2025 ISAKOS Biennial Congress ePoster
Arthroscopic Anterior Cruciate Ligament Primary Repair: A Case Series of 40 Consecutive Physical Workers With Minimum Two Years Follow-Up
Javier Antonio Ruiz Díaz, MD, Gijón, Asturias SPAIN
Celestino Guerra García, MD, PhD, Gijón SPAIN
Rubén Alvarez Canal, MD, Gijón SPAIN
Franciso J. Álvarez García, MD, Oviedo SPAIN
Gabriel López Graña, MD, Madrid SPAIN
Amaury González Llorca, MD, Oviedo, Asturias SPAIN
Ibermutua Asturiana, Oviedo - Gijón, SPAIN
FDA Status Not Applicable
Summary
Primary repair can be a valid option for treating physical workers with proximal complete and high-grade partial tears of the anterior cruciate ligament
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Abstract
Introduction
Anterior cruciate ligament (ACL) tears are common injuries in physical workers. Primary repair has grown in popularity as a viable treatment option in some tears given the reported good short-term results in different series. We aim to evaluate the clinical outcomes of arthroscopic anterior cruciate ligament primary repair (ACLPR) of complete proximal avulsions and high-grade partial tears (HGPT) using femoral fixation and suture tape augmentation in physical workers.
Materials And Methods
Forty consecutive patients with a proximal or high-grade partial ACL tear undergoing arthroscopic repair using femoral fixation and suture tape augmentation were prospectively followed for a minimum of two years. Patients with multi-ligament knee injuries were excluded. Mean age was 40.4 years (range 21-55 years). Thirty-five (87.5%) were male. Mean follow-up was thirty-two months (range 55-24 months). Results were measured using the Objective International Knee Documentation Committee (O-IKDC) form for clinical results and the Lysholm score for subjective results.
Results
One repair failed (2.5%) and three more (7.5%) underwent reoperation due to implant irritation (one case) or painful chondral defects (two cases). Preoperative O-IKDC score was C in thirteen patients (32.5%) and D in twenty-seven (67.5%), while the average preoperative Lysholm score was 36.76 (range 10-63). Postoperative O-IKDC score was A in twenty-eight patients (70%), B in seven (17.5%), and C in five (12.5%). Average postoperative Lysholm score was 91.18 (100-62).
Conclusions
ACLPR has given good objective and subjective results with a low revision and reintervention rate for physical workers at two years follow-up.