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Updated: Feb 14, 2026
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Brain Infarct Segmentation and Registration on MRI or CT for Lesion-symptom Mapping
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49.5K
[Suturing an Acute ACL Lesion with Dynamic Intraligamentary Stabilisation]
Christoph Ihle1, H Nakayama2, Christoph Gonser1
1Unfall- und Wiederherstellungschirurgie, BG Unfallklinik Tübingen.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|February 23, 2018
Summary
Dynamic intraligamentary stabilisation (DIS) offers an alternative to anterior cruciate ligament (ACL) reconstruction. This technique preserves the ACL and restores knee stability, potentially reducing osteoarthritis after injury.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Biomechanical engineering
Background:
- Traditional anterior cruciate ligament (ACL) reconstruction using autologous tendons is associated with increased rates of osteoarthritis.
- Potential causes for post-reconstruction osteoarthritis include persistent knee instability and loss of the ACL's proprioceptive function.
- Dynamic intraligamentary stabilisation (DIS) has emerged as an alternative surgical approach to preserve the ACL.
Observation:
- The study focuses on readapting femoral ACL lesions using DIS.
- Indications for DIS include acute ACL injuries (less than 21 days old) in young, active athletes.
- Specific criteria involve proximal third ACL ruptures with significant anteroposterior tibial translation ( > 5mm).
Findings:
- The video demonstrates a case of a 22-year-old patient undergoing DIS for an ACL lesion three weeks post-injury.
- The procedure aims to preserve the native ACL structure.
- The technique addresses the limitations of traditional ACL reconstruction.
Implications:
- DIS presents a viable alternative for preserving the ACL and maintaining knee stability.
- This approach may help mitigate the risk of osteoarthritis development after ACL injuries.
- Further research into long-term outcomes of DIS is warranted.
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