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CC BY-NC-ND 4.0 · Int J Sports Med 2022; 43(13): 1071-1083
DOI: 10.1055/a-1755-4925
DOI: 10.1055/a-1755-4925
Review
Efficacy of Repair for ACL Injury: A Meta‑analysis of Randomized Controlled Trials
Abstract
We aim to compare the curative effect of primary repair for anterior cruciate ligament (ACL) injury with reconstruction and provide the reliable evidence for its clinical application. The literatures were searched in PubMed, EMBASE, Springer, and other medical literature databases published between January 1970 and June 2021. Basic characteristics, surgery technique, clinical outcome scores and physical examination results were recorded and evaluated. Seven randomized controlled trials (RCT) were eligible for inclusion. The results showed that there were no statistically significant differences between arthroscopic ACL repair and ACL reconstruction for Tegner, Lysholm, Lachman, KT-1000, range of motion (ROM), functional outcomes and reoperation rate (P>0.05), even the result of IKDC scores showed that arthroscopic repair was better than reconstruction (P=0.04). However, through the subgroup analysis, it was found that the short-term follow-up results of arthroscopic ACL repair were indeed better than those of open ACL repair. Therefore, we can assume that the arthroscopic ACL repair technique is an optional and promising surgical method to treat ACL injury.
Key words
anterior cruciate ligament - primary repair - arthroscopy - reconstruction - meta-analysis - randomized controlled trialPublikationsverlauf
Eingereicht: 03. August 2021
Eingereicht: 26. Januar 2022
Angenommen: 26. Januar 2022
Accepted Manuscript online:
31. Januar 2022
Artikel online veröffentlicht:
03. Juni 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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Rüdigerstraße 14, 70469 Stuttgart,
Germany
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References
- 1 Diermeier T, Rothrauff BB, Engebretsen L. et al. Treatment after anterior cruciate ligament injury: Panther Symposium ACL Treatment Consensus Group. Knee Surg Sports Traumatol Arthrosc 2020; 28: 2390-2402
- 2 Robson AW. VI. Ruptured crucial ligaments and their repair by operation. Ann Surg 1903; 37: 716-718
- 3 Cabaud HE, Feagin JA, Rodkey WG. Acute anterior cruciate ligament injury and augmented repair. Experimental studies. Am J Sports Med 1980; 8: 395-401
- 4 Feagin JA, Abbott HG, Rokous JR. Isolated tear of the anterior cruciate ligament: 5-year follow-up study. Am J Sports Med 1976; 4: 95-100
- 5 Spencer EE, Chissell HR, Spang JT. et al. Behavior of sutures used in anterior cruciate ligament reconstructive surgery. Knee Surg Sports Traumatol Arthrosc 1996; 4: 84–88
- 6 Cabaud HE, Rodkey WG, Feagin JA. Experimental studies of acute anterior cruciate ligament injury and repair. Am J Sports Med 1979; 7: 18-22
- 7 Samuelsen BT, Webster KE, Johnson NR. et al. Hamstring autograft versus patellar tendon autograft for ACL reconstruction: is there a difference in graft failure rate? a meta-analysis of 47,613 Patients. Clin Orthop Relat Res 2017; 475: 2469-2471
- 8 Proffen BL, Sieker JT. et al. Bio-enhanced repair of the anterior cruciate ligament. Arthroscopy 2015; 31: 990-997
- 9 Seijas R, Ares O, Cuscó X. et al. Partial anterior cruciate ligament tears treated with intraligamentary plasma rich in growth factors. World J Orthop 2014; 5: 373-378
- 10 Fayard JM, Sonnery-Cottet B, Vrgoc G. et al. Incidence and risk factors for a partial anterior cruciate ligament tear progressing to a complete tear after nonoperative treatment in patients younger than 30 years. Orthop J Sports Med. 2019 7: 2325967119856624
- 11 Sonnery-Cottet B, Bazille C. et al. Histological features of the ACL remnant in partial tears. Knee 2014; 21: 1009-1013
- 12 Sonnery-Cottet B, Zayni R, Conteduca J. et al. Posterolateral bundle reconstruction with anteromedial bundle remnant preservation in ACL tears: clinical and MRI evaluation of 39 patients with 24-month follow-up. Orthop J Sports Med 2013; 1: 2325967113501624
- 13 Murray MM, Fleming BC. Biology of anterior cruciate ligament injury and repair: kappa delta ann doner vaughn award paper 2013. J Orthop Res 2013; 31: 1501-1506
- 14 Takazawa Y, Ikeda H, Kawasaki T. et al. ACL reconstruction preserving the ACL remnant achieves good clinical outcomes and can reduce subsequent graft rupture. Orthop J Sports Med 2013; 1: 2325967113505076
- 15 Kraeutler MJ, Bravman JT, Mccarty EC. Bone-patellar tendon-bone autograft versus allograft in outcomes of anterior cruciate ligament reconstruction: a meta-analysis of 5182 patients. Am J Sports Med 2013; 41: 2439-2448
- 16 Van D, Difelice GS. Range of motion and complications following primary repair versus reconstruction of the anterior cruciate ligament. Knee 2017; 24: 798-807
- 17 Schliemann B, Glasbrenner J, Rosenbaum D. et al. Changes in gait pattern and early functional results after ACL repair are comparable to those of ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 2018; 26: 374-380
- 18 Murray MM, Fleming BC, Badger GJ. et al. Bridge-enhanced anterior cruciate ligament repair is not inferior to autograft anterior cruciate ligament reconstruction at 2 years: results of a prospective randomized clinical trial. Am J Sports Med 2020; 48: 1305-1315
- 19 Sters CK, Glasbrenner J, Spickermann L. et al. Repair with dynamic intraligamentary stabilization versus primary reconstruction of acute anterior cruciate ligament tears: 2-year results from a prospective randomized study. Am J Sports Med 2020; 48: 1108-1116
- 20 Hoogeslag R, Brouwer RW, Boer BC. et al. Acute anterior cruciate ligament rupture: repair or reconstruction? two-year results of a randomized controlled clinical trial. Am J Sports Med 2019; 47: 567-577
- 21 Rocco P, Guglielmo T, Giuseppe P. et al. Arthroscopic primary repair of the anterior cruciate ligament in adults: a systematic review. Br Med Bull 2019; 1: 29-42
- 22 Van der List JP, Vermeijden HD, Sierevelt IN. et al. Arthroscopic primary repair of proximal anterior cruciate ligament tears seems safe but higher level of evidence is needed: a systematic review and meta-analysis of recent literature. Knee Surg Sports Traumatol Arthrosc 2020; 28: 1946-1957
- 23 Kandhari V, Ouanezar H, Praz C. et al. Clinical outcomes of arthroscopic primary anterior cruciate ligament repair: a systematic review from the scientific anterior cruciate ligament network international study group. Arthroscopy 2020; 36: 594-612
- 24 Engebretsen L, Benum P, Fasting O. et al. A prospective, randomized study of three surgical techniques for treatment of acute ruptures of the anterior cruciate ligament. Am J Sports Med 1990; 18: 585-590
- 25 Grontvedt T, Engebretsen L, Benum P. et al. A prospective, randomized study of three operations for acute rupture of the anterior cruciate ligament. Five-year follow-up of one hundred and thirty-one patients. J Bone Joint Surg Am 1996; 78: 159-168
- 26 Sporsheim AN, Gifstad T, Lundemo TO. et al. Autologous BPTB ACL reconstruction results in lower failure rates than ACL repair with and without synthetic augmentation at 30 years of follow-up. J Bone Joint Surg Am 2019; 101: 2074-2081
- 27 Drogset JO. A sixteen-year follow-up of three operative techniques for the treatment of acute ruptures of the anterior cruciate ligament. J Bone Joint Surg Am 2006; 88: 944-952
- 28 Palmer I. On the injuries to the ligaments of the knee joint: a clinical study. 1938. Clin Orthop Relat Res 2007; 454: 17-22
- 29 Kösters C, Herbort M, Schliemann B. et al. Dynamische intraligamentäre Stabilisierung des vorderen Kreuzbandes. Unfallchirurg 2015; 118: 364-371
- 30 Eggli S, Kohlhof H, Zumstein M. et al. Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL. Knee Surg Sports Traumatol Arthrosc 2015; 23: 1215-1221
- 31 Murray MM, Kiapour AM, Kalish LA. et al. Predictors of healing ligament size and magnetic resonance signal intensity at 6 months after bridge-enhanced anterior cruciate ligament repair. Am J Sports Med 2019; 47: 1361-1369
- 32 Andersen RB, Gormsen J. Fibrin dissolution in synovial fluid. Scand J Rheumatol 1987; 16: 319-333
- 33 Ca Baud HE, Feagin JA, Rodkey WG. Acute anterior cruciate ligament injury and repair reinforced with a biodegradable intraarticular ligament. Experimental studies. Am J Sports Med 1982; 10: 259-265
- 34 Kennedy J, Roth J, Mendenhall H. et al. Intraarticular replacement in the anterior cruciate ligament-deficient knee. Am J Sports Med 1980; 8: 1-8
- 35 Schabus R. Die Bedeutung der Augmentation für die Rekonstruktion des vorderen Kreuzbandes. Hollinek. 1988
- 36 Engebretsen L, Lew WD, Lewis JL. et al. Knee joint motion and ligament force in nonaugmented and augmented primary repairs of anterior cruciate ligament ruptures. Am J Sports Med 1989; 17: 706-707
- 37 Savarese A, Lunghi E, Budassi P. et al. Remarks on the complications following ACL reconstruction using synthetic ligaments. Ital J Orthop Traumatol 1993; 19: 79-86
- 38 Gifstad T, Sole A, Strand T. et al. Long-term follow-up of patellar tendon grafts or hamstring tendon grafts in endoscopic ACL reconstructions. Knee Surg Sports Traumatol Arthrosc 2013; 21: 576-583
- 39 Olson EJ, Kang JD, Fu FH. et al. The biochemical and histological effects of artificial ligament wear particles: In vitro and in vivo studies. Am J Sports Med 1988; 16: 558-570
- 40 Van der List JP, DiFelice GS. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: a systematic review of historical studies. Knee 2017; 24: 898-908
- 41 Van der List JP, DiFelice GS. Primary repair of the anterior cruciate ligament: a paradigm shift. Surgeon 2017; 15: 161-168
- 42 Eggli S, Röder C, Perler G. et al. Five-year results of the first ten ACL patients treated with dynamic intraligamentary stabilisation. BMC Musculoskelet Disord 2016; 17: 105
- 43 Evangelopoulos DS, Kohl S, Schwienbacher S. et al. Collagen application reduces complication rates of midsubstance ACL tears treated with dynamic intraligamentary stabilization. Knee Surg Sports Traumatol Arthrosc 2017; 25: 2414-2419
- 44 Kohl S, Evangelopoulos DS, Ahmad SS. et al. A novel technique, dynamic intraligamentary stabilization creates optimal conditions for primary ACL healing: a preliminary biomechanical study. Knee 2014; 21: 477-480
- 45 Murray MM, Kalish LA, Fleming BC. et al. Bridge-enhanced anterior cruciate ligament repair: two-year results of a first-in-human study. Orthop J Sports Med 2019; 7 2325967118824356
- 46 Murray MM, Flutie BM, Kalish LA. et al. The bridge-enhanced anterior cruciate ligament repair (BEAR) procedure: an early feasibility cohort study. Orthop J Sports Med 2016; 4 2325967116672176.
- 47 Millett PJ, Wickiewicz TL, Warren RF. Motion loss after ligament injuries to the knee. Part I: causes. Am J Sports Med 2001; 29: 664-675
- 48 Anderson AF, Lipscomb AB. Analysis of rehabilitation techniques after anterior cruciate reconstruction. Am J Sports Med 1989; 17: 154-160
- 49 Genelin F, Trost A, Primavesi C. et al. Late results following proximal reinsertion of isolated ruptured ACL ligaments. Knee Surg Sports Traumatol Arthrosc 1993; 1: 17-19