Abstract
Introduction: The anterior cruciate ligament (ACL) is the region where spraining or tearing is most prevalent when the knee is injured. Complete ACL ruptures have a much less favorable outcome without surgical intervention. Polydeoxyribonucleotide (PDRN) is a relatively safe substance widely used for regenerative therapy. Patient concerns: A 43-year-old female patient visited our clinic with Rt. knee pain after slipping, which she rated as 7/10 on a numeric rating scale. Diagnosis: She was diagnosed as having a near complete tear of the ACL at the femoral attachment, partial tear of the lateral collateral ligament. Interventions: Ultrasound-guided PDRN injections were carried out 5 times at intervals of about 2 weeks. Outcomes: At 3-month follow-up, the patient demonstrated an improvement in knee symptoms (numeric rating scale 0) and ROM without any complications. Even after 2 years and 5 months since the diagnosis, she has been doing her daily life well without any pain. Conclusion: This is the first report of successful PDRN injection for near complete tear of ACL and partial tear of lateral collateral ligament without surgery.
Original language | English |
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Journal | Medicine (United States) |
Volume | 99 |
Issue number | 18 |
DOIs | |
State | Published - 1 May 2020 |
Bibliographical note
Funding Information:The authors have no conflicts of interest to disclose. Funding Source: This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (grant number. 2017R1D1A1B03028360). Recipient: Hue Jung Park. aDepartment of Anesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, bDepartment of Anesthesiology and Pain Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. ∗Correspondence: Hue Jung Park, Department of Anesthesiology and Pain Medicine, Seoul St. Mary’s hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea, 06591 (e-mail: [email protected]). Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite this article: Kim YN, Baek J, Kim YH, Hwang J, Ko YR, Lee Ms, Kim Yc, Park HJ. Full recovery of near complete tear of anterior cruciate ligament without surgery: a case report. Medicine 2020;99:18(e19899). Received: 4 July 2019 / Received in final form: 29 January 2020 / Accepted: 12 March 2020
Publisher Copyright:
Copyright © 2020 the Author(s).
Keywords
- Polydeoxyribonuclotide
- anterior cruciate ligament
- lateral collateral ligament
- ligament tear