Primary Anterior Cruciate Ligament Repair With and Without Lateral Extraarticular Tenodesis

Comparison of Primary Anterior Cruciate Ligament Repair With and Without Lateral Extraarticular Tenodesis for Proximal ACL Tears: A Prospective Study

The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.

The investigators aimed to compare the clinical results of primary repairs and Lateral Extraarticular Tenodesis applied with primary repairs in the treatment of proximal ACL tears.The aim of this study was to determine the potential for improvement with the primary repair of acute ACL tears with the proximal tear, which may be an important advance for improvements in proprioception and preservation of natural kinematics.

Inclusion Criteria:

• patients who underwent surgery within the first 3 weeks after injury
• between the ages of 21-40 years,
• attended regular follow-up visits,
• Sherman type 1 proximal ACL tear with relatively preserved synovial sheath
• Sufficient tissue length for re-stretching.

Exclusion Criteria:

• torn ACL in the mid and distal region,
• torn synovial sheath,
• inability to undergo intrasubstance suturing,
• poor tissue quality with retraction,
• multiple ligament injuries and accompanying intra-knee pathologies (meniscal damage, chondral damage),
• previous knee surgery,
• rheumatologic diseases