A Review of Ligament Augmentation with the InternalBraceTM

The Surgical Principle Is Described for the Lateral Ankle Ligament and ACL Repair in Particular, and a Comprehensive Review of Other Surgical Applications and Techniques Is Presented

Gordon MacKay, MJG Blyth, I Anthony, GP Hopper, William Ribbans

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    This article reviews the surgical decision-making considerations when preparing to undertake an anatomic ligament repair with augmentation using the InternalBrace™. Lateral ankle ligament stabilization of the Broström variety and ACL repair in particular are used to illustrate its application. The InternalBrace™ supports early mobilization of the repaired ligament and allows the natural tissues to progressively strengthen. The principle established by this experience has resulted in its successful application to other distal extremity ligaments including the deltoid, spring, and syndesmosis complex. Knee ligament augmentation with the InternalBrace™ has been successfully applied to all knee ligaments including anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL), anterolateral ligament (ALL), and patellofemoral ligament (PFL). The surgical technique and early results will be reviewed including multi-ligament presentations. Upper limb experience with acromioclavicular (AC) joint augmentation and ulnar collateral ligament (UCL) repair of the elbow with the InternalBrace™ will also be discussed. This article points to a change in orthopaedic practice positioning reconstruction as a salvage procedure that has additional surgical morbidity and should be indicated only if the tissues fail to heal adequately after augmentation and repair.
    Original languageEnglish
    Pages (from-to)239-255
    Number of pages17
    JournalSurgical Technology International
    Volume26
    Publication statusPublished - 1 May 2015

    Fingerprint

    Ankle Lateral Ligament
    Anterior Cruciate Ligament
    Ligaments
    Knee
    Acromioclavicular Joint
    Posterior Cruciate Ligament
    Collateral Ligaments
    Early Ambulation
    Elbow
    Upper Extremity
    Orthopedics
    Decision Making
    Extremities
    Morbidity

    Keywords

    • Internal Brace
    • Foot and Ankle
    • Surgery
    • Ankle ligaments
    • Sports injury
    • ACL ligament

    Cite this

    @article{32aff17df4f342fcbc486fe60e883569,
    title = "A Review of Ligament Augmentation with the InternalBraceTM: The Surgical Principle Is Described for the Lateral Ankle Ligament and ACL Repair in Particular, and a Comprehensive Review of Other Surgical Applications and Techniques Is Presented",
    abstract = "This article reviews the surgical decision-making considerations when preparing to undertake an anatomic ligament repair with augmentation using the InternalBrace™. Lateral ankle ligament stabilization of the Brostr{\"o}m variety and ACL repair in particular are used to illustrate its application. The InternalBrace™ supports early mobilization of the repaired ligament and allows the natural tissues to progressively strengthen. The principle established by this experience has resulted in its successful application to other distal extremity ligaments including the deltoid, spring, and syndesmosis complex. Knee ligament augmentation with the InternalBrace™ has been successfully applied to all knee ligaments including anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL), anterolateral ligament (ALL), and patellofemoral ligament (PFL). The surgical technique and early results will be reviewed including multi-ligament presentations. Upper limb experience with acromioclavicular (AC) joint augmentation and ulnar collateral ligament (UCL) repair of the elbow with the InternalBrace™ will also be discussed. This article points to a change in orthopaedic practice positioning reconstruction as a salvage procedure that has additional surgical morbidity and should be indicated only if the tissues fail to heal adequately after augmentation and repair.",
    keywords = "Internal Brace, Foot and Ankle, Surgery, Ankle ligaments, Sports injury, ACL ligament",
    author = "Gordon MacKay and MJG Blyth and I Anthony and GP Hopper and William Ribbans",
    year = "2015",
    month = "5",
    day = "1",
    language = "English",
    volume = "26",
    pages = "239--255",
    journal = "Surgical Technology International",

    }

    TY - JOUR

    T1 - A Review of Ligament Augmentation with the InternalBraceTM

    T2 - The Surgical Principle Is Described for the Lateral Ankle Ligament and ACL Repair in Particular, and a Comprehensive Review of Other Surgical Applications and Techniques Is Presented

    AU - MacKay, Gordon

    AU - Blyth, MJG

    AU - Anthony, I

    AU - Hopper, GP

    AU - Ribbans, William

    PY - 2015/5/1

    Y1 - 2015/5/1

    N2 - This article reviews the surgical decision-making considerations when preparing to undertake an anatomic ligament repair with augmentation using the InternalBrace™. Lateral ankle ligament stabilization of the Broström variety and ACL repair in particular are used to illustrate its application. The InternalBrace™ supports early mobilization of the repaired ligament and allows the natural tissues to progressively strengthen. The principle established by this experience has resulted in its successful application to other distal extremity ligaments including the deltoid, spring, and syndesmosis complex. Knee ligament augmentation with the InternalBrace™ has been successfully applied to all knee ligaments including anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL), anterolateral ligament (ALL), and patellofemoral ligament (PFL). The surgical technique and early results will be reviewed including multi-ligament presentations. Upper limb experience with acromioclavicular (AC) joint augmentation and ulnar collateral ligament (UCL) repair of the elbow with the InternalBrace™ will also be discussed. This article points to a change in orthopaedic practice positioning reconstruction as a salvage procedure that has additional surgical morbidity and should be indicated only if the tissues fail to heal adequately after augmentation and repair.

    AB - This article reviews the surgical decision-making considerations when preparing to undertake an anatomic ligament repair with augmentation using the InternalBrace™. Lateral ankle ligament stabilization of the Broström variety and ACL repair in particular are used to illustrate its application. The InternalBrace™ supports early mobilization of the repaired ligament and allows the natural tissues to progressively strengthen. The principle established by this experience has resulted in its successful application to other distal extremity ligaments including the deltoid, spring, and syndesmosis complex. Knee ligament augmentation with the InternalBrace™ has been successfully applied to all knee ligaments including anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL), anterolateral ligament (ALL), and patellofemoral ligament (PFL). The surgical technique and early results will be reviewed including multi-ligament presentations. Upper limb experience with acromioclavicular (AC) joint augmentation and ulnar collateral ligament (UCL) repair of the elbow with the InternalBrace™ will also be discussed. This article points to a change in orthopaedic practice positioning reconstruction as a salvage procedure that has additional surgical morbidity and should be indicated only if the tissues fail to heal adequately after augmentation and repair.

    KW - Internal Brace

    KW - Foot and Ankle

    KW - Surgery

    KW - Ankle ligaments

    KW - Sports injury

    KW - ACL ligament

    M3 - Article

    VL - 26

    SP - 239

    EP - 255

    JO - Surgical Technology International

    JF - Surgical Technology International

    ER -