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AANA19 Knee Access Pass
Failure and Reoperation Rates Following Arthroscop ...
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
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