Nwachukwu BU, et al. - Through a search of the MEDLINE database that was escorted for English language articles informing clinical outcomes of anterior cruciate ligament (ACL, one of the most common orthopaedic injuries, with an annual incidence of separated tears lately measured to be approximately 70 cases per 100,000 person-years) repair from 2003 to 2018, the researchers critically examined recent literature on outcomes after primary surgical repair of the ACL. Twenty-eight studies involving 2,401 patients were assessed. About 14 investigations employed primary suture repair and 14 adopted dynamic intraligamentary stabilization. Pre- and postoperative ranges for Lysholm, International Knee Documentation Committee Score subjective, and Tegner scores were observed as 28 to 100 and 80 to 100; 94.1 to 100 and 54.3 to 98; and 2 to 9 and 3.67 to 7, respectively. The rate of re-rupture, revision ACL surgery, and total reoperations were as great as 23.1%, 33.3%, and 51.5%, respectively. The total ACL repair survivorship varied from 60.0% to 100.0%. The rates of revision ACL reconstruction (ACLR) and total reoperations were as great as 12.9% and 18.2%, respectively, for proximal ruptures managed with the repair. Hence, in comparison to ACL repair, ACLR ended up in better survivorship and patient-perceived postoperative improvement, on the basis of cumulative findings across 2,401 patients from the 28 involved studies. Furthermore, in the vast majority of cases, ACLR seemed to continue as an excellent treatment strategy.