ACL Primary Repair Using the SwiveLock® ACL Repair Implant System

Gregory S. DiFelice, MD (New York, NY), demonstrates an anterior cruciate ligament(ACL) primary repair using the SwiveLock^® ACL repair implant system. In biomechanical testing, the SwiveLock ACL repair technique has been shown to provide comparable knee stability to bone-patellar tendon-bone (BTB) autograft ACL reconstruction techniques.¹ Clinically, outcomes of remnant-preserving ACL surgery have shown encouraging results with a higher potential for early healing and better functional outcomes compared with reconstruction surgery.^2,3

^{1. Chahla J, Nelson T, Dallo I, et al. Anterior cruciate ligament repair versus reconstruction: a kinematic analysis. Knee. 2020;27(2):334-340. doi:10.1016/j.knee.2019.10.020}

^{2. van der List JP, Jonkergouw A, DiFelice GS. Failure and reoperation rates following arthroscopic primary repair versus reconstruction of the anterior cruciate ligament. Orthop J Sports Med. 2019;7(7 suppl5):2325967119S00297. doi:10.1177/2325967119S00297}

_{3. Heusdens CHW, Hopper GP, Dossche L, Roelant E, Mackay GM. Anterior cruciate ligament repair with independent suture tape reinforcement: a case series with 2-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2019;27(1):60-67. doi:10.1007/s00167-018-5239-1}