Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation.
PURPOSE Dynamic intraligamentary stabilization (DIS) is recognized as a ligament preserving technique for the treatment of acute anterior cruciate ligament (ACL) injuries. The aim of this study was to assess the integrity and morphology of the recovered ACL after DIS repair. METHODS The cohort compr...
Published in: | Knee Surgery, Sports Traumatology, Arthroscopy |
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ftunivbern:oai:boris.unibe.ch:110740 2023-08-20T04:09:39+02:00 Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. Ateschrang, Atesch Ahmad, Sufian Stöckle, Ulrich Schroeter, Steffen Schenk, Willem Ahrend, Marc Daniel 2018-02 application/pdf https://boris.unibe.ch/110740/1/Ateschrang_10.1007_s00167-017-4656-x.pdf https://boris.unibe.ch/110740/ eng eng Springer https://boris.unibe.ch/110740/ info:eu-repo/semantics/openAccess Ateschrang, Atesch; Ahmad, Sufian; Stöckle, Ulrich; Schroeter, Steffen; Schenk, Willem; Ahrend, Marc Daniel (2018). Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. Knee surgery, sports traumatology, arthroscopy, 26(2), pp. 589-595. Springer 10.1007/s00167-017-4656-x <http://dx.doi.org/10.1007/s00167-017-4656-x> 610 Medicine & health info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion PeerReviewed 2018 ftunivbern https://doi.org/10.1007/s00167-017-4656-x 2023-07-31T21:40:48Z PURPOSE Dynamic intraligamentary stabilization (DIS) is recognized as a ligament preserving technique for the treatment of acute anterior cruciate ligament (ACL) injuries. The aim of this study was to assess the integrity and morphology of the recovered ACL after DIS repair. METHODS The cohort comprised 47 patients with an acute proximal ACL rupture undergoing DIS repair. All patients underwent diagnostic arthroscopy after a minimum postoperative interval of 6 months for semi-quantitative evaluation of ACL integrity, function and scar tissue formation. Tegner, Lysholm and International Knee Documentation Committee (IKDC) scores as well as objective anteroposterior (ap) translation were assessed at 6 weeks, 3-, 6- and 12 months postoperatively. RESULTS Full restoration of the ACL volume was affirmed in 30 (63.8%) patients and two-third restoration in 13 (27.7%). Hypertrophic scar formation was observed in 23 (48.9%) patients. Forty-four patients (93.6%) demonstrated sufficient ACL tensioning intraoperatively upon anterior stress. At final follow-up, the median Tegner activity level was 5.5 (3-10), Lysholm and IKDC scores were 100 (64-100) and 94 (55-100) points, respectively. The mean ap-translation differed from the normal knee by 2.1 ± 2.2 mm. Deficient ACL recovery was noted in four patients (8.5%), none of which required secondary reconstructive surgery. CONCLUSION The results demonstrate that clinical recovery of ACL function after DIS repair is resultant to both restoration of ACL volume and scar tissue formation. Factors influencing the degree of scar tissue formation need further investigation to enable future attempts of guiding a balanced biological healing response. LEVEL OF EVIDENCE IV. Article in Journal/Newspaper SCAR BORIS (Bern Open Repository and Information System, University of Bern) Knee Surgery, Sports Traumatology, Arthroscopy 26 2 589 595 |
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BORIS (Bern Open Repository and Information System, University of Bern) |
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language |
English |
topic |
610 Medicine & health |
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610 Medicine & health Ateschrang, Atesch Ahmad, Sufian Stöckle, Ulrich Schroeter, Steffen Schenk, Willem Ahrend, Marc Daniel Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. |
topic_facet |
610 Medicine & health |
description |
PURPOSE Dynamic intraligamentary stabilization (DIS) is recognized as a ligament preserving technique for the treatment of acute anterior cruciate ligament (ACL) injuries. The aim of this study was to assess the integrity and morphology of the recovered ACL after DIS repair. METHODS The cohort comprised 47 patients with an acute proximal ACL rupture undergoing DIS repair. All patients underwent diagnostic arthroscopy after a minimum postoperative interval of 6 months for semi-quantitative evaluation of ACL integrity, function and scar tissue formation. Tegner, Lysholm and International Knee Documentation Committee (IKDC) scores as well as objective anteroposterior (ap) translation were assessed at 6 weeks, 3-, 6- and 12 months postoperatively. RESULTS Full restoration of the ACL volume was affirmed in 30 (63.8%) patients and two-third restoration in 13 (27.7%). Hypertrophic scar formation was observed in 23 (48.9%) patients. Forty-four patients (93.6%) demonstrated sufficient ACL tensioning intraoperatively upon anterior stress. At final follow-up, the median Tegner activity level was 5.5 (3-10), Lysholm and IKDC scores were 100 (64-100) and 94 (55-100) points, respectively. The mean ap-translation differed from the normal knee by 2.1 ± 2.2 mm. Deficient ACL recovery was noted in four patients (8.5%), none of which required secondary reconstructive surgery. CONCLUSION The results demonstrate that clinical recovery of ACL function after DIS repair is resultant to both restoration of ACL volume and scar tissue formation. Factors influencing the degree of scar tissue formation need further investigation to enable future attempts of guiding a balanced biological healing response. LEVEL OF EVIDENCE IV. |
format |
Article in Journal/Newspaper |
author |
Ateschrang, Atesch Ahmad, Sufian Stöckle, Ulrich Schroeter, Steffen Schenk, Willem Ahrend, Marc Daniel |
author_facet |
Ateschrang, Atesch Ahmad, Sufian Stöckle, Ulrich Schroeter, Steffen Schenk, Willem Ahrend, Marc Daniel |
author_sort |
Ateschrang, Atesch |
title |
Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. |
title_short |
Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. |
title_full |
Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. |
title_fullStr |
Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. |
title_full_unstemmed |
Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. |
title_sort |
recovery of acl function after dynamic intraligamentary stabilization is resultant to restoration of acl integrity and scar tissue formation. |
publisher |
Springer |
publishDate |
2018 |
url |
https://boris.unibe.ch/110740/1/Ateschrang_10.1007_s00167-017-4656-x.pdf https://boris.unibe.ch/110740/ |
genre |
SCAR |
genre_facet |
SCAR |
op_source |
Ateschrang, Atesch; Ahmad, Sufian; Stöckle, Ulrich; Schroeter, Steffen; Schenk, Willem; Ahrend, Marc Daniel (2018). Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation. Knee surgery, sports traumatology, arthroscopy, 26(2), pp. 589-595. Springer 10.1007/s00167-017-4656-x <http://dx.doi.org/10.1007/s00167-017-4656-x> |
op_relation |
https://boris.unibe.ch/110740/ |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1007/s00167-017-4656-x |
container_title |
Knee Surgery, Sports Traumatology, Arthroscopy |
container_volume |
26 |
container_issue |
2 |
container_start_page |
589 |
op_container_end_page |
595 |
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