Chinese expert consensus on primary repair of the anterior cruciate ligament

Title: Chinese expert consensus on primary repair of the anterior cruciate ligament
Edition: Original
Classification: Experts consensus
Field: Treatment
Countries and regions: China
Guidelines users: Sports medicine surgeons, orthopedic surgeons, radiologist, rehabilitation physicians, therapists, nurses, etc.
Evidence classification method: none
Development unit: Lower Limb Sports Traumatology Group of Chinese Society of Sports Medicine, Chinese Medical Association; Sports Medicine Society of Chinese Medical Doctor Association
Registration time: 2023-11-25
Registration number: PREPARE-2023CN961
Purpose of the guideline: Anterior cruciate ligament (ACL) is a crucial stabilizing structure within the knee joint and is particularly susceptible to injury during sports activities. ACL injuries are predominantly observed in young individuals and/or those who actively engage in sports, which can be attributed to the growing popularity of mass sports participation in China. Currently, ACL reconstruction serves as the standard treatment for ACL injury; however, this procedure still exhibits a failure rate ranging from 5-15% and presents challenges regarding patient return to sports and long-term development of secondary osteoarthritis. In recent years, ACL primary repair without ligament removal and only in situ repair has been reintroduced to address the aforementioned issues. However, it is important to note that ACL primary repair differs fundamentally from ACL reconstruction in terms of concept and technology. Currently, there is no consistent guideline or consensus on the clinical application of ACL primary repair both domestically and internationally. Therefore, to standardize its clinical use, Lower Limb Sports Traumatology Group of Chinese Society of Sports Medicine Branch of the Chinese Medical Association and Sports Medicine Society of Chinese Medical Doctor Association have initiated an expert consensus development using a modified Delphi method.