Editorial Commentary: Anterior Cruciate Ligament Repair or Reconstruction With Internal Bracing, for Properly Indicated Patients, Is Safe, Biocompatible, and Biomimetic

Abstract: Anterior cruciate ligament (ACL) reconstruction with internal bracing (IB)—and ACL repair with IB when indicated—reduces graft or repair failure. IB is safe and protects ligament reconstructions and repairs. The IB construct should not be misunderstood as a synthetic ligament. To be effective, suture tape must be independently secured with the knee in full extension,…

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Clinical and basic science evidence supports the use of suture tape augmentation of PCL reconstruction

Abstract: Though isolated posterior cruciate ligament (PCL) injuries can often be treated successfully without surgical intervention, in the setting of persistent instability or multiligamentous knee injury, PCL reconstruction is indicated. PCL reconstructions have often resulted in persistent postoperative laxity. Recent research suggests there may be a role for suture tape augmented grafts, which have demonstrated…

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Outcomes of Anterior Cruciate Ligament Reconstruction With Independently Tensioned Suture Tape Augmentation at 5-Year Follow-up

Background: Reconstruction using autograft remains the gold standard surgical treatment for anterior cruciate ligament (ACL) injuries. However, up to 10% to 15% of patients will suffer a graft failure in the future. Cadaveric studies have demonstrated that the addition of suture tape augmentation to ACL autograft constructs can increase graft strength and reduce elongation under…

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Anterior Cruciate Ligament Reconstruction and Accelerated Rehabilitation with InternalBrace™ Augmentation in a Professional Footballer. July 23

Abstract: Introduction: Interest in anterior cruciate ligament (ACL) repair has been increasing as an alternative to traditional reconstructive techniques and encouraging results have been demonstrated using internal bracing with suture tape augmentation (FiberTape®, Arthrex, Naples, Florida). ACL repair is challenging if the rupture is mid-substance or distal. We describe the case of a hybrid ACL…

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Deficits in Muscle Strength Are Not Seen Following Recovery from Augmented Primary Repair of Anterior Cruciate Ligament Tears. Sep 2023

Objectives: Anterior cruciate ligament (ACL) repair for proximal tears, where the ligament is re-attached and augmented with suture tape, can negate the need for graft harvest, thereby maintaining native anatomy. Autograft harvest has been associated with persistent deficits in lower limb muscle strength after recovery from ACL reconstruction. The aim of this study is to…

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Suture-Augmented ACL Repair for Proximal Avulsion or High-Grade Partial Tears Shows Similar Side-to-Side Difference and No Clinical Differences at Two Years Versus Conventional ACL Reconstruction for Mid-Substance Tears or Poor ACL Tissue Quality. July 2023

Purpose: To compare objective and subjective clinical outcomes between suture-augmented anterior cruciate ligament (ACL) repair (SAACLR) and conventional ACL reconstruction (CACLR) with minimum 2-year follow-up. Methods: In this nonrandomized, prospective study, 30 patients underwent SAACLR for proximal ACL avulsion or high-grade partial ACL tear (Sherman grade 1 or 2) and 30 patients underwent CACLR for proximal one-third/distal two-thirds junction tears and…

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Reduced Incidence of Revision Anterior Cruciate Ligament Reconstruction With Internal Brace Augmentation 07/23

Background: Revision rates and outcome measures after anterior cruciate ligament reconstruction (ACLR) with suture tape as an internal brace is not well-documented because of the emerging nature of the technique.Hypothesis: ACLR with internal bracing (IB) would lead to decreased revision ACLR compared with traditional ACLR while exhibiting comparable patient outcomes.Study Design: Cohort study; Level of…

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Anatomic Arthroscopic Primary Repair of Proximal Anterior Cruciate Ligament Tears. 05/23

Abstract: Within the last decade, various highly diverse anterior cruciate ligament (ACL) preservation techniques have been proposed, as contemporary selective arthroscopic ACL preservation experienced a resurgence. Among surgical techniques, there are a variety of suturing, fixation, and augmentation methods, whereas a common thread, considering essential anatomic and biomechanical properties, is missing……… Read online here

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The modern-day ACL surgeon’s armamentarium should include multiple surgical approaches – Letter to the Editor

Following publication of a recent ACL survey, multi-authors, including Professor Mackay write that future surveys include a “complete representation of the surgical (primary repair, augmentation, and reconstruction), and non-surgical options to treat the ACL injured patient”.This open letter to the Editor was published in ISAKOS Journal Read the full Letter here with links to all…

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Biomechanical Evaluation of Suture Tape Internal Brace Reinforcement of Soft Tissue Allografts for ACL Reconstruction Using a Porcine Model (May 2022)

Abstract: Background: Internal bracing of anterior cruciate ligament (ACL) surgery is a newer concept gaining popularity. Purpose/hypothesis: To assess the biomechanical performance of soft tissue ACL reconstruction allografts reinforced with suture tape. It was hypothesized that load to failure would increase and cyclic displacement would decrease at time zero in the constructs reinforced with internal…

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