PMID- 37479153
OWN - NLM
STAT- MEDLINE
DCOM- 20240226
LR  - 20240226
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 3
DP  - 2024 Mar
TI  - Suture-Augmented Anterior Cruciate Ligament Repair for Proximal Avulsion or 
      High-Grade Partial Tears Shows Similar Side-to-Side Difference and No Clinical 
      Differences at Two Years Versus Conventional Anterior Cruciate Ligament 
      Reconstruction for Mid-Substance Tears or Poor Anterior Cruciate Ligament Tissue 
      Quality.
PG  - 857-867
LID - S0749-8063(23)00559-5 [pii]
LID - 10.1016/j.arthro.2023.07.011 [doi]
AB  - PURPOSE: To compare objective and subjective clinical outcomes between 
      suture-augmented anterior cruciate ligament (ACL) repair (SAACLR) and 
      conventional ACL reconstruction (CACLR) with minimum 2-year follow-up. METHODS: 
      In this nonrandomized, prospective study, 30 patients underwent SAACLR for 
      proximal ACL avulsion or high-grade partial ACL tear (Sherman grade 1 or 2) and 
      30 patients underwent CACLR for proximal one-third/distal two-thirds junction 
      tears and mid-substance tears (Sherman grade 3 or 4) tear types by 1 surgeon 
      between 2018 and 2020. Failure was defined as ACL reinjury. Outcome measures were 
      KT-1000 for side-to-side knee laxity evaluation, Visual Analog Scale for pain, 
      International Knee Documentation Committee (IKDC) Subjective Knee Evaluation 
      Form, Knee Injury and Osteoarthritis Severity Score (KOOS), Tegner Activity 
      Scale, Western Ontario and McMaster Universities Osteoarthritis Index, Lysholm 
      Knee Scoring Scale, and Single Assessment Numeric Evaluation. Minimal clinically 
      important difference (MCID) was calculated for IKDC and KOOS subscores. RESULTS: 
      Three failures (10%) occurred in the SAACLR group, with no failures in the CACLR 
      group (P = .24). A total of 23 (85%) SAACLR patients and 27 (90%) CACLR patients 
      had patient-reported outcomes and physical examination at minimum 2 years. 
      Two-year KT-1000 testing with 20 lbs showed less than 1 mm side-to-side 
      difference between the groups. No significant differences in the percentage of 
      patients meeting the MCID were found between the SAACLR and CACLR groups at 2 
      years: IKDC, 10.81 (82%) versus 10.54 (93%) (P = .48); KOOS Pain, 11.55 (73%) 
      versus 10.58 (78%) (P = .94); KOOS Symptoms, 8.15 (77%) versus 10.32 (74%) (P = 
      1.0); KOOS Activities of Daily Living, 12.19 (59%) versus 12.28 (70%) (P = .60); 
      18.99 (71%) versus 16.77 (86%) (P = .42). Significantly higher IKDC scores were 
      observed with SAACLR versus CACLR at 3 months (P = .01) and 6 months (P = .02), 
      and significantly higher Lysholm scale, Tegner Activity Scale, and all KOOS 
      subscale scores were observed at 6 months. CONCLUSIONS: At 2 years after surgery, 
      KT-1000 testing showed less than 1 mm side-to-side difference and no differences 
      were observed between the groups in the percentage of patients who met or 
      exceeded the MCID. Significantly higher early patient-reported outcome scores 
      were found with SAACLR versus CACLR. The rerupture rate between the groups was 
      not significantly different. LEVEL OF EVIDENCE: Level II, Prospective cohort 
      study.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Douoguih, Wiemi A
AU  - Douoguih WA
AD  - MedStar Lafayette Orthopaedic and Sports Medicine Center, MedStar Washington 
      Hospital Center, Washington, District of Columbia, U.S.A.; Department of 
      Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, District 
      of Columbia, U.S.A.; Georgetown University School of Medicine, Washington, 
      District of Columbia, U.S.A.. Electronic address: 
      Wiemi.a.douoguih@gunet.georgetown.edu.
FAU - Apseloff, Nicholas A
AU  - Apseloff NA
AD  - Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, 
      Washington, District of Columbia, U.S.A.
FAU - Murray, Jerome C
AU  - Murray JC
AD  - Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, 
      Minnesota, U.S.A.
FAU - Kelly, Richard Lance
AU  - Kelly RL
AD  - MedStar National Rehabilitation Network, Washington, District of Columbia, U.S.A.
FAU - Svoboda, Steven J
AU  - Svoboda SJ
AD  - MedStar Lafayette Orthopaedic and Sports Medicine Center, MedStar Washington 
      Hospital Center, Washington, District of Columbia, U.S.A.; Department of 
      Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, District 
      of Columbia, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20230720
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2024 Mar;40(3):868. PMID: 38219120
MH  - Humans
MH  - Anterior Cruciate Ligament
MH  - Prospective Studies
MH  - Activities of Daily Living
MH  - Sutures
MH  - *Anterior Cruciate Ligament Reconstruction
MH  - *Osteoarthritis
MH  - Pain
EDAT- 2023/07/22 10:41
MHDA- 2024/02/26 06:43
CRDT- 2023/07/21 19:26
PHST- 2022/11/29 00:00 [received]
PHST- 2023/06/28 00:00 [revised]
PHST- 2023/07/04 00:00 [accepted]
PHST- 2024/02/26 06:43 [medline]
PHST- 2023/07/22 10:41 [pubmed]
PHST- 2023/07/21 19:26 [entrez]
AID - S0749-8063(23)00559-5 [pii]
AID - 10.1016/j.arthro.2023.07.011 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Mar;40(3):857-867. doi: 10.1016/j.arthro.2023.07.011. Epub 2023 
      Jul 20.