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Arthroscopic anterior cruciate ligament repair with and without suture augmentation: technical note
  1. Jorge Pablo Batista1,2,
  2. Jorge Chahla3,
  3. Miki Dalmau-Pastor4,5,
  4. Rodrigo Maestu6,
  5. Kyle N Kunze7,
  6. Matteo Guelfi8,9,10
  1. 1 Department of Arthroscopy, Centro Artroscopico Jorge Batista SA, Buenos Aires, CABA, Argentina
  2. 2 Sports Medicine Department, Club Atletico Boca Juniors, Buenos Aires, CABA, Argentina
  3. 3 Midwest Orthopaedics, Rush University Medical Center, Chicago, Illinois, USA
  4. 4 Human Anatomy Unit, University of Barcelona Faculty of Medicine, Barcelona, Catalunya, Spain
  5. 5 GRECMIP-MIFAS (Groupe de Recherche et d’Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Merignac, France
  6. 6 Centro de Estudios y Tratamiento de Enfermemades Articulares, Buenos Aires, CABA, Argentina
  7. 7 Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA
  8. 8 Department of Orthopaedic Surgery, Casa di Cura Villa Montallegro, Genoa, Italy
  9. 9 Department of Orthopaedic Surgery, Gruppo Policlinico di Monza, Alessandria, Italy
  10. 10 Human Anatomy and Embryology Unit, Department of Morphological Sciences, Universitat Autònoma de Barcelona, Barcelona, Spain
  1. Correspondence to Dr Matteo Guelfi, Foot and Ankle Unit, Casa di Cura Villa Montallegro, 16145 Genova, Italy; matteogue{at}


Anterior cruciate ligament (ACL) tears are routinely treated with an ACL reconstruction. This is based on historical literature reporting high failure rates after ACL repairs in addition to the limited healing potential of the ACL. Recently, improved understanding of pathophysiology of ligamentous healing has led to increasing interest in treating proximal avulsions with excellent tissue quality in the acute setting, as this technique allows for ACL healing. Potential advantages of ACL repair include preservation of native proprioceptive and kinematics of the knee, avoidance of graft harvesting morbidity and the possibility to perform a primary ACL reconstruction in case of failure. As a consequence, several techniques for ACL repair have been proposed that can be performed in isolation or with suture augmentation. The primary aim of this technical note is to describe step-by-step the ACL repair technique with and without suture augmentation. The secondary aim of the current study is to review the indications, patient selection and advantages of the technique.

  • knee
  • anterior cruciate ligament

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  • Contributors The authors JPB and MG contributed with conception and design of the study, literature review, drafting and critical revision of the manuscript. All other authors helped contributed with critical revision, editing and final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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