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Partial Anterior Cruciate Ligament Ruptures: Advantages by Intraligament Autologous Conditioned Plasma Injection and Healing Response Technique—Midterm Outcome Evaluation
Joint Authors
Krutsch, Werner
Zellner, Johannes
Lang, Siegmund
Pfeifer, Christian G.
Koch, Matthias
Angele, Peter
Mayr, Felix
Achenbach, Leonard
Hilber, Franz
Weber, Johannes
Woehl, Rebecca
Eichhorn, Jürgen
Nerlich, Michael
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-25
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
The historical treatment options for partial anterior cruciate ligament (ACL) ruptures were conservative therapy or ACL reconstruction by injured bundle or entire ACL replacement.
In awareness of the regenerative potential of biologic agents such as mesenchymal stem cells or platelet rich plasma (PRP), the healing response technique was developed to preserve the injured ACL with better outcomes than the conservative therapy.
Further improvement of this technique seems to be obtained by the additional application of PRP products.
Thus, the aim of this study was to evaluate the midterm outcome after intraligament autologous conditioned plasma (ACP) by a clinical, scoring, and functional performance assessment.
42 patients were evaluated in this study.
The failure rate was 9.5%.
Outcome evaluation showed good to excellent results.
The scores were IKDC subjective 83.2 (SD 14.5), Lysholm 85.5 (SD 15.5), Tegner 4.7 (SD 1.7), and Cincinnati 85.4 (SD 15.5) after a mean follow-up of 33 months.
Clinical examination showed stable Lachman test, negative pivot shift phenomenon, and a significant reduction in AP-laxity compared to preoperative status (rolimeter preoperative: 1.9 (SD1.4); postoperative 0.6 (SD1.8), p=0.001) in all patients.
Functional performance testing showed no significant differences between the injured and healthy side.
Return to sport was achieved after a mean of 5.8 months (SD 3.6) in 71.1% of the included patients.
In summary, this new treatment option revealed in midterm follow-up promising results to treat partial ACL lesions with a reduced need for conversion to ACL reconstruction and with a high percentage of return to preinjury sport activity.
American Psychological Association (APA)
Koch, Matthias& Mayr, Felix& Achenbach, Leonard& Krutsch, Werner& Lang, Siegmund& Hilber, Franz…[et al.]. 2018. Partial Anterior Cruciate Ligament Ruptures: Advantages by Intraligament Autologous Conditioned Plasma Injection and Healing Response Technique—Midterm Outcome Evaluation. BioMed Research International،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1125709
Modern Language Association (MLA)
Koch, Matthias…[et al.]. Partial Anterior Cruciate Ligament Ruptures: Advantages by Intraligament Autologous Conditioned Plasma Injection and Healing Response Technique—Midterm Outcome Evaluation. BioMed Research International No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1125709
American Medical Association (AMA)
Koch, Matthias& Mayr, Felix& Achenbach, Leonard& Krutsch, Werner& Lang, Siegmund& Hilber, Franz…[et al.]. Partial Anterior Cruciate Ligament Ruptures: Advantages by Intraligament Autologous Conditioned Plasma Injection and Healing Response Technique—Midterm Outcome Evaluation. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1125709
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125709