The results of the application of dynamic intraligamentous stabilization in case of rupture of the anterior cruciate ligament

The work is devoted to the treatment of fresh ruptures of the anterior cruciate ligament, while maintaining innervation, it helps to restore normal biomechanics of the joint, reduce the risk of developing post-traumatic osteoarthritis and reduce the rehabilitation period. The aim of the study was to improve the results of treatment of complete ruptures of the ACL for up to 3 weeks using the technique of dynamic intraligamentary stabilization (DIS) of the knee joint. Material and method. A total of 39 patients were included in the study, 25 men and 14 women, aged 18 to 51 years, mean age 31.3±3.4 years. The duration of the injury ranged from 8 to 21 days, the average was 16.9±6.3 days. According to the mechanism of injury, there were: domestic (fall) 18 patients (46.2%), sports - 21 patients (53.8%, all amateur athletes). Indications for surgery were based on the MRI study. The study used a 10-point visual analogue pain scale (VAS) and a numerological patient satisfaction scale (NSS), Tegner scales and Lysholm, anterior drawer test, before and after surgery (after 6 months, one and three years). Results. The mean follow-up period was 38.6±2.3 months (min. 36, max. 40 months). Upon repeated visits in 3 cases (7.7%) at 16, 21 and 30 months, relapses of anteromedial instability were found, the causes of which were repeated injuries. The pain syndrome after the operation regressed by the period of 6 months, then at the period of 12 months or more it was at the same level. Satisfaction of patients with the operation from 8 points at 6 months later reached values of more than 9 points, the Tegner activity level test decreased by 1 point 6 months after the operation, but returned to the pre-injury level by 12 months (before injury 6.1 ± 1.3 points, 6 months after surgery 5.1±0.8 points and 12 months 6.0±1.0 at p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }