Anterior cruciate ligament repair using dynamic intraligamentary stabilization provides a similarly successful outcome as all-inside anterior cruciate ligament reconstruction with a faster psychological recovery in moderately active patients

OBJECTIVESThis study aims to comparatively evaluate early to mid-term clinical results of case-matched patient groups of primary repairs with dynamic intraligamentary stabilization (DIS) or all-inside anterior cruciate ligament (ACL) reconstruction (ACLR) by an independent group. PATIENTS AND METHOD...

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Published in:Joint diseases and related surgery 2022, Vol.33 (2), p.406-413
Main Authors: Kayaalp, M. Enes, Sürücü, Serkan, Halis Çerçi, Mehmet, Aydın, Mahmut, Mahiroğulları, Mahir
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container_issue 2
container_start_page 406
container_title Joint diseases and related surgery
container_volume 33
creator Kayaalp, M. Enes
Sürücü, Serkan
Halis Çerçi, Mehmet
Aydın, Mahmut
Mahiroğulları, Mahir
description OBJECTIVESThis study aims to comparatively evaluate early to mid-term clinical results of case-matched patient groups of primary repairs with dynamic intraligamentary stabilization (DIS) or all-inside anterior cruciate ligament (ACL) reconstruction (ACLR) by an independent group. PATIENTS AND METHODSBetween March 2015 and September 2018, a total of 16 patients operated for ACL injuries with the repair technique were retrospectively identified. Cases were stratified by treatment: DIS technique versus all-inside ACLR and matched at a ratio of 1:2. The ACLR patients were selected from a patient group with an injury-to-operation time interval of fewer than three months. A total of 32 patients were included in the all inside ACLR group. Pre-injury and postoperative International Knee Documentation Committee (IKDC) subjective score, Tegner and Lysholm scores had been obtained. Additionally, ACL-Return to Sport after Injury (ACL-RSI) scale scores, clinical results, and complications were noted. RESULTSOne (6%) patient in the DIS group and two (6%) patients in the ACLR group were lost-to-follow-up and, for a total of 45 patients, 15 in the DIS group and 30 in the ACLR group, were included in the study. The mean postoperative follow-up was 50.8±13.5 months and 48.2±11.4 months in the DIS and ACLR groups, respectively. The Tegner, Lysholm, and IKDC subjective scores were non-significantly different between the groups at any time points. The ACL-RSI scale scores were significantly higher at six (p
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Enes ; Sürücü, Serkan ; Halis Çerçi, Mehmet ; Aydın, Mahmut ; Mahiroğulları, Mahir</creator><creatorcontrib>Kayaalp, M. Enes ; Sürücü, Serkan ; Halis Çerçi, Mehmet ; Aydın, Mahmut ; Mahiroğulları, Mahir</creatorcontrib><description>OBJECTIVESThis study aims to comparatively evaluate early to mid-term clinical results of case-matched patient groups of primary repairs with dynamic intraligamentary stabilization (DIS) or all-inside anterior cruciate ligament (ACL) reconstruction (ACLR) by an independent group. PATIENTS AND METHODSBetween March 2015 and September 2018, a total of 16 patients operated for ACL injuries with the repair technique were retrospectively identified. Cases were stratified by treatment: DIS technique versus all-inside ACLR and matched at a ratio of 1:2. The ACLR patients were selected from a patient group with an injury-to-operation time interval of fewer than three months. A total of 32 patients were included in the all inside ACLR group. Pre-injury and postoperative International Knee Documentation Committee (IKDC) subjective score, Tegner and Lysholm scores had been obtained. Additionally, ACL-Return to Sport after Injury (ACL-RSI) scale scores, clinical results, and complications were noted. RESULTSOne (6%) patient in the DIS group and two (6%) patients in the ACLR group were lost-to-follow-up and, for a total of 45 patients, 15 in the DIS group and 30 in the ACLR group, were included in the study. The mean postoperative follow-up was 50.8±13.5 months and 48.2±11.4 months in the DIS and ACLR groups, respectively. The Tegner, Lysholm, and IKDC subjective scores were non-significantly different between the groups at any time points. The ACL-RSI scale scores were significantly higher at six (p&lt;0.001) and 12 (p=0.01) months in the repair group. The pivot-shift test was negative in all cases postoperatively. One re-rupture occurred in each group. The reoperation rate at any cause was 25% for the repair and 10% for the ACLR group. CONCLUSIONPrimary ACL repair using the DIS technique provides a similar clinical outcome to these by an all-inside ACLR technique in moderately active patients. The DIS technique is reliable and reproducible, and associated with an early and speedier psychological recovery in a carefully selected, non-athlete patient group as observed by an independent group.</description><identifier>ISSN: 2687-4784</identifier><identifier>EISSN: 2687-4792</identifier><identifier>DOI: 10.52312/jdrs.2022.631</identifier><identifier>PMID: 35852201</identifier><language>eng</language><publisher>Bayçınar Medical Publishing</publisher><subject>Original</subject><ispartof>Joint diseases and related surgery, 2022, Vol.33 (2), p.406-413</ispartof><rights>Copyright © 2022, Turkish Joint Diseases Foundation 2022 Turkish Joint Diseases Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2821-a5df5493852f5ac130ef1f397c0d384c63d843da0914f6a3af6bd30dd09fe81f3</citedby><orcidid>0000-0002-7794-9308 ; 0000-0002-2235-1480 ; 0000-0002-4083-3619 ; 0000-0003-1551-4525 ; 0000-0002-9545-7454</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361114/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361114/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4009,27902,27903,27904,53769,53771</link.rule.ids></links><search><creatorcontrib>Kayaalp, M. Enes</creatorcontrib><creatorcontrib>Sürücü, Serkan</creatorcontrib><creatorcontrib>Halis Çerçi, Mehmet</creatorcontrib><creatorcontrib>Aydın, Mahmut</creatorcontrib><creatorcontrib>Mahiroğulları, Mahir</creatorcontrib><title>Anterior cruciate ligament repair using dynamic intraligamentary stabilization provides a similarly successful outcome as all-inside anterior cruciate ligament reconstruction with a faster psychological recovery in moderately active patients</title><title>Joint diseases and related surgery</title><description>OBJECTIVESThis study aims to comparatively evaluate early to mid-term clinical results of case-matched patient groups of primary repairs with dynamic intraligamentary stabilization (DIS) or all-inside anterior cruciate ligament (ACL) reconstruction (ACLR) by an independent group. PATIENTS AND METHODSBetween March 2015 and September 2018, a total of 16 patients operated for ACL injuries with the repair technique were retrospectively identified. Cases were stratified by treatment: DIS technique versus all-inside ACLR and matched at a ratio of 1:2. The ACLR patients were selected from a patient group with an injury-to-operation time interval of fewer than three months. A total of 32 patients were included in the all inside ACLR group. Pre-injury and postoperative International Knee Documentation Committee (IKDC) subjective score, Tegner and Lysholm scores had been obtained. Additionally, ACL-Return to Sport after Injury (ACL-RSI) scale scores, clinical results, and complications were noted. RESULTSOne (6%) patient in the DIS group and two (6%) patients in the ACLR group were lost-to-follow-up and, for a total of 45 patients, 15 in the DIS group and 30 in the ACLR group, were included in the study. The mean postoperative follow-up was 50.8±13.5 months and 48.2±11.4 months in the DIS and ACLR groups, respectively. The Tegner, Lysholm, and IKDC subjective scores were non-significantly different between the groups at any time points. The ACL-RSI scale scores were significantly higher at six (p&lt;0.001) and 12 (p=0.01) months in the repair group. The pivot-shift test was negative in all cases postoperatively. One re-rupture occurred in each group. The reoperation rate at any cause was 25% for the repair and 10% for the ACLR group. CONCLUSIONPrimary ACL repair using the DIS technique provides a similar clinical outcome to these by an all-inside ACLR technique in moderately active patients. The DIS technique is reliable and reproducible, and associated with an early and speedier psychological recovery in a carefully selected, non-athlete patient group as observed by an independent group.</description><subject>Original</subject><issn>2687-4784</issn><issn>2687-4792</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kklrHDEQRpuQEBvH15x1zKUnWnrTJWBMFoMhl-QsarTMlFFLHUk9YfKv_Q8ijxfIJScJ6dWrovia5j2jm54Lxj_emZQ3nHK-GQR71ZzzYRrbbpT89ct96s6ay5zvKKVccjFS-rY5E_3Uc07ZeXN_FYpNGBPRadUIxRKPO5htKCTZBTCRNWPYEXMMMKMmGEqCZwTSkeQCW_T4BwrGQJYUD2hsJkAyzugh-YqsWtuc3epJXIuOsyVQCe9bDLnSBP43hI4hl_p-8v_Gsq9uB7lWkCUf9T76uEMN_oQebB0JA5mjsamKaneolQdLljpgFeZ3zRsHPtvLp_Oi-fnl84_rb-3t968311e3reYTZy30xvWdFHVRrgfNBLWOOSFHTY2YOj0IM3XCAJWscwMIcMPWCGoMlc5OlbxoPj16l3U7W6PtaXFqSTjXtakIqP79CbhXu3hQUgyMsa4KPjwJUvy12lzUjFlb7yHYuGbFB8nGSVIpKrp5RHWKOSfrXtowqk5RUQ9RUQ9RUTUq4i8KZrwf</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Kayaalp, M. Enes</creator><creator>Sürücü, Serkan</creator><creator>Halis Çerçi, Mehmet</creator><creator>Aydın, Mahmut</creator><creator>Mahiroğulları, Mahir</creator><general>Bayçınar Medical Publishing</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7794-9308</orcidid><orcidid>https://orcid.org/0000-0002-2235-1480</orcidid><orcidid>https://orcid.org/0000-0002-4083-3619</orcidid><orcidid>https://orcid.org/0000-0003-1551-4525</orcidid><orcidid>https://orcid.org/0000-0002-9545-7454</orcidid></search><sort><creationdate>2022</creationdate><title>Anterior cruciate ligament repair using dynamic intraligamentary stabilization provides a similarly successful outcome as all-inside anterior cruciate ligament reconstruction with a faster psychological recovery in moderately active patients</title><author>Kayaalp, M. Enes ; Sürücü, Serkan ; Halis Çerçi, Mehmet ; Aydın, Mahmut ; Mahiroğulları, Mahir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2821-a5df5493852f5ac130ef1f397c0d384c63d843da0914f6a3af6bd30dd09fe81f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Original</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kayaalp, M. Enes</creatorcontrib><creatorcontrib>Sürücü, Serkan</creatorcontrib><creatorcontrib>Halis Çerçi, Mehmet</creatorcontrib><creatorcontrib>Aydın, Mahmut</creatorcontrib><creatorcontrib>Mahiroğulları, Mahir</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Joint diseases and related surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kayaalp, M. Enes</au><au>Sürücü, Serkan</au><au>Halis Çerçi, Mehmet</au><au>Aydın, Mahmut</au><au>Mahiroğulları, Mahir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior cruciate ligament repair using dynamic intraligamentary stabilization provides a similarly successful outcome as all-inside anterior cruciate ligament reconstruction with a faster psychological recovery in moderately active patients</atitle><jtitle>Joint diseases and related surgery</jtitle><date>2022</date><risdate>2022</risdate><volume>33</volume><issue>2</issue><spage>406</spage><epage>413</epage><pages>406-413</pages><issn>2687-4784</issn><eissn>2687-4792</eissn><abstract>OBJECTIVESThis study aims to comparatively evaluate early to mid-term clinical results of case-matched patient groups of primary repairs with dynamic intraligamentary stabilization (DIS) or all-inside anterior cruciate ligament (ACL) reconstruction (ACLR) by an independent group. PATIENTS AND METHODSBetween March 2015 and September 2018, a total of 16 patients operated for ACL injuries with the repair technique were retrospectively identified. Cases were stratified by treatment: DIS technique versus all-inside ACLR and matched at a ratio of 1:2. The ACLR patients were selected from a patient group with an injury-to-operation time interval of fewer than three months. A total of 32 patients were included in the all inside ACLR group. Pre-injury and postoperative International Knee Documentation Committee (IKDC) subjective score, Tegner and Lysholm scores had been obtained. Additionally, ACL-Return to Sport after Injury (ACL-RSI) scale scores, clinical results, and complications were noted. RESULTSOne (6%) patient in the DIS group and two (6%) patients in the ACLR group were lost-to-follow-up and, for a total of 45 patients, 15 in the DIS group and 30 in the ACLR group, were included in the study. The mean postoperative follow-up was 50.8±13.5 months and 48.2±11.4 months in the DIS and ACLR groups, respectively. The Tegner, Lysholm, and IKDC subjective scores were non-significantly different between the groups at any time points. The ACL-RSI scale scores were significantly higher at six (p&lt;0.001) and 12 (p=0.01) months in the repair group. The pivot-shift test was negative in all cases postoperatively. One re-rupture occurred in each group. The reoperation rate at any cause was 25% for the repair and 10% for the ACLR group. CONCLUSIONPrimary ACL repair using the DIS technique provides a similar clinical outcome to these by an all-inside ACLR technique in moderately active patients. The DIS technique is reliable and reproducible, and associated with an early and speedier psychological recovery in a carefully selected, non-athlete patient group as observed by an independent group.</abstract><pub>Bayçınar Medical Publishing</pub><pmid>35852201</pmid><doi>10.52312/jdrs.2022.631</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7794-9308</orcidid><orcidid>https://orcid.org/0000-0002-2235-1480</orcidid><orcidid>https://orcid.org/0000-0002-4083-3619</orcidid><orcidid>https://orcid.org/0000-0003-1551-4525</orcidid><orcidid>https://orcid.org/0000-0002-9545-7454</orcidid><oa>free_for_read</oa></addata></record>
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title Anterior cruciate ligament repair using dynamic intraligamentary stabilization provides a similarly successful outcome as all-inside anterior cruciate ligament reconstruction with a faster psychological recovery in moderately active patients
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