Reinterventions after dynamic intraligamentary stabilization in primary anterior cruciate ligament repair.

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

[img] Text
Haeberli Knee 2018.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (829kB) | Request a copy
[img]
Preview
Text
Haeberli Knee 2018_postprint.pdf - Accepted Version
Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND).

Download (1MB) | Preview

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 Susan; Eggli, Stefan and 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:

28 Feb 2020 09:01

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

Actions (login required)

Edit item Edit item
Provide Feedback