1 Similarly, early studies investigating the reason for unacceptably high rates of mid-term failure in ACL repair showed a trend toward worse outcomes in patients with more distal tears. 2 With the advent of ACL restoration techniques that theoretically obviate complete reapproximation of the torn ligament to its bony attachment site, 5 there is debate whether current ACL preservation techniques can be considered in patients with more distal tears.
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Anterior Cruciate Ligament Stump Elongation Technique for Anterior Cruciate Ligament Restoration.
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