{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:32:30Z","timestamp":1773606750409,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T00:00:00Z","timestamp":1395360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Replacement of the torn anterior cruciate ligament (ACL) with a transplant is today's gold standard. A new technique for preserving and healing the torn ACL is presented. Hypothesis: a dynamic intraligamentary stabilization (DIS) that provides continuous postinjury stability of the knee and ACL in combination with biological improvement of the healing environment [leucocyte\u2010 and platelet\u2010rich fibrin (L\u2010PRF) and microfracturing] should enable biomechanically stable ACL self\u2010healing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten sportive patients were treated by DIS employing an internal stabilizer to keep the unstable knee in a posterior translation, combined with microfracturing and platelet\u2010rich fibrin induction at the rupture site to promote self\u2010healing. Postoperative clinical [Tegner, Lysholm, International Knee Documentation Committee (IKDC), visual analogue scale patient satisfaction score] and radiological evaluation, as well as assessment of knee laxity was performed at 6 weeks, 3, 6, 12, and 24\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One patient had a re\u2010rupture 5\u00a0months postoperative and was hence excluded from further follow\u2010ups. The other nine patients presented the following outcomes at 24\u00a0months: median Lysholm score of 100; IKDC score of 98 (97\u2013100); median Tegner score of 6 (range 9\u20135); anterior translation difference of 1.4\u00a0mm (\u22121 to 3\u00a0mm); median satisfaction score of 9.8 (9\u201310). MRI showed scarring and continuity of the ligament in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>DIS combined with microfracturing and L\u2010PRF resulted in stable clinical and radiological healing of the torn ACL in all but one patient of this first series. They attained normal knee scores, reported excellent satisfaction and could return to their previous levels of sporting activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Case series with no comparison group, Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-2949-x","type":"journal-article","created":{"date-parts":[[2014,3,20]],"date-time":"2014-03-20T02:49:00Z","timestamp":1395283740000},"page":"1215-1221","source":"Crossref","is-referenced-by-count":91,"title":["Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL"],"prefix":"10.1002","volume":"23","author":[{"given":"S.","family":"Eggli","sequence":"first","affiliation":[{"name":"Sonnenhof Orthopaedic Clinic Swiss Leading Hospitals Buchserstrasse 30 3006 Bern Switzerland"},{"name":"Department of Orthopaedic Surgery Inselspital University of Bern Freiburgstrasse 3010 Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kohlhof","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Inselspital University of Bern Freiburgstrasse 3010 Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Zumstein","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Inselspital University of Bern Freiburgstrasse 3010 Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Henle","sequence":"additional","affiliation":[{"name":"Sonnenhof Orthopaedic Clinic Swiss Leading Hospitals Buchserstrasse 30 3006 Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Hartel","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52 20246 Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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