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Dynamic intraligamentary stabilization for ACL repair: a systematic review
- Source :
- Knee Surgery, Sports Traumatology, Arthroscopy. 27:13-20
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- It was the aim to assess all published original research dealing with dynamic repair of the anterior cruciate ligament (ACL) and to provide a semi-quantitative analysis of clinical outcome reports. Both OVIS and MEDLINE databases were utilized for allocation of articles. All preclinical and clinical studies related to dynamic intraligamentary stabilization (DIS) were identified. Results were tabulated and semi-quantitative analysis performed. Twenty-three articles related to DIS were identified. The predominant level of evidence ranged between II and IV, with only one level I study. Reported failure rates ranged between 4% and 13.6%. Most clinical studies only reported revision rates without referring to failure of restoring stability. Highest success was achieved with proximal ACL ruptures. Both the level of physical activity and patient age have been found to influence the risk of failure. There is sufficient evidence to support that DIS repair may be an effective modality for the treatment of acute proximal tears of the ACL. However, comparative studies are lacking. Upcoming studies should compare the technique to ACL reconstruction with failure as an endpoint. Comparison to rigid methods of proximal fixation is also necessary to justify the need for dynamic fixation. Overall, there is evidence to suggest the potential space for ACL repair in the decision tree for individualized treatment planning. The best outcome will be in the hands of the best patient selectors. IV.
- Subjects :
- Joint Instability
medicine.medical_specialty
Anterior cruciate ligament
Physical activity
MEDLINE
Original research
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
medicine
Humans
Orthopedics and Sports Medicine
Anterior Cruciate Ligament
Fixation (histology)
030222 orthopedics
Anterior Cruciate Ligament Reconstruction
business.industry
Anterior Cruciate Ligament Injuries
Recovery of Function
030229 sport sciences
Evidence-based medicine
medicine.anatomical_structure
Athletic Injuries
Orthopedic surgery
Surgery
business
Dynamic fixation
Subjects
Details
- ISSN :
- 14337347 and 09422056
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Knee Surgery, Sports Traumatology, Arthroscopy
- Accession number :
- edsair.doi.dedup.....c212a0bf5729634837760fb7c2a03fdd