm score was 95 and instrumented laxity measurement did not reveal any significant laxity compared to the opposite knee. The proximal ACL avulsion has healing potential similar to proximal MCL injuries. Performing microfracture of the lateral wall of the notch optimizes the healing environment by negating the effects of the synovial fluid. Performing ACL repair in a carefully selected patient leads to good short term results and saves the patient of a reconstruction procedure, at least in the immediate future.
ISSN:1008-1275
DOI:10.1016/j.cjtee.2018.07.001