Advancements in ACL Tear Repair: A Comprehensive Review of All-Inside Techniques and Comparisons with Traditional Methods

Mohammad Waqas¹, Akshit Valsaraj Chemmancheri¹, Akshaya Srinivasan¹, Arafat Anis Shah¹ , Sanskar Singh¹,
Shaik Muskaan¹, Zayyan Ahmed Syed²
¹ Ivane Javakhishvili Tbilisi State University
²Tbilisi State Medical University

Introduction

The anterior cruciate ligament (ACL) is essential for stabilizing the knee joint, and its injury can result in substantial functional limitations and increase the risk of long-term joint degeneration if not properly managed. Historically, ACL tear management has evolved from conservative approaches to surgical interventions aimed at restoring knee stability and function

Methods

This review synthesizes current literature to evaluate the efficacy, safety, and comparative advantages of all-inside techniques. Studies were systematically reviewed to assess outcomes, complications, and patient satisfaction with all-inside ACL reconstruction (ACLR) compared to traditional methods.

Results

Despite promising outcomes in short to mid- term studies, concerns regarding long-term durability, graft elongation, and fixation stability persist. Further research is needed to establish the technique's long term efficacy and outcomes. Additionally, comparative studies with traditional methods are required to determine optimal surgical approaches.

Conclusion

In conclusion, all-inside ACL tear repair techniques represent a significant advancement in ACL surgery, offering improved anatomical reconstruction and potentially enhanced patient outcomes. With ongoing research and refinement, all-inside techniques hold promise for becoming a preferred approach in ACL reconstruction, benefiting patients worldwide.

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