ACL Reconstruction with Internal Brace Augmentation Reduces Reruptures
Author Information
Author(s): João Victor Novaretti, Claudio Paula Pessoa Dias Junior, Lucas Santos Lima, Joicemar Tarouco Amaro, Daniel Esperante Gomes, Moises Cohen
Primary Institution: Universidade Federal de São Paulo
Hypothesis
ACL reconstruction with internal brace augmentation would result in fewer reruptures and better functional scores when compared to ACL reconstruction without internal brace augmentation.
Conclusion
Fewer cases of ACL rerupture were observed after reconstruction with internal brace augmentation compared to reconstruction without augmentation, although no differences in functional scores were found.
Supporting Evidence
- The group with internal brace augmentation had a lower rerupture rate (1.8%) compared to the group without augmentation (7.3%).
- Both groups showed significant improvement in Lysholm scores postoperatively.
- Complications were similar between both groups, with no significant differences in rates of arthrofibrosis or infection.
Takeaway
This study found that using an internal brace during ACL surgery helps prevent the ligament from tearing again, but it doesn't make patients feel better afterward compared to traditional surgery.
Methodology
Data from patients who underwent ACL reconstruction with hamstring and quadriceps tendon autografts, with a minimum follow-up of one year, were collected and analyzed retrospectively.
Limitations
The study was retrospective and patients were not randomized; some patients did not return for the one-year clinical evaluation.
Participant Demographics
Patients aged between 16 and 63 years (mean of 32.7 ± 11.4 years); 36.3% female and 63.7% male.
Statistical Information
P-Value
p=0.363
Statistical Significance
p>0.05
Digital Object Identifier (DOI)
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