Arthroscopic Anterior Cruciate Ligament Primary Repair With Suture Combined With Femoral Double Bone Tunnel Suspension Fixation.

Liu, Chao; Chen, Dan; Dai, Zhu · Arthrosc Tech · 2025

case_series · Level IV

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Abstract

Anterior cruciate ligament (ACL) injury is a common orthopaedic sports injury. Arthroscopic anterior cruciate ligament reconstruction (ACLR) is the gold standard for treatment. In recent years, with the popularization and precision of arthroscopic techniques, as well as the discovery that acute ACL rupture has the potential to heal itself, arthroscopic ACL primary repair has become an alternative surgical treatment. This Technical Note describes an arthroscopic ACL primary repair with suture combined with femoral double bone tunnel suspension fixation. It tightens the tendon-bone contact, increases the contact area, and strengthens the fixation, all of which contribute to better tendon-bone healing. Thus, this can be used as a surgical method for ACL repair.

Anatomy