Patient Returns to the Pitch After ACL Injury

The team at the The Mackay Clinic is delighted to see a former patient, Daisy Wilson back on the football pitch following ACL injury. After sustaining an anterior cruciate ligament (ACL) rupture, she underwent ACL Internal Brace surgery, with additional augmentation of the anterolateral ligament (ALL) for stability. Following her recovery and rehabilitation, it’s fantastic…

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Wishing Mark Reynolds Every Success in His Retirement

Everyone at The Mackay Clinic would like to congratulate Mark Reynolds on a fantastic professional career as he announces his retirement from football. Over nearly two decades in the game, Mark represented several outstanding clubs – Motherwell, Sheffield Wednesday, Aberdeen, Dundee United, Cove Rangers, and, most recently Banks o’ Dee. His time at Aberdeen will…

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Gracie Holmes: From ACL Rupture to Return to Football

At Mackay Clinic, we are proud to share patient stories that highlight recovery, rehabilitation, and return to sport. This film follows Gracie Holmes as she returns to football following an ACL rupture, documenting her experience of ACL internal brace surgery and the rehabilitation journey that supported her recovery. The video provides insight into both the…

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BONEZONE Spotlights Breakthrough InternalBrace Research in Young Athletes

A recent article in BONEZONE (September 23, 2025) has highlighted the growing body of research supporting the InternalBrace technique in reducing reinjury rates for young athletes in pivoting sports such as football, rugby, basketball and netball. With ACL tears among high school athletes increasing by more than 25% over the past 15 years, and re-tear…

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Suture-augmented anterior cruciate ligament repair leads to comparable short-term function but a modestly higher re-rupture risk than anterior cruciate ligament reconstruction: A systematic review and meta-analysis

Abstract: Purpose: The aim of this study was to conduct a meta-analysis of the current literature on the treatment of anterior cruciate ligament (ACL) rupture with suture-augmented ACL repair (SA-ACLRep) compared to the gold standard ACL reconstruction (ACLR). The meta-analysis was designed to provide clinical outcomes, including re-rupture rates (as primary end point), knee stability, functional…

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Short graft, short tunnel ACL reconstruction with single hamstring and internal brace leads to comparable outcomes to conventional double hamstring technique: A retrospective study

Abstract: Purpose: The purpose of our study was to compare (1) ACL graft healing, (2) patient-reported outcome, and (3) complications after short graft (length < 65 mm), short tunnel (femoral tunnel < 20 mm) single hamstring ACL reconstruction with an internal brace (SGST-ACLR) technique and double hamstring autograft conventional ACL reconstruction (CON-ACLR) technique at minimum 2-year…

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Double-bundle ACL and ALL reconstruction results in less femoral posterolateral bundle tunnel widening than outside-in double-bundle ACL reconstruction

Abstract: Purpose – To compare the clinical and radiological results of two double-bundle (DB) anterior cruciate ligament reconstruction (ACLR) techniques. DB ACLR and anterolateral ligament reconstruction (ALLR) with internal brace (IB), and outside-in (OI) DB ACLR.Hypothesis. We hypothesized that DB ACLR and ALLR with IB wound yield less femoral tunnel, especially femoral posterolateral bundle tunnel…

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Quadriceps Tendon Autograft Anterior CruciateLigament (ACL) Reconstruction With InternalBrace Augmentation: A Case Series

Abstract: Introduction: Anterior cruciate ligament reconstruction (ACLR) is among the most common knee proceduresin the United States, particularly in athletes who participate in cutting and pivoting sports. While bonepatellar tendon-bone (BTB) autografts have long been considered the gold standard for this group,drawbacks such as anterior knee pain and difficulty kneeling have prompted interest in quadriceps…

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Application of internal brace ligament augmentation technique in knee ligament injury: a systematic review

Abstract: Background: Anterior cruciate ligament (ACL) injuries are common and can lead to significant knee instability and an increased risk of long-term cartilage damage. Given the emerging role of internal brace ligament augmentation (IBLA) in treating these injuries, this systematic review aimed to evaluate the collective evidence on the safety and effectiveness of IBLA in patients…

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Internal brace augmentation in ACL reconstruction increases structural strength and stiffness: a biomechanical study in a porcine tibia model

Abstract: This study was to compare the biomechanical outcomes of three ACL graft tibial fixations. Biomechanical testing was performed on 36 fresh porcine tibias and flexor profundus tendon divided into three groups: interference screw group (n = 12), internal brace group (n = 12) and combined group (n = 12). The samples underwent cyclic loading…

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