In SportMe Medical Center , we are running differents cases on primary ACL repair with single bone preserving anchor  for partial rupture and closely monitoring them.
 
“Why try to convert other collagen substitutes into ligament if the original can be preserved?” said Sherman(1).
Nowadays, reconstruction became the gold standard treatment for ACL injuries. Despite current treatment, secondary knee osteoarthritis has been described in more than 70% of the injured patients after 10 years follow up (2)
Recent studies have reported that tears involving the proximal ACL have an intrinsic healing response.
This response has been compared to the one observed in MCL injuries
 
For us No doubt repair is a great option for patients 
And  preservation of native ACL , proprioceptive fibres and for a faster recovery 
 
Reparación primaria del Ligamento Cruzado Anterior. Primary ACL repair 
Reparación primaria del Ligamento Cruzado Anterior. Primary ACL repair
 
Crucial part is patient selection, bone preservation and always keeping in mind  conversion to reconstruction if repair has not achieved great stability.
 
Single anchor with 4 strands of sutures deployment can be beneficial in this aspect  , helping surgeon to revise if repair fails easily.
Reparación primaria del Ligamento Cruzado Anterior. Primary ACL repair 
Reparación primaria del Ligamento Cruzado Anterior. Primary ACL repair
 
We all are going though the evolutionary phase of ACL repair and progressing well towards our goal
 
 #acl #sportsinjuries #specialist #research #saveacl #traumadeportiva #sportmesevilla
 
RESULTADO A LOS 4 MESES DE LA CIRUGIA

Here we can see a sportswoman at 4 months of a Primary ACL repair

La LIGAMENTOPLASTIA es la tecnica estándar ante una rotura del LCA que origina inestabilidad en la rodilla. y con la que se obtienen buenos resultados siempre que este bien desarrollada y por un equipo experto.

Pero no podemos olvidar que es “limpiar el LCA original” y cambiarlo por 1 o 2 tendones (de la corva o rotuliano) con la adaptación y tiempo que eso conlleva en la rodilla , así como posibles complicaciones ya conocidas.

Es por ello , que el equipo de SPORTME MEDICAL CENTER forma parte de la filosofía #saveACL, salvar el Ligamento Cruzado Anterior, siempre que sea posible.

#acl #sportsinjuries #specialist #research #saveacl #traumadeportiva #sportmesevilla
 

Reparación primaria del Ligamento Cruzado Anterior. Primary ACL repair 

Volver al deporte Reparación primaria del Ligamento Cruzado Anterior. Return to Sport Primary ACL repair 
Volver al deporte Reparación primaria del Ligamento Cruzado Anterior. Return to Sport Primary ACL repair

Conclusion:

The keys to success include: Proper patient selection, early intervention, all arthroscopic technique, appropriate suture control of the torn ACL fibers, and stable opposition to a bleeding bone surface at the native attachment site within the femoral notch. Long-term data is pending.

However, basic science and early clinical studies are promising.

References:

  1. Mark F. Sherman, MD, Lawernce Lieber, MD, Joel R. Bonamo, MD, Luga Podesta, MD, Ira Reiter, RPT., The long-term followup of primary anterior cruciate ligament repair, 1991, The American Journal of Sports Medicine, Vol. 19, No 3.

  2. Martha M. Murray, MD. Current Status and Potential for Primary ACL Repair. 2009. Clin Ssports Med.

  3. Duy Tan Nguyen, Tamara H. Ramwadhdoebe, Cor P. van der Hart, Leendert Blankervoort, Paul Peter Tak, Cornelis Niek van Dijk., Intrinsic Healing Response of the Human Anterior Cruciate Ligament: An Histological Study of Reattached ACL Remnants, 2014, Journal of Orthopaedic Research.

  4. Martha M. Murray, MD, Braden C. Fleming, Ph.D., Use of a Bioactive Scaffold to Stimulate ACL Healing Also Minimizes Post-traumatic Osteoarthritis after Surgery, 2014, American Journal of Sports Medicine. Primary ACL Repair vs Reconstruction: Investigating the Current Conventional Wisdom

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