M Benco1, A Tylla2, R Stangl2. 1. Klinik für Unfall‑, Schulter- und Wiederherstellungschirurgie, Sportmedizin und Sporttraumatologie, Krankenhaus Rummelsberg GmbH, Rummelsberg 71, 90592, Schwarzenbruck, Deutschland. martin.benco@sana.de. 2. Klinik für Unfall‑, Schulter- und Wiederherstellungschirurgie, Sportmedizin und Sporttraumatologie, Krankenhaus Rummelsberg GmbH, Rummelsberg 71, 90592, Schwarzenbruck, Deutschland.
Abstract
BACKGROUND: The results of anterior cruciate ligament (ACL) reconstruction demonstrate excellent short and mid-term results; however, long-term follow-up results are compromized by high rates of osteoarthritis. Dynamic intraligamentary stabilization (DIS) focuses on preserving the cruciate ligament. The short and mid-term results of the dynamic ligamentary cruciate ligament suture from a nondevelopmental hospital are presented. MATERIAL AND METHODS: A total of 73 consecutive patients with an acute rupture of the ACL were included in this prospective study. Patients were surgically treated between July 2014 and October 2017 with DIS within 21 days after ACL rupture. All patients were reviewed before the operation, 60 patients reached a 3‑month follow-up , 51 patients reached a 6‑month follow-up and 38 patients a 12-month follow-up. The perioperative and postoperative complication spectrum was recorded. RESULTS: The positive results of the developmental clinics were confirmed. The Tegner, Lysholm and International knee documentation Committee (IKDC) scores showed very good results 12 months after surgery. The intraoperative and postoperative complication rates were low at 1.4% and 6.8%, respectively. Postoperative restrictions on movement required re-arthroscopy in 3 patients, 66% of the patients had concomitant damage to the knee joint, which could be treated simultaneously. CONCLUSION: The dynamic intraligamentary cruciate liament suture (Ligamys) is a successful additional option in the sugical treatment of acute femoral ACL rupture. A high proportion of collateral damage and injuries of the knee joint can be detected and simultaneously treated.
BACKGROUND: The results of anterior cruciate ligament (ACL) reconstruction demonstrate excellent short and mid-term results; however, long-term follow-up results are compromized by high rates of osteoarthritis. Dynamic intraligamentary stabilization (DIS) focuses on preserving the cruciate ligament. The short and mid-term results of the dynamic ligamentary cruciate ligament suture from a nondevelopmental hospital are presented. MATERIAL AND METHODS: A total of 73 consecutive patients with an acute rupture of the ACL were included in this prospective study. Patients were surgically treated between July 2014 and October 2017 with DIS within 21 days after ACL rupture. All patients were reviewed before the operation, 60 patients reached a 3‑month follow-up , 51 patients reached a 6‑month follow-up and 38 patients a 12-month follow-up. The perioperative and postoperative complication spectrum was recorded. RESULTS: The positive results of the developmental clinics were confirmed. The Tegner, Lysholm and International knee documentation Committee (IKDC) scores showed very good results 12 months after surgery. The intraoperative and postoperative complication rates were low at 1.4% and 6.8%, respectively. Postoperative restrictions on movement required re-arthroscopy in 3 patients, 66% of the patients had concomitant damage to the knee joint, which could be treated simultaneously. CONCLUSION: The dynamic intraligamentary cruciate liament suture (Ligamys) is a successful additional option in the sugical treatment of acute femoral ACL rupture. A high proportion of collateral damage and injuries of the knee joint can be detected and simultaneously treated.
Authors: Sandro Kohl; Dimitrios S Evangelopoulos; Hendrik Kohlhof; Max Hartel; Harald Bonel; Phillip Henle; Brigitte von Rechenberg; Stefan Eggli Journal: Knee Surg Sports Traumatol Arthrosc Date: 2012-03-23 Impact factor: 4.342
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Authors: S Eggli; H Kohlhof; M Zumstein; P Henle; M Hartel; D S Evangelopoulos; H Bonel; S Kohl Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-03-21 Impact factor: 4.342
Authors: B Schliemann; C Kösters; J Glasbrenner; M Fischer; M J Raschke; T Briese; M Müller; E Herbst; C Kittl Journal: Arch Orthop Trauma Surg Date: 2021-07-31 Impact factor: 2.928