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Current Status of Synthetic Ligament Reconstruction

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The Knee and the Cruciate Ligaments
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Abstract

Autologous reconstruction of the deficient anterior cruciate ligament (ACL) has a reported success rate of 75%-80% in the recent literature (Aim 1973; Arnoczky et al. 1982; Arvidsson etal. 1981; Clancy et al. 1982; Eriksson 1976; Henning 1979; Hughston and Barrett 1983; Johnson et al. 1984; Jones 1980; Lysholm et al. 1981; Nicholas 1973; Oretorp 1979; Poppon and Prudhon 1977; Wirth 1984). The observation periods on which these data are based are relatively short. In failed reconstructions or patients needing multiple reoperations, increased use has been made of alloplastic ligaments. This makes for a simpler operation, and the immediate strength of the ligament substitute allows for earlier and more rapid rehabilitation.

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References

  • Aim A (1973) Survival of part of patellar tendon transposed for reconstruction of anterior cruciate ligament. Acta Chir Scand 139:443–447

    PubMed  CAS  Google Scholar 

  • Ansorge D, Franke A (1978) Anwendungsmöglichkeiten homologer citalitkonservierter Sehnen und Bänder. Zen-ralbl Chir 2: 98–107

    Google Scholar 

  • Arnoczky SP, Tarvin GB, Marshall JL (1982) Anterior cruciate ligament replacement using patellar tendon. An evaluation of graft revascularization. J Bone Joint Surg [Am] 64: 217–224

    CAS  Google Scholar 

  • Arvidsson I, Eriksson E, Häggmark T, Johnson RJ (1981) Isokinetic thigh muscle strength after ligament reconstruction in the knee joint: Results from a 5–10 year follow-up after reconstructions. Int J Sports Med 2:7–11

    Article  PubMed  CAS  Google Scholar 

  • Burn C, Claes L (1983) Alloplastischer Bandersatz. In: Aktuelle Probleme in Chirurgie und Orthopädie, Bd 25. Huber, Bern Stuttgart Wien

    Google Scholar 

  • Burri C (1980) Grundlagen des Kniebandersatzes durch Kohlenstoff. Unfallheilkunde 83: 208–213

    PubMed  CAS  Google Scholar 

  • Burri C, Neugebauer R (1981) Technik des alloplastischen Bandersatzes mit Kohlefasern. Unfallchirurgie 7: 289–297

    Article  PubMed  CAS  Google Scholar 

  • Cabaud HE, Feagin JA, Rodkey WG (1982) Acute anterior cruciate ligament injury and repair reinforced with a biodegradable intraarticular ligament. Am J Sports Med 10/5: 259–265

    Article  PubMed  CAS  Google Scholar 

  • Chen EH, Black J (1980) Materials design analysis of the prosthetic anterior cruciate ligament. J Biomed Mater Res 14:567

    Article  PubMed  CAS  Google Scholar 

  • Claes L, Burri C, Neugebauer R, Wolter D (1981) Biomecha-nische Untersuchungen zum alloplastischen Ersatz von Bandern mit elastischen Kohlenstoffaserbandprothesen. Rheumamedizin 3: 63–64

    Google Scholar 

  • Clancy WG, Nelson DA, Reider B, Narechania RG (1982) Anterior cruciate ligament reconstruction using one-third of the patellar ligament, augmented by extra-articular tendon transfers. J Bone Joint Surg [Am] 64: 352–359

    Google Scholar 

  • Contzen H (1963) Grundlagen der Alloplastik. Habilitations-schrift, Johann Wolfgang Goethe Universität Frankfurt/ Main

    Google Scholar 

  • Contzen H (1969) Biologische Grundlagen der Alloplastik. In: Handbuch der plastischen Chirurgie, Bd 1. de Gruyter, Berlin S 1–36

    Google Scholar 

  • Contzen H (1981) Die Korrektur veralteter Kniebandverlet-zungen mit textilem Kunststoffband. 17. Tagung der Öster-reichischen Gesellschaft für Unfallchirurgie

    Google Scholar 

  • Contzen H (1981) Mechanical properties of polyester ligament replacement alloplastic ligament replacement. Symposium on alloplastic ligament, Reisenburger Workshop 4.-5.12.1981

    Google Scholar 

  • Contzen H (1985) Materialtechnische Voraussetzungen und biologische Grundlagen fur den alloplastischen Kniebandersatz. Unfallchirurgie 2/5: 242–246

    Article  Google Scholar 

  • Contzen H, Straumann F, Paschke G (1967) Grundlagen der Alloplastik mit Metallen und Kunststoffen. Thieme, Stuttgart, S 77–163

    Google Scholar 

  • Contzen M (1983) Experimentelle Untersuchungen zur Rekonstruktion isolierter Bandstrukturen durch alloplastisches Bandmaterial. Med. Dissertation, Johann-Wolf-gang-Goethe-Universität, Frankfurt/Main

    Google Scholar 

  • Curtis RJ, Delee JC, Drez DJ (1985) Reconstruction of the anterior cruciate ligament with freeze dried fascia lata allografts in dogs. Am J Sports Med 13: 408–414

    Article  PubMed  CAS  Google Scholar 

  • Drobny T (1986) Kreuzbandersatz im Tierexperiment. Vortrag ACL Study Group, Zermatt

    Google Scholar 

  • Eriksson E (1976) Reconstruction of the anterior cruciate ligament. Orthop Clin North America 7: 167–179

    CAS  Google Scholar 

  • Forster JW (1976) A study of the mechanism by which carbon fibre acts as a tendon prosthesis. J Bone Joint Surg [Br] 58: 376

    Google Scholar 

  • Forster JW (1978) Biological reactions to carbon fibre implants. Clin Orthop 131: 300–307

    Google Scholar 

  • Fox JM (1985) Prosthetic ligament reconstruction. In: UCLA Extension (ed) 2nd annual symposium prosthetic ligament reconstruction of the knee. Palm Springs/CA, pp 137–147

    Google Scholar 

  • Fujikawa K (1985) Clinical study of cruciate ligament reconstruction with Leeds-Keio artificial ligament. In: UCLA Extension (ed) 2nd annual symposium prosthetic ligament reconstruction of the knee. Palm Springs/CA, pp 126–128

    Google Scholar 

  • Fujikawa K (1986) Clinical study of the Leeds-Keio artificial ligament. In: UCLA Extension (ed) 3rd annual symposium prosthetic ligament reconstruction of the knee, 10.-12.4.

    Google Scholar 

  • Gacon G (1986) Problèmes généraux posés par l’utilisation des ligaments artificiels en chirurgie du genoux. J Traumatol Sport 3/1:3–5

    Google Scholar 

  • Götz H (1974) Kunststoffkompatibilitätsstudien. Langen-becks Arch Chir 335: 95–126

    Article  Google Scholar 

  • Gore-Tex (1988) SL Gore Associates (UK) Ltd. Kirkton Campus Livingston West Lothian Scotland EH54 7BH. Gore Tex Ligament, United States Clinical Investigation

    Google Scholar 

  • Henning CE (1979) Anterior cruciate ligament reconstruction with fat pad coverage: Six years experience. First Congress of the International Society of the Knee, Lyon

    Google Scholar 

  • Herzog KH (1963) Experimentelle Grundlagen der Transplantation von konserviertem Sehnengewebe. Langenbecks Arch Chir 303: 303–324

    Article  Google Scholar 

  • Homsy A (1981) Proplast knee ligament implants. Symposium on alloplastic ligament, Reisensburger, Workshop 4.-5.12.1981

    Google Scholar 

  • Hughston JC, Barrett GR (1983) Acute anteromedial rotatory instability. Long-term results of surgical repair. J Bone Joint Surg [Am] 65: 145–153

    CAS  Google Scholar 

  • Jäger M, Wirth CJ (1978) Kapselbandläsionen. In: Biome- chanik, Diagnostik und Therapie. Thieme, Stuttgart, S 124–170

    Google Scholar 

  • James SK, Kellam JF, Slocum DB, Larsen RL (1983) Der Proplast-Ligament-Ersatz für die Kreuzbänder des Kniege-lenkes. In: Burri C (Hrsg) Aktuelle Probleme in Chirurgie und Orthopädie. Huber, Bern Stuttgart Wien (Allopla-stischer Bandersatz, Bd 25, S 124–129)

    Google Scholar 

  • Jenkins D, Jenkins HR (1977) Induction of tendon and ligament formation by carbon implants. J Bone Joint Surg [Br] 59:53–57

    CAS  Google Scholar 

  • Jenkins DHR (1980) The role of flexible carbon-fibre implants as tendon and ligament substitutes in clinical practice. J Bone Joint Surg [Br] 62: 497–499

    Google Scholar 

  • Johnson RJ, Eriksson E, Haggmark T, Pope MH (1984) A five to ten year follow-up after reconstruction of the anterior cruciate ligament. Clin Orthop 183: 122

    PubMed  Google Scholar 

  • Jones KG (1980) Results of use of the central one-third of the patellar ligament to compensate for anterior cruciate ligament deficiency. Clin Orthop 147: 39

    PubMed  Google Scholar 

  • Kennedy JC (1978) Late reconstruction of injured ligaments of the knee. In: Schultz HP, Krahl H, Stein WH (eds) Late reconstructions of injured ligaments of the knee. Springer, Berlin Heidelberg New York, p 30

    Google Scholar 

  • Kennedy JC (1983) The use of a ligament augmentation device (L. A. D.) in the anterior cruciate deficient knee. Vortrag, American Academe of Orthopaedic Surgeons, Anaheim

    Google Scholar 

  • Kennedy JC, Fowler PJ (1971) Medial and anterior instability of the knee. An anatomical and clinical study using stress machines. J Bone Joint Surg [Am] 53: 1257–1270

    CAS  Google Scholar 

  • Kennedy JC, Willis RB (1976) Synthetic cruciate ligaments — preliminary report. J Bone Joint Surg [Br] 58: 142

    Google Scholar 

  • Kennedy JC, Weinberg MW, Wilson AS (1974) The anatomy and function of the anterior cruciate ligament. As determined by clinical and morphological studies. J Bone Joint Surg [Am] 56: 223–235

    CAS  Google Scholar 

  • Kennedy JC, Hawkins RJ, Willis RB, Danylchuk KG (1976) Tension studies of human knee ligaments. Yield point, ultimate failure, and disruption of the cruciate and tibial collateral ligaments. J Bone Joint Surg [Am] 58: 350–355

    CAS  Google Scholar 

  • Kennedy JC, Stewart R, Walker DM (1978) Anterolateral rotary instability of the knee point. An early analysis of the Ellison procedure. J Bone Joint Surg [Am] 60:1031–1039

    CAS  Google Scholar 

  • Kinzl L et al. (1976) Gewebeverträglichkeit der Polymere Polyäthylen, Polyester und Polyacetatharz. Z Orthop 114: 777–784

    PubMed  CAS  Google Scholar 

  • Kleining R (1977) Behandlung älterer Bandverletzungen am Kniegelenk mit freien homologen und heterologen Trans-plantaten. Hefte Unfallheilkd 129: 179–181

    PubMed  Google Scholar 

  • Konikoff J (1974) Development of a single stage active tendon prosthesis. J Bone Joint Surg [Am] 56: 848

    Google Scholar 

  • Larson RL (1988) Prosthetic Replacement of Knee Ligaments: Overview. In: Feagin J A (ed) The crucial ligaments. Churchill-Livingstone, New York, pp 495–506

    Google Scholar 

  • Lysholm J, Gillquist J, Liljedahl SO (1981) Long term results after early treatment of knee injuries. Acta Orthop Scand 53: 109

    Google Scholar 

  • Mansat C, Gacon G, Lalain JJ (1984) Plastie antéro-externe du genou - interêt du Dacron à propos de 500 cas revus. 5èmes Journees Lyonnaises de Chirurgie du Genou, Lyon, pp 263–269

    Google Scholar 

  • McIntosh DL (1973) The lateral pivot shift: Symposium on knee injuries. ACS Clinitape, C73-OR3

    Google Scholar 

  • McIntosh DL (1974) Acute tears of the anterior cruciate ligament. Over the top repair. Vortrag, AAOS Meeting in Dallas, Texas

    Google Scholar 

  • McIntosh DL, Darby TA (1976) Lateral substitution reconstruction. J Bone Joint Surg [Br] 58: 142

    Google Scholar 

  • McIntosh DL, Tregonning RJA (1977) A follow-up study and evaluation of „over the top“ repair of acute tears of the anterior cruciate ligament. J Bone Joint Surg [Br] 59: 511

    Google Scholar 

  • McMaster WC, Greenwald AS, Springer SI (1985) Properties and clinical applications of bioprosthetic tendons and ligaments. In: UCLA Extension (ed) 2nd annual symposium prosthetic ligament reconstruction of the knee. Palm Springs/CA, pp 105–111

    Google Scholar 

  • Mironova S (1978) Spätresultate der Rekonstruktion des Band-apparates des Kniegelenkes mit Lawsan. Zentralbl Chir 103:432–434

    PubMed  CAS  Google Scholar 

  • Mockwitz J (1985) Der alloplastische Ersatz der veralteten isolierten Kreuzbandruptur. Unfallchirurgie 11/6: 295–301

    Article  PubMed  CAS  Google Scholar 

  • Mockwitz J et al. (1980) Erweiterte Diagnostik der Kapsel-bandverletzung am Kniegelenk. Unfallchirurgie 6/2: 94–100

    Article  PubMed  CAS  Google Scholar 

  • Neugebauer R (1980) Der Kreuzbandersatz durch Kohlen-stoffaser. Hefte Unfallheilkd 148: 259–262

    Google Scholar 

  • Neugebauer R, Burri C (1981) Ergebnisse nach alloplastischem Bandersatz mit Kohlenstoffasern. Unfallchirurgie 7: 298–304

    Article  PubMed  CAS  Google Scholar 

  • Neugebauer R (1981) In Vitro- und in Vivo-Untersuchungen zur Fixation von Kohlenstoffasersträngen als Bandersatz am Kniegelenk. Rheumamedizin 3: 21–24

    Google Scholar 

  • Nicholas J A (1973) The five-one reconstruction for anterome-dial instability of the knee. Indications, technique and the results in fifty-two patients. J Bone Joint Surg [Am] 55: 899–922

    CAS  Google Scholar 

  • Noyes FR (1977) Functional properties of knee ligaments and alterations induced by immobilization: A correlative biomechanical and histological study in primates. Clin Orthop 123: 210–239

    PubMed  Google Scholar 

  • Noyes FR, Grood ES (1976) The strength of the anterior cruciate ligament in humans and rhesus monkeys. Age-related and species-related changes. J Bone Joint Surg [Am] 58: 1074

    CAS  Google Scholar 

  • Noyes FR, Grood ES (1977) Knee ligament function and failure. Clinical application of biomechanics, biomechanical test and concepts. Vortrag, American Orthopaedic Society of Sport Medicine, Las Vegas

    Google Scholar 

  • Noyes FR, Sonstegard DA, Arbor A (1973) Biomechanical function of the pes anserinus of the knee and the effect of its transplantation. J Bone Joint Surg [Am] 55:1225–1241

    CAS  Google Scholar 

  • Noyes FR, De Lucas J, Torvik PJ (1974 a) Biomechanics of anterior cruciate ligament failure: An analysis of strain-rate sensitivity and mechanism of failure in primates. J Bone Joint Surg [Am] 56: 236–253

    CAS  Google Scholar 

  • Noyes FR, Torvik PJ, Hyde WB (1974 b) Biomechanics of ligament failure. An analysis of immobilization, exercise and reconditioning effects in primates. J Bone Joint Surg [Am] 56: 1406

    CAS  Google Scholar 

  • Noyes FR, Butler DL, Grood ES, Basset RW, Hosea T (1978) Clinical paradoxes of anterior cruciate instability and a new test to detect its instability. Orthop Trans 2: 36

    Google Scholar 

  • Noyes FR, Bassett RW, Grood ES, Butler DL (1980 a) Arthroscopy in acute traumatic hemarthrosis of the knee. Incidence of anterior cruciate tears and other injuries. J Bone Joint Surg [Am] 62: 687

    CAS  Google Scholar 

  • Noyes FR et al. (1980 b) Arthroscopy in acute traumatic hemarthrosis of the knee. J Bone Joint Surg [Am] 62: 687–695

    CAS  Google Scholar 

  • Noyes FR, Mooar PA, Matthews DS, Butler DL (1983 a) The symptomatic anterior cruciate-deficient knee. Part I. The long-term functional disability in athletically active individuals. J Bone Joint Surg [Am] 65: 154

    CAS  Google Scholar 

  • Noyes FR, Butler DL, Paulos LE, Grood ES (1983 b) Intraarticular cruciate reconstruction. 1. Perspectives on graft strength, vascularization, and immediate motion after replacement. Clin Orthop 172: 71

    PubMed  Google Scholar 

  • Olson EJ (1988) The biocompatibility of anterior cruciate ligament replacements: Current clinical, histological and biochemical knowledge, with a protocol for failed ligament retrieval. 55th Annual Meeting, Atlanta/GA, February 4–9

    Google Scholar 

  • Oretorp N, Gillquist J, Liljedahl SO (1979) Long term results of surgery for non acute anteromedial rotatory instability of the knee. Acta Orthop Scand 50: 329–336

    Article  PubMed  CAS  Google Scholar 

  • Poppon P, Prudhon JL (1977) Techniques et résultats de l’in-tervention de Kenneth Jones. Chirurgie du Genou, 3èmes Journees, Lyon, pp 92–93

    Google Scholar 

  • Rehm KE, Schultheis KH (1985) Bandersatz mit Polydioxanon (PDS) Unfallchirurg 11, 5: 264–273

    Article  CAS  Google Scholar 

  • Roth JH et al. (1985) PP braid augmented and non-augmented intraarticular ACL reconstruction. Am J Sports Med 13/5:321

    Article  PubMed  CAS  Google Scholar 

  • Roth JH (1985) Simultaneous clinical follow-up of polypropylene augmented and non-augmented anterior cruciate ligament reconstructions. In: UCLA Extension (ed) 2nd annual symposium prosthetic ligament reconstruction of the knee. Palm Springs/CA, pp 65–98

    Google Scholar 

  • Salamon A (1970) Der experimentelle Ersatz des vorderen Kreuzbandes im Kniegelenk durch Transplantate ver-schiedenen Typs. Bruns Beitr Klin Chir 218: 182–191

    PubMed  CAS  Google Scholar 

  • Seedhom B (1985) The Leeds-Keio ligament. In: UCLA Extension (ed) 2nd annual symposium prosthetic ligament reconstruction of the knee. Palm Springs/CA, pp 115–125

    Google Scholar 

  • Seiffert KE (1967) Biologische Grundlagen der homologen Transplantation konservierter Bindegewebe. Hefte Unfallheilkd

    Google Scholar 

  • Semlitsch M u. Wittert HG (1980) Implantat-Werkstoffe für Gelenkendoprothesen an der oberen Extremität. Ortho-pade 9:108–118

    CAS  Google Scholar 

  • Volkov MV (1982) Behandlung von Knieschäden bei Sportlern. 10. Internationales Symposium liber spezielle Probleme der orthopädischen Chirurgie, Luzern

    Google Scholar 

  • Voorhoeve A, Hierholzer D (1975) Ergebnisse bei Transplantation homologer und heterologer Sehnen als Bandersatz bei instabilem Knie. Hefte Unfallheilkd 125: 117–123

    PubMed  Google Scholar 

  • Weiss AB (1985) Ligament and tendon replacement about the knee with absorbable polymer-carbon fiber scaffolds -clinical experience. In: UCLA Extension (ed) 2nd annual symposium prosthetic ligament reconstruction of the knee. Palm Springs/CA, p 100

    Google Scholar 

  • Whipple TL (1985) Reconstruction of the anterior cruciate ligament using bovine xenograft prosthesis under arthroscopic control. In: UCLA Extension (ed) 2nd annual symposium prosthetic ligament reconstruction of the knee. Palm Springs/CA, pp 112–114

    Google Scholar 

  • Williams DF (1973) Implants in Surgery. Sunders, London Philadelphia Toronto

    Google Scholar 

  • Wirth CJ (1984) Die komplexe vordere Knie-Instabilität. Thieme, Stuttgart, New York

    Google Scholar 

  • Wolter D (1978) Der alloplastische Ersatz des medialen Knieseitenbandes durch beschichtete Kohlenstoffasern. Unfall-heilkunde 18: 390–397

    Google Scholar 

  • Wolter D (1979) Untersuchungen zur intraossären Verankerung des alloplastischen Bandersatzes mit Kohlenstoff-fasern beim Schaf. Langebecks Arch Chir [Suppl]: 221–224

    Google Scholar 

  • Woods W (1979) Proplast leader for use in cruciate ligament reconstruction. Am J Sports Med 7: 314–332

    Article  PubMed  CAS  Google Scholar 

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Munzinger, U. (1992). Current Status of Synthetic Ligament Reconstruction. In: Jakob, R.P., Stäubli, HU. (eds) The Knee and the Cruciate Ligaments. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84463-8_56

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  • DOI: https://doi.org/10.1007/978-3-642-84463-8_56

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