Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 6 Issue 2

Arthroscopic Suture Augmentation with Laxity Anterior Cruciate Ligament: A Case Report with Video Illustration

Yusuf Omar Qalib1,2*, Srinivasa Reddy Medagam1, Lokesh Kumar Gupta1 and Sunil Dachepalli1

1Department of Orthopaedics, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India
2Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

*Corresponding Author: Yusuf Omar Qalib, Department of Orthopaedics, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India.

Received: December 19, 2022; Published: January 24, 2023

Abstract

We describe a suture tape augmentation technique for tightening the lax primary anterior cruciate ligament (ACL). Due to advances in arthroscopic technique and understanding of the ACL's healing process, ACL augmentation can be used as an alternative treatment for lax ACL. This procedure aims to preserve the native ACL and provide more feasible options for the lax ACL, enhancing ligament strength, knee stability, and function. A 34-year-old female presented to our outpatient clinic with a left knee ACL lax that was treated with arthroscopic ACL suture augmentation and meniscal repair without postoperative complications. Before deciding on ACL tightening surgery, intraoperative ligament probing is required to determine the grade of laxity. This article aims to illustrate the lax ACL tightening technique using augmentation to avoid unnecessary ACL reconstruction and simplify the surgical procedure. With video illustrations, this article will also help orthopaedic surgeons attain effective outcomes.

Keywords: Anterior Cruciate Ligament; ACL Laxity; Partial Tear; Arthroscopy; Case Report

References

  1. Sepúlveda Fernando., et al. “Anterior Cruciate Ligament Injury: Return to Play, Function and Long-Term Considerations”. Current Sports Medicine Reports3 (2017): 172-178.
  2. Markatos K., et al. “The anatomy of the ACL and its importance in ACL reconstruction”. European Journal of Orthopaedic Surgery and Traumatology: Orthopedie Traumatologie7 (2013): 747-752.
  3. Kiapour AM and MM Murray. “Basic science of anterior cruciate ligament injury and repair”. Bone and Joint Research2 (2014): 20-31.
  4. Chambat Pierre., et al. “The evolution of ACL reconstruction over the last fifty years”. International Orthopaedics2 (2013): 181-186.
  5. Weninger, Patrick et al. “Anatomic Double-Bundle Reinsertion After Acute Proximal Anterior Cruciate Ligament Injury Using Knotless PushLock Anchors”. Arthroscopy Techniques1 (2015): e1-6.
  6. De Smet E., et al. “MRI following primary repair of the anterior cruciate ligament”. Clinical Radiology8 (2019): 649.e1-649.e10.
  7. Ferretti Andrea. “To heal or not to heal: the ACL dilemma”. Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology1 (2020): 11.
  8. Van der List., 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 Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA6 (2020): 1946-1957.
  9. Van Eck Carola F., et al. “Is There a Role for Internal Bracing and Repair of the Anterior Cruciate Ligament? A Systematic Literature Review”. The American Journal of Sports Medicine9 (2018): 2291-2298.
  10. Daniels Steven P., et al. “Arthroscopic primary repair of the anterior cruciate ligament: what the radiologist needs to know”. Skeletal Radiology5 (2018): 619-629.
  11. Krismer Anna M., et al. “Factors influencing the success of anterior cruciate ligament repair with dynamic intraligamentary stabilisation”. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA12 (2017): 3923-3928.

Citation

Citation: Yusuf Omar Qalib., et al. “Arthroscopic Suture Augmentation with Laxity Anterior Cruciate Ligament: A Case Report with Video Illustration”.Acta Scientific Orthopaedics 6.2 (2023): 56-60.

Copyright

Copyright: © 2023 Yusuf Omar Qalib., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is April 30th, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue".
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US