Tag: surgery

Repair may be Just as Good as ReconstructionRepair may be Just as Good as Reconstruction

Acute Anterior Cruciate Ligament Rupture: Repair or Reconstruction?Hoogeslag RAG, Brouwer RW, Boer BC, de Vries AJ, and Huis in ‘t Veld H. Am J Sports Med. 2019. [Epub Ahead of Print].https://journals.sagepub.com/doi/abs/10.1177/0363546519825878Take Home Message: People who receive a dynamic augmented anterior cruciate ligament (ACL) repair have similar outcomes to those who receive an ACL reconstruction during the first 2 years after surgeryMany clinicians have discussed the pros and cons of a surgical reconstruction or conservative care for an anterior cruciate ligament (ACL) rupture. In recent years, there has also been a renewed interest in re-assessing suture repair of a ruptured ACL. Therefore, Hoogeslag and colleagues completed a randomized trial to examine patient-reported, clinical, and radiological outcomes among young adults receiving a dynamic augmented ACL repair or ACL reconstruction.Read more »…

BEAR in Mind: There’s a New ACL Repair Technique on the BlockBEAR in Mind: There’s a New ACL Repair Technique on the Block

Bridge-Enhanced Anterior Cruciate Ligament Repair: Two-year results of a first-in-human studyMurray MM, Kalish LA, Fleming BC, Proffen BL, Ecklund K, Kramer DE, Yen YM, & Micheli LJ.  Ortho J Sports Med. 2019; 7(3).  DOI: 10.1177/2325967118824356  https://journals.sagepub.com/doi/abs/10.1177/2325967118824356Take Home Message: Bridge-enhanced anterior cruciate ligament repair is producing similar outcomes to hamstring autograft reconstruction up to 2 years post-surgery. Anterior cruciate ligament (ACL) surgical reconstruction techniques are evolving to improve short- and long-term outcomes for patients after surgery.  A newer approach that is getting a lot of attention is the bridge-enhanced anterior cruciate ligament repair(BEAR). To perform a BEAR, a surgeon repairs the ACL with sutures and a scaffold to promote optimal alignment and healing.  Before large clinical trials can be performed with this new procedure it is critical to have initial results to ensure it is safe and potentially beneficial. Hence, the authors conducted an observational cohort study of 10 participants who received a BEAR and 10 who received a hamstring autograft ACL reconstruction to assess physical exam findings, patient-reported outcomes, and adverse events at one and two years after surgery.Read more »…