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Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts
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Anterior Cruciate Ligament Repair With Suture Tape Augmentation Using Self-Tapping Knotless Anchors
Justin Jabara1, Marcus Trotter1, Jamie E Confino1
1Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, California, U.S.A.
Arthroscopy Techniques
|July 14, 2025
Summary
Anterior cruciate ligament (ACL) repair offers an alternative to reconstruction, with evolving techniques like suture anchors and augmentation showing promise. This study details a primary ACL repair method using PEEK anchors and suture tape, adaptable for biologic scaffolds.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Biomaterials science
Background:
- Anterior cruciate ligament (ACL) repair is an evolving surgical strategy.
- Clinical outcomes of ACL repair are comparable to reconstruction in specific patient groups.
- Current techniques include knotless suture anchors, suspensory fixation, and augmentation with suture tape.
Purpose of the Study:
- To present a primary ACL repair technique.
- To detail the use of nonabsorbable polyether ether ketone (PEEK) suture anchors and suture tape augmentation.
- To highlight the adaptability of the technique for incorporating biologic scaffolds like the bridge-enhanced ACL repair (BEAR) implant.
Main Methods:
- Primary ACL repair utilizing PEEK suture anchors.
- Augmentation with suture tape.
- Technique modification to incorporate the BEAR scaffold.
Main Results:
- The described technique provides a method for primary ACL repair.
- The technique is efficient and minimizes extraneous steps.
- The BEAR scaffold can be integrated without significant procedural alteration.
Conclusions:
- Primary ACL repair is a viable option for select patients.
- The presented technique using PEEK anchors and suture tape is effective.
- The technique's compatibility with biologic scaffolds like BEAR enhances its versatility and efficiency.
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