Cruciate repair is repairing a torn or avulsed cruciate ligament from its two ends, rather than using a replacement graft.

Sherman type 1 cruciate ligament injury

The Sherman Classification is useful in determining which cruciate tears are most likely to be amenable to repair.

cruciate repair procedure

 

In selected patients the cruciate ligament can be brought back to the native position against the wall of the notch and fixed there.

 

internal brace

 

A braided 'internal brace' may be used to support the ligament during healing.

 

Cruciate repair versus reconstruction

Cruciate repair had been abandoned some years ago in favour of cruciate reconstruction but, with improved understanding of which cruciate tears heal more readily and with improved technology, the procedure is making a comeback, especially in children.

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An interpretation by the editor of a 2017 medical publication.

The Sherman System classifies the site of the ACL ligament tear for documentation purposes.

A case study with two-year follow-up of an adult patient whose ACL tear was managed with repair and internal brace augmentation.

Cruciate ligament reconstruction

A surgeon discussion about whether or not one really needs to reconstruct a torn cruciate ligament.

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CLINICAL PUBLICATIONS

Anterior Cruciate Ligament Repair with Internal Brace Ligament Augmentation. Wilson WT, Hopper GP, Byrne PA, MacKay GM. Surg Technol Int. 2016 Oct 26;29:273-278.

Paediatric ACL repair reinforced with temporary internal bracing. Smith JO, Yasen SK, Palmer HC, Lord BR, Britton EM, Wilson AJ. Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1845-51.


See also:


man reading

eBook - ACL Repair in Children

Easy to read book about the special circumstances of ACL injury in children.