述评：想尝试前交叉韧带修复？通过选择合适的前交叉韧带进行修复而非重建来最大化成功机会
简介
本评论文章聚焦ACL修复的适应证选择，指出其因重返运动率更高、恢复可能更快，对部分患者有吸引力。近期证据显示，年轻患者及滑膜鞘完整性<50%与关节镜下ACL修复失败风险增加相关。作者认为ACL重建仍是ACL撕裂治疗的金标准，但随适应证细化，ACL修复成功率有望提高。
英文摘要
Anterior cruciate ligament (ACL) repair represents an attractive choice for certain patients because of a higher rate of return to sport as well as a potentially faster recovery time. Recent evidence has shown that younger age and synovial sheath integrity <50% are associated with increased risk of failure after arthroscopic ACL repair. This makes sense because the synovial sheath is responsible for providing blood supply and proprioceptive nerve endings to the ACL, as well as protection of the ligament from the degradative environment of synovial fluid. As with any procedure, indications are refined over time based on new evidence. Although I believe that ACL reconstruction will remain the gold standard for the treatment of ACL tears, I also believe that our rates of success with ACL repair will improve as indications are further refined over time.