2022 AOSSM Annual Meeting Recordings with CME-Clinical Outcomes of ACL Reconstruction vs ACL Repair: A Matched-Pair Analysis

Clinical Outcomes of ACL Reconstruction vs ACL Repair: A Matched-Pair Analysis

Video Transcription

Video Summary

In this video, the speaker discusses a study comparing the outcomes of ACL repair versus reconstruction using BTB or hamstring tendon grafts. The study aimed to assess the clinical and functional outcomes of both procedures after a minimum follow-up of two years. Propensity matching was used to minimize treatment selection bias. The study included 75 patients in each group. The results showed that ACL repair was non-inferior to reconstruction in terms of side-to-side laxity differences and subjective IKDC at 12 months. Both groups had deficits in quadriceps strength, but statistically significant differences were found in hamstring strength, with the reconstruction group having a 10% deficit. ACL repair showed better scores in the "forgotten joint" category, indicating patients were more likely to forget about their knee during activity. However, ACL repair had a higher failure rate (5.3%) compared to reconstruction, particularly in younger patients. In conclusion, ACL repair may have some advantages over reconstruction but is only suitable for highly selected patients.

Asset Caption

Adnan Saithna, MD, FAANA

Keywords

ACL repair

ACL reconstruction

BTB graft

hamstring tendon graft

clinical outcomes