Die Kreuzbandnaht mit Stabilisierung (Ligamys): Eine Therapiemöglichkeit bei akuten Kreuzbandrupturen

This technique proposes a dynamic, rather than a rigid stabilization of the ACL using a polyethylene cord and a spring-screw implant. Initial cohort studies of dynamic intraligamentary stabilization showed sufficient subjective as well as objective results. However, some studies reported a treatment failure rate between 4% and 20%. Patients with a high preinjury sports activity level and a mid-substance ACL rupture are at higher risk of treatment failure. Therefore, correct patient selection is most important to maintain high success rates. Long-term results and randomized controlled trials are needed to provide high level of evidence regarding this technique.