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 Transcription

Video Summary

In this video, the speaker discusses the interest in ACL repair as an alternative to reconstruction. Repair has shown better healing capacity and outcomes compared to mid-substance tears. Advantages of repair include preservation of the ligament, less invasive surgery, and quick return of motion. However, repair has higher failure rates in adolescents and potential overtreating in acute cases. The study compared failure and re-operation rates between repair and reconstruction, finding no significant differences. The failure rate of repair was 12% and reconstruction was 16% in this series. The study suggests that repair is a viable option for adults, but larger studies are needed for young patients.

Asset Caption

Concurrent Scientific Session IV: Paper Presentations - Knee 5.3.2019

Keywords

ACL repair

ACL reconstruction

healing capacity

ligament preservation

surgery outcomes