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Modified Bridge-Enhanced Anterior Cruciate Ligament Repair.

David E KantrowitzChriston N DardenEric D HaunschildJames N GladstoneShawn G Anthony
Published in: Arthroscopy techniques (2024)
Historically, the treatment of anterior cruciate ligament (ACL) injuries shifted from primary repair to reconstruction because the native, intrasynovial location of the ACL precluded the formation of a fibrin-rich clot needed for ligament healing. However, increasing attention has been paid to augmenting the biological environment surrounding the ACL to facilitate its healing after arthroscopic repair. The bridge-enhanced ACL restoration implant uses resorbable collagen mixed with autologous blood to provide a biological scaffold for tissue healing. The short-term results of this procedure are promising, showing noninferiority to traditional ACL reconstruction at 2 years postoperatively and a higher rate of return to sport at 6 months. Our technique for performing the bridge-enhanced ACL repair is efficient, is easy to learn, and achieves excellent fixation of the ACL stump augmented with an internal brace.
Keyphrases
  • anterior cruciate ligament
  • minimally invasive
  • working memory
  • bone marrow
  • virtual reality