Early Complication Analysis of Dynamic Intraligamentary Stabilization versus Anterior Cruciate Ligament Reconstruction.

Frank Endreß, Reinhard Hörner, Wolfgang Hauth, Jens Anders, Roland Biber* (Last author)

*Corresponding author for this work

Research output: Contribution to journalOriginal Article (Journal)peer-review

1 Citation (Web of Science)

Abstract

Purpose: Both dynamic intraligamentary stabilization (DIS) and reconstruction (RECO) are common treatment methods for anterior cruciate ligament (ACL) rupture. We report short term outcomes after DIS (Ligamys, Mathys, Bettlach, Switzerland) and RECO using semitendinosus tendon. We compared postoperative complications, deficits of range-of-motion (ROM), and revision rates between the two treatment options. Methods: A total of 690 patients (437 male, 253 female), after either DIS or RECO, were included. Of these, 147 patients (21%) received DIS and 543 (79%) underwent RECO. Follow-up examination focused on clinical examination, complications and revision rates. Anteroposterior instability and ROM deficits were analyzed in order to evaluate our policy of early intervention for all cases of ROM restrictions. Results: Relevant ROM restrictions occurred at a significantly higher rate after DIS than after RECO (4.8% vs. 1.3%; p = 0.008). Flexion was more restricted after DIS than RECO (110 & DEG; vs. 124 & DEG;, p < 0.001). Extension deficits also occurred more frequently after DIS compared to RECO (49.7% vs. 24.5%; p < 0.001). Total revision surgery rate was 9.1%, with patients after DIS being significantly more frequently affected (20.4% vs. 6.1%; p < 0.001). Conclusions: Our findings indicate a significantly higher risk for ROM restriction after DIS compared to RECO, resulting in a significantly higher revision rate.
Original languageEnglish
Number of pages12
JournalJOURNAL OF PERSONALIZED MEDICINE
Volume13
Issue number7
DOIs
Publication statusPublished - 21 Jun 2023

Keywords

  • ACL RECONSTRUCTION
  • SUTURE REPAIR
  • MECHANORECEPTORS
  • RUPTURES
  • REMNANT
  • LAXITY
  • INJURY
  • TEARS
  • SEX
  • Reconstruction
  • Anterior cruciate ligament
  • Range-of-motion
  • Dynamic intraligamentary stabilization

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