Current trends in ACL repair: Primary repair, mechanical augmentation and biological supplementation

Journal of Clinical Orthopaedics | Vol 5 | Issue 2 |  July-Dec 2020 | page:36-40 | Rajeev Raman, Bibhuti Nath Mishra


Author: Rajeev Raman [1], Bibhuti Nath Mishra [2]

[1] Consultant Orthopaedic Surgeon, Joint & Bone Care Hospital, Salt Lake City, Kolkata, India
[2] Consultatnt Orthopaedic Surgeon, Birat Medical College Teaching Hospital, Biratnagar, Nepal.

Address of Correspondence
Dr. Bibhuti Nath Mishra,
Birat Medical College Teaching Hospital, Biratnagar, Nepal
E-mail: drbibhuti5@gmail.com


Abstract

Anterior Cruciate Ligament (ACL) tear is one amongst frequent knee injuries. This injury is troublesome as it causes instability of knee while walking/running and also predisposes to the risk of early osteoarthritis in long run. So, its proper management is important, but has always remained debatable and controversial as well. Advancements in tissue engineering and regenerative medicine has changed the understanding of ACL’s anatomy and it’s healing potential and thus a renewed interest has emerged towards ACL repair again over the established gold standard “ACL reconstruction”. Novel techniques like bridging with fiber tapes, Internal Brace Ligament Augmentation (IBLA), and Dynamic Intraligamentary Stabilization (DIS) have emerged focusing on mechanical strength. Also, supplements like bio-scaffolds, platelets & platelet rich plasma (PRP) are in the offing to aid biological ligamentous healing. We will present review of past practice, current trend and future prospects of ACL repair.
Keywords: Anterior Cruciate Ligament; Repair; Reconstruction; Augmentation; Supplementation


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How to Cite this article: Raman R, Mishra BN. Current trends in ACL repair: Primary repair, mechanical augmentation and biological supplementation. Journal of Clinical Orthopaedics July-Dec 2020;5(2):36-40.

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