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Mr Ian Sinha has introduced the innovative surgery of ACL Preservation. In this technique the acutely torn ACL is primarily repaired rather than reconstructed. This procedure is only suitable for about 10% of ACL tears (those in which the ligament has torn from its bony insertion onto the femur).
The advantages include no use of donor tissue to reconstruct the ligament (see ACL reconstruction) and preservation of the proprioceptive fibres of the native ACL.
ACL preservation is a promising technique for acute ACL injuries in children and adolescents, with the ACLrepair being supported by the natural healing capacity in the younger population. The technique also avoids any disturbance to the tibial growth plate and minimises injury to the femoral growth plate.