Reinsertion of the anterior cruciate ligament of the knee with additional augmentation in acute cases

The persistence of a large number of unsatisfactory results in the restoration of the anterior cruciate ligament (ACL) of the knee joint using various grafts has led to the urgency of continuing the search for effective techniques for its rupture. The possibilities of arthroscopic surgery allow us to return to the issue of ACL reinstatement at a new level.The aim of this work was a comparative assessment of mid-term (12 months) treatment results of patients operated on for acute rupture of the proximal part of the ACL of the knee joint.Materials. Two groups of patients were monitored: 20 patients with reinsertion of ACL and additional augmentation with FiberTape - Arthrex, and 20 patients with ACL prosthetics with semitendinous muscle (ST) autotransplant according to standard methods. We carried out a step-by-step assessment of the terms of physical activity recovery of patients after surgery, as well as on the basis of KOOS questionnaire scale after 12 months.Results. No statistically significant differences were noted in all studied parameters except for the possibility of doing active sports by 12 months of observation, which by this time was restored by 15% more patients with re-insertion of ACL.Discussion. Taking into account substantially lower traumatism of the arthroscopic surgery of ACL reinsertion (no need in bone canals formation and autograft taking) as well as comparability of the results obtained, we can consider ACL re-insertion surgery with its additional augmentation as an operation of choice in case of acute ruptures of the proximal ligament of type I and type II by Sherman.