Anterolateral ligament reconstruction with autologous grafting: A biomechanical study

Abstract Background To evaluate the reliability of the Iliotibial band compared to gracilis tendon as a graft to be used in anterolateral ligament reconstruction. Methods Gracilis tendon and a strip of Iliotibial band compared were harvested from 8 fresh human cadaveric knees. The gracilis tendon wa...

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Veröffentlicht in:Clinical biomechanics (Bristol) 2017-05, Vol.44, p.99-103
Hauptverfasser: Monaco, E, Lanzetti, R.M, Fabbri, M, Redler, A, De Carli, A, Ferretti, A
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container_issue
container_start_page 99
container_title Clinical biomechanics (Bristol)
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creator Monaco, E
Lanzetti, R.M
Fabbri, M
Redler, A
De Carli, A
Ferretti, A
description Abstract Background To evaluate the reliability of the Iliotibial band compared to gracilis tendon as a graft to be used in anterolateral ligament reconstruction. Methods Gracilis tendon and a strip of Iliotibial band compared were harvested from 8 fresh human cadaveric knees. The gracilis tendon was prepared to obtain a graft of 10 cm in length (Group 1). Iliotibial band compared was prepared to obtain a graft of 10 cm in length and 0.5 cm in width from the middle portion (Group 2). All the specimens were fixed on a servo hydraulic tensile machine with dedicated cryo-clamp. The loading protocol, used to compare the previously published results of ultimate failure load and Stiffness of the anterolateral ligament (Group 3), included a cyclic preconditioning between 10 and 25 N at 0.1 Hz for 10 cycles and then a load to failure test at 20 mm/min. Findings Gracilis tendon showed higher Ultimante Failure Load and stiffness when compared to a strip of Iliotibial band. Gracilis tendon and a strip of Iliotibial band compared showed higher Ultimante Failure Load and stiffness when compared with native anterolateral ligament as reported by Kennedy. Interpretation Both grafts tested in the present studies are suitable for an anatomical anterolateral ligament reconstruction.
doi_str_mv 10.1016/j.clinbiomech.2017.03.013
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Methods Gracilis tendon and a strip of Iliotibial band compared were harvested from 8 fresh human cadaveric knees. The gracilis tendon was prepared to obtain a graft of 10 cm in length (Group 1). Iliotibial band compared was prepared to obtain a graft of 10 cm in length and 0.5 cm in width from the middle portion (Group 2). All the specimens were fixed on a servo hydraulic tensile machine with dedicated cryo-clamp. The loading protocol, used to compare the previously published results of ultimate failure load and Stiffness of the anterolateral ligament (Group 3), included a cyclic preconditioning between 10 and 25 N at 0.1 Hz for 10 cycles and then a load to failure test at 20 mm/min. Findings Gracilis tendon showed higher Ultimante Failure Load and stiffness when compared to a strip of Iliotibial band. Gracilis tendon and a strip of Iliotibial band compared showed higher Ultimante Failure Load and stiffness when compared with native anterolateral ligament as reported by Kennedy. Interpretation Both grafts tested in the present studies are suitable for an anatomical anterolateral ligament reconstruction.</description><identifier>ISSN: 0268-0033</identifier><identifier>EISSN: 1879-1271</identifier><identifier>DOI: 10.1016/j.clinbiomech.2017.03.013</identifier><identifier>PMID: 28384527</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aged ; Anterior Cruciate Ligament - surgery ; Anterolateral ligament ; Biomechanical Phenomena ; Biomechanics ; Female ; Gracilis tendon ; Humans ; Ileotibial band ; Ligaments, Articular - surgery ; Male ; Physical Medicine and Rehabilitation ; Reconstructive Surgical Procedures ; Reproducibility of Results ; Stress, Mechanical ; Tendons - transplantation ; Transplantation, Autologous</subject><ispartof>Clinical biomechanics (Bristol), 2017-05, Vol.44, p.99-103</ispartof><rights>2017</rights><rights>Copyright © 2017. 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Methods Gracilis tendon and a strip of Iliotibial band compared were harvested from 8 fresh human cadaveric knees. The gracilis tendon was prepared to obtain a graft of 10 cm in length (Group 1). Iliotibial band compared was prepared to obtain a graft of 10 cm in length and 0.5 cm in width from the middle portion (Group 2). All the specimens were fixed on a servo hydraulic tensile machine with dedicated cryo-clamp. The loading protocol, used to compare the previously published results of ultimate failure load and Stiffness of the anterolateral ligament (Group 3), included a cyclic preconditioning between 10 and 25 N at 0.1 Hz for 10 cycles and then a load to failure test at 20 mm/min. Findings Gracilis tendon showed higher Ultimante Failure Load and stiffness when compared to a strip of Iliotibial band. Gracilis tendon and a strip of Iliotibial band compared showed higher Ultimante Failure Load and stiffness when compared with native anterolateral ligament as reported by Kennedy. Interpretation Both grafts tested in the present studies are suitable for an anatomical anterolateral ligament reconstruction.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28384527</pmid><doi>10.1016/j.clinbiomech.2017.03.013</doi><tpages>5</tpages></addata></record>
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subjects Aged
Anterior Cruciate Ligament - surgery
Anterolateral ligament
Biomechanical Phenomena
Biomechanics
Female
Gracilis tendon
Humans
Ileotibial band
Ligaments, Articular - surgery
Male
Physical Medicine and Rehabilitation
Reconstructive Surgical Procedures
Reproducibility of Results
Stress, Mechanical
Tendons - transplantation
Transplantation, Autologous
title Anterolateral ligament reconstruction with autologous grafting: A biomechanical study
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