Evidence map›Paper›PMID 24651979›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015

Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL.

S Eggli, H Kohlhof, M Zumstein, P Henle, M Hartel, D S Evangelopoulos, H Bonel, S Kohl

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02760589 (Clinical Evaluation After Anterior Cruciate Ligament Tears), which is not on this map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02760589 completednot on this map

Clinical Evaluation After Anterior Cruciate Ligament Tears (Internal Brace Technique vs. ACL Reconstruction vs. Conservative Treatment) With Special Regard to Magnetic Resonance Imaging and Functional Performance

TypeobservationalSponsorAUVARan2015 to 2017Enrolled92ConditionsAnterior Cruciate Ligament Tear
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Reduced knee laxity and failure rate following anterior cruciate ligament reconstruction compared with repair for acute tears: a meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
    Pooled it
  3. Pooled it
  4. Dynamic intraligamentary stabilization for ACL repair: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Pooled it
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  8. Changes in gait pattern and early functional results after ACL repair are comparable to those of ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
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  10. [Application of internal brace ligament augmentation technology in repair and reconstruction of cruciate ligament injuries].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

S EggliSonnenhof Orthopaedic Clinic, Swiss Leading Hospitals, Buchserstrasse 30, 3006, Bern, Switzerland, stefaneggli@sonnenhof.ch.
H Kohlhof
M Zumstein
P Henle
M Hartel
D S Evangelopoulos
H Bonel
S Kohl

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReplacement of the torn anterior cruciate ligament (ACL) with a transplant is today`s gold standard. A new technique for preserving and healing the torn ACL is presented. HYPOTHESIS: a dynamic intraligamentary stabilization (DIS) that provides continuous postinjury stability of the knee and ACL in combination with biological improvement of the healing environment [leucocyte- and platelet-rich fibrin (L-PRF) and microfracturing] should enable biomechanically stable ACL self-healing.

methodsTen sportive patients were treated by DIS employing an internal stabilizer to keep the unstable knee in a posterior translation, combined with microfracturing and platelet-rich fibrin induction at the rupture site to promote self-healing. Postoperative clinical [Tegner, Lysholm, International Knee Documentation Committee (IKDC), visual analogue scale patient satisfaction score] and radiological evaluation, as well as assessment of knee laxity was performed at 6 weeks, 3, 6, 12, and 24 months.

resultsOne patient had a re-rupture 5 months postoperative and was hence excluded from further follow-ups. The other nine patients presented the following outcomes at 24 months: median Lysholm score of 100; IKDC score of 98 (97-100); median Tegner score of 6 (range 9-5); anterior translation difference of 1.4 mm (-1 to 3 mm); median satisfaction score of 9.8 (9-10). MRI showed scarring and continuity of the ligament in all patients.

conclusionsDIS combined with microfracturing and L-PRF resulted in stable clinical and radiological healing of the torn ACL in all but one patient of this first series. They attained normal knee scores, reported excellent satisfaction and could return to their previous levels of sporting activity. LEVEL OF EVIDENCE: Case series with no comparison group, Level IV.

Indexed as

AdultAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesFemaleHumansJoint InstabilityKnee InjuriesKnee JointMaleProspective StudiesRetrospective StudiesRuptureYoung Adult

Identifiers

PMID24651979
PMCPMC4371814

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.