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ACL Reconstruction with Augmentation: a Scoping Review

  • Outcomes Research in Orthopedics (O Ayeni, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

We reviewed the recent literature to identify and summarize new research surrounding anterior cruciate ligament reconstruction (ACLR) with augmentation in the form of additional soft tissue procedures or biologic augmentation. Specifically, we wanted to review the failure rates of these procedures in both the primary and revision settings.

Methods

The databases Embase, PubMed, and Medline were searched on August 13, 2018, for English-language studies that reported on the use of anterior cruciate ligament reconstruction (primary and revision) in conjunction with either soft tissue or biologic augmentation. The studies were systematically screened and data abstracted in duplicates.

Recent Findings

Advancements in ACLR surgery, including soft tissue augmentation, may decrease primary and revision surgery failure rates for high-risk patients. The use of biological augmentation has shown histologic and radiographic improvements. These differences, however, have failed to be statistically significant and have not resulted in clinically significant improvements in outcome.

Summary

The limited body of evidence has shown that the addition of soft tissue procedures may in fact lower the risk of graft re-rupture rates particularly in revision or in patients wishing to return to high-risk sports and activities. The use of biologic augmentation although promising in laboratory studies has yet to show any significant clinical results and therefore will require further studies to prove any efficacy.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Division of Orthopaedic Surgery, Department of Surgery, Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada

    Michael D. Riediger, Devon Stride, Adrian Z. Kurz, Andrew Duong & Olufemi R. Ayeni

  2. Department of Medicine, Northern Ontario School of Medicine, Thunder Bay, Ontario, Canada

    Sarah E. Coke

  3. McMaster University Medical Center, 1200 Main St W, Room 4E15, Hamilton, Ontario, L8N 3Z5, Canada

    Olufemi R. Ayeni

Authors
  1. Michael D. Riediger
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  2. Devon Stride
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Correspondence to Olufemi R. Ayeni.

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Conflict of Interest

Michael D. Riediger, Devon Stride, Sarah E. Coke, Adrian Z. Kurz, and Andrew Duong each declare no potential conflicts of interest.

Olufemi R. Ayeni is on the speaker’s bureau for Conmed and Smith & Nephew and is a section editor for Current Reviews in Musculoskeletal Medicine.

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Riediger, M.D., Stride, D., Coke, S.E. et al. ACL Reconstruction with Augmentation: a Scoping Review. Curr Rev Musculoskelet Med 12, 166–172 (2019). https://doi.org/10.1007/s12178-019-09548-4

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  • DOI: https://doi.org/10.1007/s12178-019-09548-4

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