title: [Dynamic intraligamentary stabilization of the anterior cruciate ligament. Operative technique and short-term clinical results].
abstract: BACKGROUND
  Reconstruction of tears in the anterior cruciate ligament with a tendon graft is the current gold standard.
  
  
  OBJECTIVE
  Dynamic intraligamentary stabilization is a new technique for preservation of the anterior cruciate ligament.
  
  
  METHODS
  This article describes the indications, operative technique, rehabilitation and preliminary results after dynamic intraligamentary stabilization for acute anterior cruciate ligament ruptures.
  
  
  RESULTS
  A total of 24 women and 31 men with an acute anterior cruciate ligament tear were included in a prospective clinical trial. Of the patients 26 had already been followed-up for 12 months and satisfying values for the Lysholm, Tegner and International Knee Documentation Committee (IKDC) outcome scores were achieved. High subjective patient satisfaction was also achieved. The Lachman test showed a mean anterior translation difference to the healthy side of 1.7 mm.
  
  
  CONCLUSIONS
  Dynamic intraligamentary stabilization in combination with microfracturing of the notch can provide biomechanical and biological conditions for self-healing of the anterior cruciate ligament. Further clinical and biomechanical research is needed to identify appropriate patients and rupture types suitable for this new technique.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude W1, 48149, Münster, Deutschland, Clemens.Koesters@ukmuenster.de.
authors.forename: C
authors.initials: C
authors.lastname: Kösters
authors.forename: M
authors.initials: M
authors.lastname: Herbort
authors.forename: B
authors.initials: B
authors.lastname: Schliemann
authors.forename: M J
authors.initials: MJ
authors.lastname: Raschke
authors.forename: S
authors.initials: S
authors.lastname: Lenschow
mesh_terms: D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome; D055815:Young Adult
references.citation: Knee Surg Sports Traumatol Arthrosc. 2015 Apr;23 (4):1215-21
references.pmid: 24651979
references.citation: Am J Sports Med. 2005 Nov;33(11):1751-67
references.pmid: 16230470
references.citation: Am J Sports Med. 1976 May-Jun;4(3):95-100
references.pmid: 984289
references.citation: Knee Surg Sports Traumatol Arthrosc. 2010 Aug;18(8):1013-37
references.pmid: 19902178
references.citation: J Bone Joint Surg Am. 1992 Jan;74(1):140-51
references.pmid: 1734005
references.citation: Cochrane Database Syst Rev. 2011 Sep 07;(9):CD005960
references.pmid: 21901700
references.citation: J Bone Joint Surg Am. 1987 Feb;69(2):243-7
references.pmid: 3805085
references.citation: Knee. 2014 Mar;21(2):477-80
references.pmid: 24405792
references.citation: Am J Sports Med. 2012 Mar;40(3):595-605
references.pmid: 22184280
references.citation: Am J Sports Med. 2012 Oct;40(10 ):2230-5
references.pmid: 22962296
references.citation: Clin Orthop Relat Res. 1979 Sep;(143):97-106
references.pmid: 389520
references.citation: J Bone Joint Surg Am. 1998 Sep;80(9):1365-78
references.pmid: 9759824
references.citation: Knee Surg Sports Traumatol Arthrosc. 2013 Mar;21(3):599-605
references.pmid: 22437658
references.citation: Clin Anat. 1997;10 (3):151-62
references.pmid: 9135883
references.citation: Am J Sports Med. 2004 Dec;32(8):1986-95
references.pmid: 15572332
references.citation: J Orthop Res. 2014 Feb;32(2):296-301
references.pmid: 24600702
references.citation: Am J Sports Med. 2005 Oct;33(10 ):1579-602
references.pmid: 16199611
references.citation: Am J Sports Med. 2006 Dec;34(12 ):2026-37
references.pmid: 17092921
references.citation: Arthroscopy. 2005 Jan;21(1):19-24
references.pmid: 15650662
references.citation: Am J Sports Med. 1982 Mar-Apr;10(2):103-7
references.pmid: 7081522
references.citation: Am J Sports Med. 2008 Jan;36(1):65-72
references.pmid: 17932407
references.citation: Arch Orthop Trauma Surg. 2012 Sep;132(9):1299-313
references.pmid: 22669543
references.citation: J Knee Surg. 2012 Jul;25(3):255-60
references.pmid: 23057146
references.citation: Clin Sports Med. 2009 Jan;28(1):51-61
references.pmid: 19064165
references.citation: J Bone Joint Surg Am. 1984 Sep;66(7):1072-6
references.pmid: 6207177