Dynamic intraligamentary stabilization and primary repair: A new concept for the treatment of knee dislocation.

Kohl, Sandro; Stock, Anna Katharina; Ahmad, Sufian; Zumstein, Matthias; Keel, Marius; Exadaktylos, Aristomenis; Kohlhof, Hendrik; Eggli, Stefan; Evangelopoulos, Dimitrios Stergios (2015). Dynamic intraligamentary stabilization and primary repair: A new concept for the treatment of knee dislocation. Injury - international journal of the care of the injured, 46(4), pp. 724-728. Elsevier 10.1016/j.injury.2014.10.012

[img] Text
1-s2.0-S0020138314004963-main.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (687kB) | Request a copy

BACKGROUND Traumatic knee dislocation represents a rare but devastating injury. Several controversies persist regarding type of treatment, surgical timing, graft selection, repair versus reconstruction of the medial and lateral structures, surgical techniques and postoperative rehabilitation. A new technique for primary ACL stabilization, dynamic intaligamentary stabilization (DIS) was developed at the authors' institution. The purpose of this study was to analyze the clinical and radiological outcomes of surgically treated traumatic knee dislocations by means of the DIS technique for the ACL, primary suturing for PCL, MCL and LCL. METHODS Between 2009 and 2012, 35 patients treated surgically for traumatic knee dislocation with primary anterior cruciate ligament (ACL) reconstruction with DIS, suturing of the posterior cruciate ligament (PCL) and primary complete repair of collaterals, were evaluated clinically (IKDC score, SF12 health survey, Lysholm score, Tegner score) and radiologically with a mean follow up of 2.2 years (range 1.00-3.50 years) years. Instrumented anterior-posterior translation was measured (KT-2000). RESULTS Anterior/posterior translation (KT-2000) for the healthy and injured limb was 4.8mm (range 3-8mm) and 7.3mm (range 5-10) (89N) respectively. Valgus and varus stress testing in 30° flexion was normal in 26 (75%) and 29 (83%) patients, respectively. The IKDC score was B in 29 (83%) and C in 6 (17%) patients, while the mean Tegner score was 6 (range 4-8). The mean Lysholm score was 90.83 (range 81-95) and mean SF-12 physical and mental scores were 54.1 (range 45-60) and 51.0 (range 39-62) respectively. In 2 patients, a secondary operation was performed. CONCLUSIONS Early, one stage reconstruction with DIS can achieve good functional results and patient satisfaction with overall restoration of sports and working capacity without graft requirements.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Kohl, Sandro; Stock, Anna Katharina; Ahmad, Sufian; Zumstein, Matthias; Keel, Marius and Exadaktylos, Aristomenis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0020-1383

Publisher:

Elsevier

Language:

English

Submitter:

Romana Saredi

Date Deposited:

22 Apr 2015 15:20

Last Modified:

22 Feb 2016 16:38

Publisher DOI:

10.1016/j.injury.2014.10.012

PubMed ID:

25456494

Uncontrolled Keywords:

Acute ligament repair; Dislocation; Dynamic intraligamentary stabilization; Knee

BORIS DOI:

10.7892/boris.67023

URI:

https://boris.unibe.ch/id/eprint/67023

Actions (login required)

Edit item Edit item
Provide Feedback