编委述评：前交叉韧带修复术效果仍逊于前交叉韧带重建术
简介
这篇述评指出，曾因疗效不佳而被长期弃用的ACL修复术近年重新受到关注，其潜在优势在于保留自体韧带、可能保留本体感觉并避免自体移植物供区并发症。然而，尽管技术已改进至适用于近端撕裂，并部分辅以缝线加强，总体结果显示ACL修复的临床效果仍不及重建，仅在年龄较大、损伤后不稳定程度较轻的患者中，部分报告了可比结果。
英文摘要
Repair of the anterior cruciate ligament, long abandoned as ineffective, has shown a resurgence in interest as an alternative to reconstruction. The potential advantage of anterior cruciate ligament repair is preserving native ligament with potential proprioception retention and avoidance of autograft donor-site morbidity. The technique has been refined for proximal tears where the ligament can be brought back to the femoral footprint. Suture augmentation has been utilized by some surgeons, although an advantage of augmentation has not been proven. Overall, anterior cruciate ligament repair results have not approached the results of reconstruction, although some authors have reported comparable results in older patients with lower degrees of postinjury instability.