Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures.

Kohl, Sandro; Evangelopoulos, Dimitrios Stergios; Schär, Michael; Bieri, Kathrin; Müller, T; Ahmad, Sufian (2016). Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. The Bone & Joint Journal, 98-B(6), pp. 793-798. British Editorial Society of Bone and Joint Surgery 10.1302/0301-620X.98B6.35040

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AIMS The purpose of this study was to report the experience of dynamic intraligamentary stabilisation (DIS) using the Ligamys device for the treatment of acute ruptures of the anterior cruciate ligament (ACL). PATIENTS AND METHODS Between March 2011 and April 2012, 50 patients (34 men and 16 women) with an acute rupture of the ACL underwent primary repair using this device. The mean age of the patients was 30 years (18 to 50). Patients were evaluated for laxity, stability, range of movement (ROM), Tegner, Lysholm, International Knee Documentation Committee (IKDC) and visual analogue scale (VAS) scores over a follow-up period of two years. RESULTS At final follow-up, anteroposterior translation differed from the normal knee by a mean of 0.96 mm (-2 mm to 6 mm). Median (interquartile range) IKDC, Tegner, Lysholm and VAS scores were 98 (95 to 100), 6 (5 to 7), 100 (98 to 100) and 10 (9 to 10), respectively. Pre-injury Tegner activity levels were reached one year post-operatively. A total of nine patients (18%) required a secondary intervention; five developed instability, of whom four underwent secondary hamstring reconstructive surgery, and five required arthroscopic treatment for intra-articular impingement due to scar tissue which caused a fixed flexion deformity. In addition, 30 patients (60%) required removal of the tibial screw. CONCLUSION While there was a high rate of secondary interventions, 45 patients (90%) retained their repaired ACL two years post-operatively, with good clinical scores and stability of the knee. TAKE HOME MESSAGE Dynamic intraligamentary stabilisation presents a promising treatment option for acute ACL ruptures, eliminating the need for ACL reconstruction. Cite this article: Bone Joint J 2016;98-B:793-8.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

Graduate School:

Graduate School for Health Sciences (GHS)

UniBE Contributor:

Kohl, Sandro; Evangelopoulos, Dimitrios Stergios; Schär, Michael; Bieri, Kathrin and Ahmad, Sufian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2049-4394

Publisher:

British Editorial Society of Bone and Joint Surgery

Language:

English

Submitter:

Lilianna Bolliger

Date Deposited:

03 May 2017 15:15

Last Modified:

05 Jul 2018 14:02

Publisher DOI:

10.1302/0301-620X.98B6.35040

PubMed ID:

27235522

Uncontrolled Keywords:

ACL healing; ACL repair; ACL rupture; ACL suture; Ligamys

BORIS DOI:

10.7892/boris.94774

URI:

https://boris.unibe.ch/id/eprint/94774

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