Functional recovery following primary ACL repair with dynamic intraligamentary stabilization.

Büchler, L; Regli, Dorina; Evangelopoulos, DS; Bieri, K; Ahmad, SS; Krismer, A; Muller, Thorsten; Kohl, S (2016). Functional recovery following primary ACL repair with dynamic intraligamentary stabilization. The knee, 23(3), pp. 549-553. Elsevier 10.1016/j.knee.2016.01.012

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BACKGROUND

Recently, a new technique, dynamic intraligamentary stabilization (DIS) was introduced for the acute repair of ACL ruptures. The purpose of this study was to report the functional recovery for patients undergoing acute anterior cruciate ligament (ACL) repair alongside DIS.

METHODS

Forty five patients sustaining acute ACL rupture and treated with DIS repair were retrospectively evaluated. Limb symmetry index of the hop test as well as knee function by means of range of motion, knee swelling, pain and maximum strength were evaluated. Following completion of the rehabilitation program, the difference in anterior-posterior translation (Δ-AP Translation), IKDC, Tegner score (TAS) was additionally analyzed.

RESULTS

Forty five (13 females, 32 males) patients were included in the study. Mean age was 26years (range 18 to 54years). Median time to successfully complete hop test was 22.0weeks (range 11 to 32weeks) postoperatively. Median limb symmetry index 91.6%±8.3%. Median delta anterior-posterior translation compared to the healthy side was plus 0.0mm±1.6mm. Median IKDC was 89.5±6.5. Mean Tegner score (TAS) at 12months of follow-up was seven (range four to nine). Three patients suffered a rerupture during the first 12 postoperative months.

CONCLUSIONS

DIS technique with proper rehabilitation following acute ACL rupture provides successful functional recovery and low rerupture rate at one-year follow-up.

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:

Büchler, Lorenz, Evangelopoulos, Dimitrios Stergios, Bieri, Kathrin, Ahmad, Sufian, Krismer, Anna, Kohl, Sandro

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0968-0160

Publisher:

Elsevier

Language:

English

Submitter:

Lilianna Bolliger

Date Deposited:

27 Apr 2017 10:46

Last Modified:

05 Dec 2022 15:02

Publisher DOI:

10.1016/j.knee.2016.01.012

PubMed ID:

26972809

Uncontrolled Keywords:

ACL rupture; Acute repair; DIS technique; LSI

BORIS DOI:

10.7892/boris.94775

URI:

https://boris.unibe.ch/id/eprint/94775

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