{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:25:43Z","timestamp":1781259943002,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,7,21]],"date-time":"2018-07-21T00:00:00Z","timestamp":1532131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,7,21]],"date-time":"2018-07-21T00:00:00Z","timestamp":1532131200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,1,30]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>New strategies for dynamic intraligamentary stabilization (DIS) in the primary repair of anterior cruciate ligament (ACL) ruptures are currently under debate. It has been proposed that these might serve as alternative techniques to conventional ACL reconstruction procedures using tendon autografts. The aims of the present investigation were to evaluate the functional results and critically assess the complication rate following primary ACL repair with DIS and to review existing reports of favourable clinical results with the method in relation to knee joint stability and patient satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty\u2010nine patients received dynamic intraligamentary stabilization a mean of 14\u00a0days after ACL rupture. Fifty\u2010seven patients (96.6%, male:female\u2009=\u200937:20; mean age 27.6 years) were available for follow\u2010up examinations including the Tegner activity level, anteroposterior stability in comparison with the uninjured knee, subjective satisfaction, and range of knee motion. Complications after 3 and 12\u00a0months were also analyzed. Associated lesions requiring surgical measures were found in 30 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A statistically significant decrease in Tegner activity levels was detected between the preoperative status (median 7) and the 12\u2010month follow\u2010up (median 5). The overall complication rate was 57.9%, including rerupture or non\u2010healing (<jats:italic>n<\/jats:italic>\u2009=\u200910, 17.5%), repeat arthroscopy (<jats:italic>n<\/jats:italic>\u2009=\u200913, 22.8%) as a result of meniscus tears (<jats:italic>n<\/jats:italic>\u2009=\u20092, 15.4%), cyclops syndrome (<jats:italic>n<\/jats:italic>\u2009=\u20094, 30.8%) or restricted range of motion (<jats:italic>n<\/jats:italic>\u2009=\u20097, 53.8%), arthrofibrosis (<jats:italic>n<\/jats:italic>\u2009=\u20093, 5.3%), and implant interference (<jats:italic>n<\/jats:italic>\u2009=\u20097, 12.3%). Anteroposterior KT\u20101000 stability of 3\u00a0mm or below was achieved in 29 (50.9%) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The DIS procedure does not appear to be appropriate for providing predictable results in a young and active cohort of patients following ACL rupture, as it has an unacceptably high complication rate and leads to residual anteroposterior knee joint laxity of 3\u00a0mm or more in 28 (49.1%) of cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV (prospective case series).<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-018-5067-3","type":"journal-article","created":{"date-parts":[[2018,7,21]],"date-time":"2018-07-21T07:53:19Z","timestamp":1532159599000},"page":"29-36","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["High complication rate following dynamic intraligamentary stabilization for primary repair of the anterior cruciate ligament"],"prefix":"10.1002","volume":"27","author":[{"given":"Michael","family":"Osti","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department for Trauma Surgery and Sports Traumatology Academic Hospital Feldkirch Carinagasse 47 6800 Feldkirch Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene","family":"El Attal","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department for Trauma Surgery and Sports Traumatology Academic Hospital Feldkirch Carinagasse 47 6800 Feldkirch Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Doskar","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> AUVA Trauma Centre Klagenfurt Waidmannsdorfer Stra\u00dfe 35 9020 Klagenfurt am W\u00f6rthersee Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"H\u00f6ck","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> AUVA Trauma Centre Klagenfurt Waidmannsdorfer Stra\u00dfe 35 9020 Klagenfurt am W\u00f6rthersee Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinzenz","family":"Smekal","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> AUVA Trauma Centre Klagenfurt Waidmannsdorfer Stra\u00dfe 35 9020 Klagenfurt am W\u00f6rthersee 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