Kandhari V, Vieira TD, Ouanezar H, et al. - Researchers sought to conduct a systematic review of contemporary studies describing clinical outcomes of primary anterior cruciate ligament (ACL) repair to ascertain whether these studies illustrate any significant advantage of ACL repair and whether there is indication of a deterioration of mid-term outcomes as seen in historical data. They searched PubMed using the keywords “repair” AND “Anterior Cruciate Ligament” was performed (limits: English language, publication date between January 1, 2014, and January 13, 2019). In this study, 19 eligible studies were distinguished (including 5 comparative studies). There were no significant differences between ACL repair and reconstruction with respect to Lysholm, IKDC, side-to-side laxity difference, pivot shift grade, or graft rupture rates. Nevertheless, these studies had major limitations including small numbers and short durations of follow up. The study showed that excellent outcomes can be obtained at medium- to long-term follow up with the SAR procedure.