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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2018

01-02-2018 | Knee

Changes in gait pattern and early functional results after ACL repair are comparable to those of ACL reconstruction

Authors: Benedikt Schliemann, Johannes Glasbrenner, Dieter Rosenbaum, Katharina Lammers, Mirco Herbort, Christoph Domnick, Michael J. Raschke, Clemens Kösters

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2018

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Abstract

Purpose

Dynamic intraligamentary stabilization (DIS) has been introduced as a new technique to repair the torn anterior cruciate ligament (ACL) and to restore knee joint kinematics after an acute ACL tear. Aim of the present study was to compare the early post-operative activity, restoration of gait pattern and functional results after DIS in comparison with primary ACL reconstruction (ACLR) for acute ACL tears. It was hypothesized that functional results, post-operative activity and changes in gait pattern after DIS are comparable to those after ACLR.

Methods

Sixty patients with acute ACL tears were included in this study and underwent either DIS or ACLR with an anatomic semitendinosus autograft in a randomized manner. Patients were equipped with an accelerometric step counter for the first 6 weeks after surgery in order to monitor their early post-operative activity. 3D gait analysis was performed at 6 weeks and 6 months after surgery. Temporal-spatial, kinematic and kinetic parameters were extracted and averaged for each subject. Functional results were recorded at 6 weeks, 6 months and 12 months after surgery using the Tegner activity scale, International Knee Documentation Committee score and Lysholm score.

Results

Patients who underwent DIS showed an increased early post-operative activity with significant differences at week 2 and 3 (p = 0.0241 and 0.0220). No significant differences between groups were found for knee kinematic and kinetic parameters or the functional scores at any time of the follow-up. Furthermore, the difference in anterior tibial translation was not significantly different between the two groups (n.s.).

Conclusion

Early functional results and changes in gait pattern after DIS are comparable to those of primary ACLR. Therefore, ACL repair may be an alternative to ACLR in this cohort of patients.

Level of evidence

I.
Appendix
Available only for authorised users
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Metadata
Title
Changes in gait pattern and early functional results after ACL repair are comparable to those of ACL reconstruction
Authors
Benedikt Schliemann
Johannes Glasbrenner
Dieter Rosenbaum
Katharina Lammers
Mirco Herbort
Christoph Domnick
Michael J. Raschke
Clemens Kösters
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-017-4618-3

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