The Long-Term Biomechanical and Viscoelastic Performance of Repairing Anterior Cruciate Ligament after Hemitransection Injury in a Goat Model

To test the healing of the partially torn anterior cruciate ligament, we transected the posterolateral bundle in 11 adult female goats and tested the ligaments at 12, 24, and 52 weeks and 3 years after surgery. As early as 12 weeks after surgery translucent fibrous tissue covered the wound. The diff...

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Veröffentlicht in:The American journal of sports medicine 1996-01, Vol.24 (1), p.109-117
Hauptverfasser: Ng, Gabriel Y. F., Oakes, Barry W., McLean, lain D., Deacon, Owen W., Lampard, Douglas
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container_end_page 117
container_issue 1
container_start_page 109
container_title The American journal of sports medicine
container_volume 24
creator Ng, Gabriel Y. F.
Oakes, Barry W.
McLean, lain D.
Deacon, Owen W.
Lampard, Douglas
description To test the healing of the partially torn anterior cruciate ligament, we transected the posterolateral bundle in 11 adult female goats and tested the ligaments at 12, 24, and 52 weeks and 3 years after surgery. As early as 12 weeks after surgery translucent fibrous tissue covered the wound. The differences in anteroposterior laxity between right and left knees measured at 45° and 90° of flexion were not significantly different at each period. Results of Instron testing of the posterolateral bundle revealed the normalized changes in load-relaxation and Young's modulus were not significantly different at each period, but the ultimate tensile strength and stiff ness at 3 years were significantly higher than at 12 weeks ( P < 0.05). Failure started at the repair site for the 12-week group, but at 24 and 52 weeks the failure occurred throughout the ligament. At 3 years, the spec imens failed with bony avulsion, indicating the repaired tissue was not the weakest link of the bone-ligament- bone complex. This study shows that under favorable conditions, partial anterior cruciate ligament injuries are capable of repair. What is more important, the high ultimate tensile strength and stiffness of the 3-year repaired tissue indicate full structural repair of such an artificial transection injury may be possible.
doi_str_mv 10.1177/036354659602400120
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What is more important, the high ultimate tensile strength and stiffness of the 3-year repaired tissue indicate full structural repair of such an artificial transection injury may be possible.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/036354659602400120</identifier><identifier>PMID: 8638743</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Waltham, MA: American Orthopaedic Society for Sports Medicine</publisher><subject>Animals ; Anterior cruciate ligament ; Anterior Cruciate Ligament - physiopathology ; Anterior Cruciate Ligament Injuries ; Biological and medical sciences ; Biomechanical Phenomena ; Disease Models, Animal ; Elasticity ; Female ; Fibrosis ; Goats ; Hindlimb ; Injuries ; Injuries of the limb. Injuries of the spine ; Joint Instability - physiopathology ; Ligaments ; Longitudinal Studies ; Medical research ; Medical sciences ; Rupture ; Sports medicine ; Stress, Mechanical ; Surgery ; Tensile Strength ; Traumas. 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F.</creatorcontrib><creatorcontrib>Oakes, Barry W.</creatorcontrib><creatorcontrib>McLean, lain D.</creatorcontrib><creatorcontrib>Deacon, Owen W.</creatorcontrib><creatorcontrib>Lampard, Douglas</creatorcontrib><title>The Long-Term Biomechanical and Viscoelastic Performance of Repairing Anterior Cruciate Ligament after Hemitransection Injury in a Goat Model</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>To test the healing of the partially torn anterior cruciate ligament, we transected the posterolateral bundle in 11 adult female goats and tested the ligaments at 12, 24, and 52 weeks and 3 years after surgery. As early as 12 weeks after surgery translucent fibrous tissue covered the wound. The differences in anteroposterior laxity between right and left knees measured at 45° and 90° of flexion were not significantly different at each period. 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What is more important, the high ultimate tensile strength and stiffness of the 3-year repaired tissue indicate full structural repair of such an artificial transection injury may be possible.</description><subject>Animals</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament - physiopathology</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Disease Models, Animal</subject><subject>Elasticity</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Goats</subject><subject>Hindlimb</subject><subject>Injuries</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Instability - physiopathology</subject><subject>Ligaments</subject><subject>Longitudinal Studies</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Rupture</subject><subject>Sports medicine</subject><subject>Stress, Mechanical</subject><subject>Surgery</subject><subject>Tensile Strength</subject><subject>Traumas. 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F.</creator><creator>Oakes, Barry W.</creator><creator>McLean, lain D.</creator><creator>Deacon, Owen W.</creator><creator>Lampard, Douglas</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</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>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>19960101</creationdate><title>The Long-Term Biomechanical and Viscoelastic Performance of Repairing Anterior Cruciate Ligament after Hemitransection Injury in a Goat Model</title><author>Ng, Gabriel Y. 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Injuries of the spine</topic><topic>Joint Instability - physiopathology</topic><topic>Ligaments</topic><topic>Longitudinal Studies</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Rupture</topic><topic>Sports medicine</topic><topic>Stress, Mechanical</topic><topic>Surgery</topic><topic>Tensile Strength</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Viscosity</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ng, Gabriel Y. F.</creatorcontrib><creatorcontrib>Oakes, Barry W.</creatorcontrib><creatorcontrib>McLean, lain D.</creatorcontrib><creatorcontrib>Deacon, Owen W.</creatorcontrib><creatorcontrib>Lampard, Douglas</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>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ng, Gabriel Y. F.</au><au>Oakes, Barry W.</au><au>McLean, lain D.</au><au>Deacon, Owen W.</au><au>Lampard, Douglas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Long-Term Biomechanical and Viscoelastic Performance of Repairing Anterior Cruciate Ligament after Hemitransection Injury in a Goat Model</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>1996-01-01</date><risdate>1996</risdate><volume>24</volume><issue>1</issue><spage>109</spage><epage>117</epage><pages>109-117</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>To test the healing of the partially torn anterior cruciate ligament, we transected the posterolateral bundle in 11 adult female goats and tested the ligaments at 12, 24, and 52 weeks and 3 years after surgery. As early as 12 weeks after surgery translucent fibrous tissue covered the wound. The differences in anteroposterior laxity between right and left knees measured at 45° and 90° of flexion were not significantly different at each period. Results of Instron testing of the posterolateral bundle revealed the normalized changes in load-relaxation and Young's modulus were not significantly different at each period, but the ultimate tensile strength and stiff ness at 3 years were significantly higher than at 12 weeks ( P &lt; 0.05). Failure started at the repair site for the 12-week group, but at 24 and 52 weeks the failure occurred throughout the ligament. At 3 years, the spec imens failed with bony avulsion, indicating the repaired tissue was not the weakest link of the bone-ligament- bone complex. This study shows that under favorable conditions, partial anterior cruciate ligament injuries are capable of repair. What is more important, the high ultimate tensile strength and stiffness of the 3-year repaired tissue indicate full structural repair of such an artificial transection injury may be possible.</abstract><cop>Waltham, MA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>8638743</pmid><doi>10.1177/036354659602400120</doi><tpages>9</tpages></addata></record>
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ispartof The American journal of sports medicine, 1996-01, Vol.24 (1), p.109-117
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subjects Animals
Anterior cruciate ligament
Anterior Cruciate Ligament - physiopathology
Anterior Cruciate Ligament Injuries
Biological and medical sciences
Biomechanical Phenomena
Disease Models, Animal
Elasticity
Female
Fibrosis
Goats
Hindlimb
Injuries
Injuries of the limb. Injuries of the spine
Joint Instability - physiopathology
Ligaments
Longitudinal Studies
Medical research
Medical sciences
Rupture
Sports medicine
Stress, Mechanical
Surgery
Tensile Strength
Traumas. Diseases due to physical agents
Viscosity
Wound Healing
title The Long-Term Biomechanical and Viscoelastic Performance of Repairing Anterior Cruciate Ligament after Hemitransection Injury in a Goat Model
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