ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
High complication rate following dynamic intraligamentary stabilization for primary repair of the anterior cruciate ligament.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Arthroscopic primary repair of proximal anterior cruciate ligament tears seems safe but higher level of evidence is needed: a systematic review and meta-analysis of recent literature.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Pooled it
- Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction.Journal of orthopaedic surgery and research · 2020Pooled it
- Comparable Instrumented Knee Joint Laxity and Patient-Reported Outcomes After ACL Repair With Dynamic Intraligamentary Stabilization or ACL Reconstruction: 5-Year Results of a Randomized Controlled Trial.The American journal of sports medicine · 2022Trial
- Arthroscopic ACL repair with suture tape augmentation: clinical, functional, and gait analysis outcomes at minimum 3-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- Comparison of Clinical Outcomes Between Modern Augmented ACL Repair and Autograft ACL Reconstruction: A Systematic Review and Meta-analysis of Studies With Minimum 2-Year Follow-up.Orthopaedic journal of sports medicine · 2024Review
- Promising functional outcomes following anterior cruciate ligament repair with suture augmentation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Early Complication Analysis of Dynamic Intraligamentary Stabilization versus Anterior Cruciate Ligament Reconstruction.Journal of personalized medicine · 2023Article
- Review
- Trends in Anterior Cruciate Ligament Repair: A Bibliometric and Visualized Analysis.Orthopaedic journal of sports medicine · 2022Article
- Suture Tape Augmentation Increases the Time-Zero Stiffness and Strength of Anterior Cruciate Ligament Grafts: A Cadaveric Study.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Primary stability of single-stage revision reconstruction of the anterior cruciate ligament in case of failure of dynamic intraligamentary stabilization depends on implant position during ACL repair.Archives of orthopaedic and trauma surgery · 2022Article
- Correction to: Arthroscopic primary repair of proximal anterior cruciate ligament tears seems safe but higher level of evidence is needed: a systematic review and meta-analysis of recent literature.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- A systematic review of anterior cruciate ligament primary repair rehabilitation.Journal of clinical orthopaedics and trauma · 2022Review
- Suture tape augmentation ACL repair, stable knee, and favorable PROMs, but a re-rupture rate of 11% within 2 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Comments on the article "high complication rate following dynamic intraligamentary stabilization for primary repair of the anterior cruciate ligament": the story of the cyclops syndrome is not over.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- ACL Repair: A Game Changer or Will History Repeat Itself? A Critical Appraisal.Journal of clinical medicine · 2021Review
- Knotless Primary Anterior Cruciate Ligament Repair with Adjustable Loop Device and Internal Brace Augmentation.Arthroscopy techniques · 2020Article
- Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation.Journal of clinical medicine · 2020Article
- Cyclops Lesions of the Knee: A Narrative Review of the Literature.Orthopaedic journal of sports medicine · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNew strategies for dynamic intraligamentary stabilization (DIS) in the primary repair of anterior cruciate ligament (ACL) ruptures are currently under debate. It has been proposed that these might serve as alternative techniques to conventional ACL reconstruction procedures using tendon autografts. The aims of the present investigation were to evaluate the functional results and critically assess the complication rate following primary ACL repair with DIS and to review existing reports of favourable clinical results with the method in relation to knee joint stability and patient satisfaction.
methodsFifty-nine patients received dynamic intraligamentary stabilization a mean of 14 days after ACL rupture. Fifty-seven patients (96.6%, male:female = 37:20; mean age 27.6 years) were available for follow-up examinations including the Tegner activity level, anteroposterior stability in comparison with the uninjured knee, subjective satisfaction, and range of knee motion. Complications after 3 and 12 months were also analyzed. Associated lesions requiring surgical measures were found in 30 patients.
resultsA statistically significant decrease in Tegner activity levels was detected between the preoperative status (median 7) and the 12-month follow-up (median 5). The overall complication rate was 57.9%, including rerupture or non-healing (n = 10, 17.5%), repeat arthroscopy (n = 13, 22.8%) as a result of meniscus tears (n = 2, 15.4%), cyclops syndrome (n = 4, 30.8%) or restricted range of motion (n = 7, 53.8%), arthrofibrosis (n = 3, 5.3%), and implant interference (n = 7, 12.3%). Anteroposterior KT-1000 stability of 3 mm or below was achieved in 29 (50.9%) patients.
conclusionsThe DIS procedure does not appear to be appropriate for providing predictable results in a young and active cohort of patients following ACL rupture, as it has an unacceptably high complication rate and leads to residual anteroposterior knee joint laxity of 3 mm or more in 28 (49.1%) of cases. LEVEL OF EVIDENCE: IV (prospective case series).
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