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ANTERIOR CRUCIATE LIGAMENT AUGMENTATION
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synovial coverage of the graft. Therefore, ACL
augmentation may be a reasonable treatment
option for patients with favorable ACL
remnants.
DAMAGE TO THE
ARTICULAR CARTILAGE
AND MENISCUS
It is well known that articular cartilage and
meniscus injury often occurs in conjunction
with ACL injury. The articular cartilage injury
is typically described as the most important
predictor of poor clinical outcomes after ACL
reconstruction. In addition, the damage to the
articular cartilage is also a significant predictor
of failure to return to sports following ACL
reconstruction. It is indisputable that proper
anatomic ACL reconstruction is important to
obtain normal knee stability and function.
However, even when knee stability and
function have been achieved using anatomic
ACL reconstruction, the long-term clinical
results are affected by the condition of the
articular cartilage. We investigated the
relationship between the progression of
articular cartilage damage and meniscal
surgery (normal, repair, or partial menisc
ectomy) in conjunction with anatomic ACL
reconstruction or augmentation, using second-
look arthroscopy. The results of our study
indicated that although partial meniscectomy
was strongly associated with progression of
articular cartilage damage, meniscal repair was
not associated with the progression (ongoing
study). The surgical technique used for ACL
reconstruction (central anatomic single- or
double-bundle ACL reconstruction, or ACL
augmentation) did not significantly influence
the progression of cartilage damage. Although
proper ACL reconstruction is extremely
important, meniscal repair should be
performed, where possible, to limit the
progression of articular cartilage damage.
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