Preserving Natural Ligament Structure: The Key to Successful ACL Repair with the STARR Technique

Preserving Natural Ligament Structure: The Key to Successful ACL Repair with the STARR Technique

ACL Repair

As a proponent of the regeneration principle, I have developed an innovative technique called STARR (Soft Tissue Augmented Regenerative Repair) for ACL (anterior cruciate ligament) repair. This cutting-edge approach build on the our knowledge and understand of the human biology, biochemical interaction and sound mechanical principles. STARR aims to optimize biological recovery and enhance the regenerative potential of the injured ligament.

Prof Paul Y F Lee explain the  key features of the STARR - ACL Repair technique and how it aligns with the regeneration principle.

Understanding the STARR Technique:

The STARR ACL Repair technique combines the principles of traditional ACL repair with advancements in regenerative medicine. It involves reinforcing the injured ACL with a specialized scaffold made of biocompatible materials, which promote cellular attachment and tissue regeneration. This scaffold acts as a supportive framework for the natural healing process to occur.

Repair instead of Replace for ACL injury

Promoting Biological Recovery:

The STARR technique enhances biological recovery by facilitating the regeneration of the injured ACL tissue. The scaffold serves as a guide for cellular migration, proliferation, and extracellular matrix formation, creating an optimal environment for tissue repair. This approach harnesses the body's innate regenerative capacity and promotes the formation of new, healthy ligament fibers.

Minimally Invasive Procedure:

The STARR technique is performed using minimally invasive arthroscopic surgery. Small incisions are made, and specialized instruments are used to access the knee joint. This approach minimizes tissue damage, reduces surgical trauma, and accelerates the healing process.

ACL Repair Preserving Natural Ligament Structure:

Unlike traditional ACL reconstruction, which involves replacing the ligament with a graft, the STARR technique aims to preserve the natural ligament structure. By reinforcing and augmenting the injured ACL, the technique retains the inherent biomechanical properties of the ligament, leading to improved knee stability and function.

Accelerated Rehabilitation:

The STARR technique is designed to facilitate a faster and more efficient rehabilitation process. By preserving the natural ligament tissue, the healing and remodeling phases are streamlined. Rehabilitation protocols are tailored to maximize the regenerative potential, allowing patients to regain strength, stability, and range of motion more quickly.

Individualized Approach:

The STARR technique emphasizes the importance of personalized treatment. Each patient's injury and healing potential are unique, and the technique can be adapted accordingly. By considering factors such as age, activity level, and associated injuries, a customized treatment plan can be developed to optimize outcomes. The STARR technique holds the potential for long-term benefits. By preserving the natural ligament structure and supporting regenerative healing, the technique aims to provide lasting stability, improved joint function, and reduced risk of future complications.


The STARR technique, developed by Prof. Paul Lee, represents an innovative approach to ACL repair that enhances biological recovery and aligns with the regeneration principle. By preserving the natural ligament structure and providing a supportive scaffold for regeneration, the technique aims to optimize outcomes and promote long-term knee health. If you have an ACL injury, consult with a qualified orthopaedic surgeon experienced in the STARR technique to determine if this innovative approach is suitable for your specific case.

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