Research progress of suture augmentation in anterior cruciate ligament reconstruction.
10.7507/1002-1892.202501063
- Author:
Jiaxin LIU
1
;
Hongyu LI
1
;
Meng WANG
1
;
Yiran WANG
1
;
Guanxin GUO
1
;
Hangzhou ZHANG
1
Author Information
1. Department of Orthopedics, Joint Surgery and Sports Medicine, First Affiliated Hospital of China Medical University, Shenyang Sports Medicine Clinical Medical Research Center, Shenyang Liaoning, 110001, P. R. China.
- Publication Type:English Abstract
- Keywords:
Suture augmentation;
anterior cruciate ligament reconstruction;
biomaterials;
research progress
- MeSH:
Humans;
Anterior Cruciate Ligament Reconstruction/methods*;
Biomechanical Phenomena;
Anterior Cruciate Ligament/surgery*;
Anterior Cruciate Ligament Injuries/surgery*;
Suture Techniques;
Sutures;
Tendons/transplantation*;
Joint Instability/prevention & control*;
Knee Joint/surgery*
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2025;39(4):504-510
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To summarize the research progress of suture augmentation (SA) in anterior cruciate ligament (ACL) reconstruction.
METHODS:A comprehensive review of recent literature about SA in ACL reconstruction at home and abroad was conducted. The efficacy of SA in ACL reconstruction was evaluated by examining the definition, biomechanics, and histological studies of SA, along with its clinical application status in ACL reconstruction.
RESULTS:SA demonstrates significant advantages in enhancing the biomechanical stability of ACL grafts, reducing the risk of re-rupture, and accelerating postoperative recovery. Specifically, SA improves graft stiffness, ultimate failure strength, and cyclic stability, thereby diminishing the risk of early postoperative failure and joint instability. Histologically, it fosters remodeling and tendon-bone integration through early load-sharing mechanisms; however, stress shielding may interfere with natural remodeling processes, warranting further attention. Clinically, SA reduces graft failure rates and the need for revision surgeries, markedly improving knee joint stability and functional recovery in young patients. Nevertheless, its impact on graft maturation and potential complications remains controversial.
CONCLUSION:Despite the many advantages of SA in ACL reconstruction, future endeavors should focus on optimizing tensioning techniques, developing bioactive materials, and conducting large-scale randomized controlled trials to further elucidate its clinical value and scope of applicability, providing a more reliable solution for ACL reconstruction.
