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Recently, however, there is renewed interest in primary repair of the injured ACL in selected cases. Research shows that, in some cases, short\u2010 and midterm outcomes of ACL repair are favorable, albeit with greater failure rates than ACL reconstruction. No long\u2010term outcomes are yet available, which could address whether repair reduces risk of osteoarthritis relative to reconstruction with a graft. Historically, primary repair showed poor outcomes, but for proximal and acute injuries with good vascularity, innovations such as suture anchors, dynamic intraligamentary stabilization, and suture tape augmentation show promise, particularly in paediatric patients. 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