Abstract
The aim of arthroscopically assisted refixation combined with microfracturing of acute proximal anterior cruciate ligament ruptures (ACL) is to restore the anatomical and biomechanical properties of the native ACL. Due to several reasons ACL repair techniques have gained new interest. In addition to the newly developed suture materials, arthroscopic repair techniques and a better patient selection, favored indications are acute proximal ACL tears with good tissue quality of the residual ligament. Therefore, the final decision on treatment is possible during intraoperative arthroscopic examination of the ACL with a probe. After debridement of the femoral ACL insertion, a curved lasso is used to place a suture through the ACL. A drill guide is used to ensure positioning of the anchor in the center of the ACL insertion zone. Microfracturing holes around the femoral footprint are made with an awl to enhance healing properties of the ACL. Initial clinical studies have shown good results and the revision rate is currently approximately 15%.
| Translated title of the contribution | Arthroscopic refixation of proximal avulsion of the anterior cruciate ligament |
|---|---|
| Original language | German |
| Pages (from-to) | 207-210 |
| Number of pages | 4 |
| Journal | Arthroskopie |
| Volume | 31 |
| Issue number | 3 |
| DOIs | |
| State | Published - 1 Aug 2018 |