Reetadyuti Mukhopadhyay,Nishith Shah,Rohan Vakta,Jaymin Bhatt.[J].中华创伤杂志英文版,2018,21(6):352-355
ACL femoral avulsion repair using suture pull-out technique: A case series ofthirteen patients
KeyWord: Anterior cruciate ligamentAvulsionSutures
Author NameAffiliation
Reetadyuti Mukhopadhyay Sports Injury Centre, Safdarjung Hospital & VMMC, New Delhi, India 
Nishith Shah Aash Arthroscopy Centre, Ahmedabad, India 
Rohan Vakta Aash Arthroscopy Centre, Ahmedabad, India 
Jaymin Bhatt Aash Arthroscopy Centre, Ahmedabad, India 
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      Purpose: 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. Methods: 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. Results: 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. Conclusion: 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.
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