Primary Arthroscopic Repair of Chronic Anterior Cruciate Ligament Tears.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 41541377.
- Also identified by DOI 10.1016/j.eats.2025.103953 and PMC identifier 12801027.
- Licence recorded as CC BY-NC-ND.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
In this Technical Note, we present the surgical technique for primary arthroscopic repair of chronic anterior cruciate ligament (ACL) tears. This approach is indicated for proximal type I and II ACL tears with good-to-excellent tissue quality, characterized by an intact synovial sheath and a simple rupture pattern. Compared with acute ACL primary repair, the most significant challenge lies in the careful mobilization and preparation of the scarred ACL remnant. Notably, chronic ACL tears often present with tissue remnants scarred to the posterior cruciate ligament and/or the femoral notch wall, which may still show favorable tissue quality. With meticulous surgical technique and appropriate patient selection, primary arthroscopic repair of chronic ACL tears may therefore remain a viable option beyond the acute phase. Ultimately, tear location and tissue quality should be the primary determinants for selecting ACL primary repair.