Advancements in Anterior Cruciate Ligament Repair—Current State of the Art

Francesco Bosco; Giuseppe Rovere; Fortunato Giustra; Virginia Masoni; Salvatore Cassaro; Marcello Capella; Salvatore Risitano; Luigi Sabatini; Ludovico Lucenti; Lawrence Camarda

doi:10.3390/surgeries5020022

Surgeries (Apr 2024)

Advancements in Anterior Cruciate Ligament Repair—Current State of the Art

Francesco Bosco,
Giuseppe Rovere,
Fortunato Giustra,
Virginia Masoni,
Salvatore Cassaro,
Marcello Capella,
Salvatore Risitano,
Luigi Sabatini,
Ludovico Lucenti,
Lawrence Camarda

Affiliations

Francesco Bosco: Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90133 Palermo, Italy
Giuseppe Rovere: Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Fortunato Giustra: Department of Orthopaedics and Traumatology, Ospedale San Giovanni Bosco di Torino-ASL Città di Torino, 10154 Turin, Italy
Virginia Masoni: Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Center, University of Turin, 10125 Turin, Italy
Salvatore Cassaro: Department of Orthopedic and Traumatology (DICHIRONS), University of Palermo, 90127 Palermo, Italy
Marcello Capella: Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Center, University of Turin, 10125 Turin, Italy
Salvatore Risitano: Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Center, University of Turin, 10125 Turin, Italy
Luigi Sabatini: Department of Robotic and Minimally-Invasive Arthroplasty Surgery, Humanitas Gradenigo, 10153 Turin, Italy
Ludovico Lucenti: Department of Orthopedic and Traumatology (DICHIRONS), University of Palermo, 90127 Palermo, Italy
Lawrence Camarda: Department of Orthopedic and Traumatology (DICHIRONS), University of Palermo, 90127 Palermo, Italy

DOI: https://doi.org/10.3390/surgeries5020022
Journal volume & issue: Vol. 5, no. 2
pp. 234 – 247

Abstract

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While anterior cruciate ligament reconstruction (ACL-R) has been considered the gold standard for ACL tears, renewed interest in ACL repair has emerged. This review aims to examine the current knowledge regarding ACL repair. A comprehensive literature search was conducted on the PubMed, Web of Science, Scopus, and Embase databases, focusing on the most recent studies up to January 2024. Arthroscopic ACL repair has several advantages, such as resulting in a natural ligament with proprioceptive properties, preservation, and donor graft comorbidity absence. Several ACL repair surgical procedures have been developed thanks to the advancement in new fixation devices. The current literature showed that when performed on a suitable patient with the appropriate lesion type, corresponding to the proximal third with good tissue quality, ACL repair leads to satisfactory outcomes. Despite the benefits of ACL repair with promising results, ACL-R remains the gold standard for ACL lesions. There is still a lack of literature analyzing long-term outcomes; large series with homogenous populations and types of lesions are lacking. Based on the current evidence, further research and higher-quality studies investigating ACL repair will be necessary.

Published in Surgeries

ISSN: 2673-4095 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Surgery
Website: https://www.mdpi.com/journal/surgeries

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Abstract

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