Häberli, Janosch; Jaberg, Laurenz; Bieri, Kathrin S; Eggli, Stefan; Henle, Philipp (2018). Reinterventions after dynamic intraligamentary stabilization in primary anterior cruciate ligament repair. The Knee, 25(2), pp. 271-278. Elsevier BV 10.1016/j.knee.2018.01.003
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BACKGROUND
The goal of this study was to perform an in-depth analysis of the frequency and cause of secondary interventions subsequent to primary anterior cruciate ligament (ACL) repair with dynamic intraligamentary stabilization (DIS).
METHODS
Between July 2009 and June 2014, 455 patients underwent DIS treatment. The minimum follow-up was 21months (mean 28months, range 21-64months).
RESULTS
A total of 215 (48.2%) reinterventions were performed in 190 (42.6%) patients. One-hundred and seventy-six (39.4%) were non-revision reinterventions, and 39 (8.7%) were revision ACL reconstructions. Re-arthroscopies included 26 (5.8%) scar tissue debridements with hardware removal due to range of motion deficits, 14 (3.1%) partial meniscectomies, four (0.9%) meniscal sutures, and four (0.9%) arthroscopies due to crepitation or knee pain. Minor non-revision reinterventions performed under analgosedation consisted of 97 (21.7%) hardware removals, 20 (4.5%) hardware removals with manipulations under anesthesia, and four manipulations under anesthesia alone (0.9%).
CONCLUSIONS
In our study, the revision rate was within the range of published results after ACL reconstructions. In over 90% of patients, the native ACL was preserved with no need for a secondary reconstruction. Most of the non-revision reinterventions were minor and included hardware removals and manipulations under anesthesia. The re-arthroscopy rate was lower than that after ACL reconstruction with fewer secondary meniscal sutures and partial meniscectomies. Early treatment of meniscal tears may be one crucial benefit of ACL repair with DIS.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) |
UniBE Contributor: |
Bieri, Kathrin, Eggli, Stefan, Henle, Philipp |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1873-5800 |
Publisher: |
Elsevier BV |
Language: |
English |
Submitter: |
Tanya Karrer |
Date Deposited: |
15 Feb 2018 15:06 |
Last Modified: |
02 Mar 2023 23:30 |
Publisher DOI: |
10.1016/j.knee.2018.01.003 |
PubMed ID: |
29395746 |
Additional Information: |
Häberli and Jaberg contributed equally to this work |
Uncontrolled Keywords: |
ACL Dynamic intraligamentary stabilization Primary ACL repair Reintervention Revision |
BORIS DOI: |
10.7892/boris.111428 |
URI: |
https://boris.unibe.ch/id/eprint/111428 |
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