Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures.
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)...
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ftunivbern:oai:boris.unibe.ch:94774 2023-08-20T04:09:39+02:00 Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. Kohl, Sandro Evangelopoulos, Dimitrios Stergios Schär, Michael Bieri, Kathrin Müller, T Ahmad, Sufian 2016-06 application/pdf https://boris.unibe.ch/94774/1/793.full.pdf https://boris.unibe.ch/94774/ eng eng British Editorial Society of Bone and Joint Surgery https://boris.unibe.ch/94774/ info:eu-repo/semantics/restrictedAccess 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 <http://dx.doi.org/10.1302/0301-620X.98B6.35040> 610 Medicine & health info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion PeerReviewed 2016 ftunivbern https://doi.org/10.1302/0301-620X.98B6.35040 2023-07-31T21:32:51Z 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. Article in Journal/Newspaper SCAR BORIS (Bern Open Repository and Information System, University of Bern) The Bone & Joint Journal 98-B 6 793 798 |
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BORIS (Bern Open Repository and Information System, University of Bern) |
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ftunivbern |
language |
English |
topic |
610 Medicine & health |
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610 Medicine & health Kohl, Sandro Evangelopoulos, Dimitrios Stergios Schär, Michael Bieri, Kathrin Müller, T Ahmad, Sufian Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. |
topic_facet |
610 Medicine & health |
description |
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. |
format |
Article in Journal/Newspaper |
author |
Kohl, Sandro Evangelopoulos, Dimitrios Stergios Schär, Michael Bieri, Kathrin Müller, T Ahmad, Sufian |
author_facet |
Kohl, Sandro Evangelopoulos, Dimitrios Stergios Schär, Michael Bieri, Kathrin Müller, T Ahmad, Sufian |
author_sort |
Kohl, Sandro |
title |
Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. |
title_short |
Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. |
title_full |
Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. |
title_fullStr |
Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. |
title_full_unstemmed |
Dynamic intraligamentary stabilisation: initial experience with treatment of acute ACL ruptures. |
title_sort |
dynamic intraligamentary stabilisation: initial experience with treatment of acute acl ruptures. |
publisher |
British Editorial Society of Bone and Joint Surgery |
publishDate |
2016 |
url |
https://boris.unibe.ch/94774/1/793.full.pdf https://boris.unibe.ch/94774/ |
genre |
SCAR |
genre_facet |
SCAR |
op_source |
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 <http://dx.doi.org/10.1302/0301-620X.98B6.35040> |
op_relation |
https://boris.unibe.ch/94774/ |
op_rights |
info:eu-repo/semantics/restrictedAccess |
op_doi |
https://doi.org/10.1302/0301-620X.98B6.35040 |
container_title |
The Bone & Joint Journal |
container_volume |
98-B |
container_issue |
6 |
container_start_page |
793 |
op_container_end_page |
798 |
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1774723258155794432 |