Anterior cruciate ligament replacement with polyester fibre : a long-term study of tissue reactions and joint stability in sheep
We excised the anterior cruciate ligament from the left stifle of 24 sheep and replaced it by a polyester fibre implant routed 'over the top' of the femoral condyle and fixed, using grommets and screws. All the joints were sound, and the animals moved normally until they were killed at six...
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Veröffentlicht in: | Journal of bone and joint surgery. British volume 1992-07, Vol.74 (4), p.605-613 |
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creator | AMIS, A. A CAMBURN, M KEMPSON, S. A RADFORD, W. J. P STEAD, A. C |
description | We excised the anterior cruciate ligament from the left stifle of 24 sheep and replaced it by a polyester fibre implant routed 'over the top' of the femoral condyle and fixed, using grommets and screws. All the joints were sound, and the animals moved normally until they were killed at six, 12 and 24 months after operation. We found that the implants were always covered by host tissue, which matured into bundles with a histological appearance similar to the natural ligament. The implants were joined to the bones by organised fibrous tissue and there was no anchorage loosening. There was no synovitis, but the operated joints showed progressive cartilage degeneration. The reconstructed joints became less stable immediately after operation, but regained normal stability as the neoligaments developed. The neoligaments lost strength with time, despite tissue ingrowth. The good functional, biomechanical, and histological results justify clinical trials of this type of implant. |
doi_str_mv | 10.1302/0301-620X.74B4.1624524 |
format | Article |
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A ; CAMBURN, M ; KEMPSON, S. A ; RADFORD, W. J. P ; STEAD, A. C</creator><creatorcontrib>AMIS, A. A ; CAMBURN, M ; KEMPSON, S. A ; RADFORD, W. J. P ; STEAD, A. C</creatorcontrib><description>We excised the anterior cruciate ligament from the left stifle of 24 sheep and replaced it by a polyester fibre implant routed 'over the top' of the femoral condyle and fixed, using grommets and screws. All the joints were sound, and the animals moved normally until they were killed at six, 12 and 24 months after operation. We found that the implants were always covered by host tissue, which matured into bundles with a histological appearance similar to the natural ligament. The implants were joined to the bones by organised fibrous tissue and there was no anchorage loosening. There was no synovitis, but the operated joints showed progressive cartilage degeneration. The reconstructed joints became less stable immediately after operation, but regained normal stability as the neoligaments developed. The neoligaments lost strength with time, despite tissue ingrowth. The good functional, biomechanical, and histological results justify clinical trials of this type of implant.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620X.74B4.1624524</identifier><identifier>PMID: 1624524</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Animals ; Anterior Cruciate Ligament - surgery ; Biological and medical sciences ; Cartilage Diseases - etiology ; Female ; Joint Instability - etiology ; Knee Joint - diagnostic imaging ; Medical sciences ; Orthopedic surgery ; Polyesters ; Prostheses and Implants - adverse effects ; Radiography ; Sheep ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tensile Strength ; Time Factors</subject><ispartof>Journal of bone and joint surgery. British volume, 1992-07, Vol.74 (4), p.605-613</ispartof><rights>1992 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c335t-e463142028a4e4507f564a7dc61c0a6b4fb988d090385293f58a4e106484ff7d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5490562$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1624524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AMIS, A. A</creatorcontrib><creatorcontrib>CAMBURN, M</creatorcontrib><creatorcontrib>KEMPSON, S. A</creatorcontrib><creatorcontrib>RADFORD, W. J. P</creatorcontrib><creatorcontrib>STEAD, A. C</creatorcontrib><title>Anterior cruciate ligament replacement with polyester fibre : a long-term study of tissue reactions and joint stability in sheep</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>We excised the anterior cruciate ligament from the left stifle of 24 sheep and replaced it by a polyester fibre implant routed 'over the top' of the femoral condyle and fixed, using grommets and screws. All the joints were sound, and the animals moved normally until they were killed at six, 12 and 24 months after operation. We found that the implants were always covered by host tissue, which matured into bundles with a histological appearance similar to the natural ligament. The implants were joined to the bones by organised fibrous tissue and there was no anchorage loosening. There was no synovitis, but the operated joints showed progressive cartilage degeneration. The reconstructed joints became less stable immediately after operation, but regained normal stability as the neoligaments developed. The neoligaments lost strength with time, despite tissue ingrowth. The good functional, biomechanical, and histological results justify clinical trials of this type of implant.</description><subject>Animals</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Biological and medical sciences</subject><subject>Cartilage Diseases - etiology</subject><subject>Female</subject><subject>Joint Instability - etiology</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Polyesters</subject><subject>Prostheses and Implants - adverse effects</subject><subject>Radiography</subject><subject>Sheep</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tensile Strength</subject><subject>Time Factors</subject><issn>0301-620X</issn><issn>2044-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1P3DAQhi1URLe0P4HKh4pbtuPPZLkB6peExAUkbpbj2GDkxMF2VO2Nn05Sou3JI8_zzmgehL4S2BIG9DswIJWk8LCt-RXfEkm5oPwIbShwXglW1x_Q5gB9RJ9yfgYALgQ7QScrvkGvl0OxyceETZqM18Xi4B91b4eCkx2DNvZf_deXJzzGsLd55rHzbbL4Amsc4vBYzV89zmXq9jg6XHzOk53j2hQfh4z10OHn6OcxuejWB1_22A84P1k7fkbHTodsv6zvKbr_-ePu-nd1c_vrz_XlTWUYE6WyXDLCKdBGc8sF1E5IruvOSGJAy5a7dtc0HeyANYLumBMLSEDyhjtXd-wUnb_PHVN8meYrVO-zsSHowcYpq5oBI1I0MyjfQZNizsk6NSbf67RXBNSiXi1W1WJVLerV6nIOnq0bpra33f_Yof9t7etsdHBJD8bnAyb4DoSk7A01ZI02</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>AMIS, A. A</creator><creator>CAMBURN, M</creator><creator>KEMPSON, S. A</creator><creator>RADFORD, W. J. P</creator><creator>STEAD, A. C</creator><general>British Editorial Society of Bone and Joint Surgery</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920701</creationdate><title>Anterior cruciate ligament replacement with polyester fibre : a long-term study of tissue reactions and joint stability in sheep</title><author>AMIS, A. A ; CAMBURN, M ; KEMPSON, S. A ; RADFORD, W. J. P ; STEAD, A. C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c335t-e463142028a4e4507f564a7dc61c0a6b4fb988d090385293f58a4e106484ff7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Animals</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Biological and medical sciences</topic><topic>Cartilage Diseases - etiology</topic><topic>Female</topic><topic>Joint Instability - etiology</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Polyesters</topic><topic>Prostheses and Implants - adverse effects</topic><topic>Radiography</topic><topic>Sheep</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tensile Strength</topic><topic>Time Factors</topic><toplevel>online_resources</toplevel><creatorcontrib>AMIS, A. A</creatorcontrib><creatorcontrib>CAMBURN, M</creatorcontrib><creatorcontrib>KEMPSON, S. A</creatorcontrib><creatorcontrib>RADFORD, W. J. P</creatorcontrib><creatorcontrib>STEAD, A. C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AMIS, A. A</au><au>CAMBURN, M</au><au>KEMPSON, S. A</au><au>RADFORD, W. J. P</au><au>STEAD, A. C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior cruciate ligament replacement with polyester fibre : a long-term study of tissue reactions and joint stability in sheep</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>74</volume><issue>4</issue><spage>605</spage><epage>613</epage><pages>605-613</pages><issn>0301-620X</issn><eissn>2044-5377</eissn><coden>JBSUAK</coden><abstract>We excised the anterior cruciate ligament from the left stifle of 24 sheep and replaced it by a polyester fibre implant routed 'over the top' of the femoral condyle and fixed, using grommets and screws. All the joints were sound, and the animals moved normally until they were killed at six, 12 and 24 months after operation. We found that the implants were always covered by host tissue, which matured into bundles with a histological appearance similar to the natural ligament. The implants were joined to the bones by organised fibrous tissue and there was no anchorage loosening. There was no synovitis, but the operated joints showed progressive cartilage degeneration. The reconstructed joints became less stable immediately after operation, but regained normal stability as the neoligaments developed. The neoligaments lost strength with time, despite tissue ingrowth. The good functional, biomechanical, and histological results justify clinical trials of this type of implant.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>1624524</pmid><doi>10.1302/0301-620X.74B4.1624524</doi><tpages>9</tpages></addata></record> |
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subjects | Animals Anterior Cruciate Ligament - surgery Biological and medical sciences Cartilage Diseases - etiology Female Joint Instability - etiology Knee Joint - diagnostic imaging Medical sciences Orthopedic surgery Polyesters Prostheses and Implants - adverse effects Radiography Sheep Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tensile Strength Time Factors |
title | Anterior cruciate ligament replacement with polyester fibre : a long-term study of tissue reactions and joint stability in sheep |
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