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
Hauptverfasser: AMIS, A. A, CAMBURN, M, KEMPSON, S. A, RADFORD, W. J. P, STEAD, A. C
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container_end_page 613
container_issue 4
container_start_page 605
container_title Journal of bone and joint surgery. British volume
container_volume 74
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
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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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