#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Influence of mechanical factors to the later result of recostruction of the anterior cruciate ligament


Authors: Jan Vanáč
Authors‘ workplace: Institute of Health Studies, Pardubice University ;  Ústav zdravotnických studií, Univerzita Pardubice ;  Department of Traumatic Surgery, Trauma centre of the Regional Hospital Pardubice ;  Oddělení úrazové chirurgie, Traumacentrum Krajské nemocnice Pardubice
Published in: Úraz chir. 14., 2006, č.3

Overview

The goal of this retrospective study is an evaluation of the effect of some mechanical factors on the knee stability after anterior cruciate ligament reconstruction with a graft from the middle third of patellar ligament.

From the mechanical factors, the author monitored the effect of location of tibial and femoral channel on the joint stability, the most frequent combinations of the location of these channels, furthermore the shape of the tibial channel and the effect of tibial channel enlargement on the joint stability.

In the period from 1996 to 2003 there were totally 284 patients in the Department of Trauma Surgery in Pardubice who underwent a reconstructtion of the anterior cruciate ligament. The file included 205 patients with an isolated rupture of this ligament. All patients were examined with arthrometer KT 1000 and the results were evaluated according to form IKDC (International Knee Documentation Committee).

Key words:
anterior cruciate ligament, placement of a graft, radiology findings, residual point laxity, arthrometer KT 1000.


Sources

1. Amiel, D., Klweiner, J.B., Akeson, W.H. The natural history of the anterior cruciate ligament autograft of patellar tendon origin. Am J Sports Med. 1986, 14, 449–462.

2. Arnoczky, S.P., Warren, R.F., Ashlock, M. A Replacement of the anterior cruciate ligament using a patellar tendon allograft. An experimental study. J Bone Joint Surg. 1986, 68B, 376–385.

3. Höher, J., Miller, H.D., Fu F.H. Bone tunnel enlargement after anterior cruciate ligament reconstruction: fact or fiction­? Knee Surg. Sports Traumatol Arthrosc. 1998, 6, 231–240.

4. Flandy, W.G., Narechania, R.G., Rosenberg R.D, et al. Anterior and posterior cruciate reconstruction in rhesus monkeys. J Bone Joint Surg. 1981, 63A, 1270–1284.

5. Daniel, D.M., Stone, M.L., Dobson, B. et al. Fate of the ACLinjured patient. A prospective outcome study. Am J Sports Med. 1994, 22, 632–644.

6. Dyer, C.R., Elrod, B.F. Tibial and femoral bone tunnel enlargement of the anterior cruciate ligament. Arthroscopy. 1995, 11, 353–354.

7. Fahey, M., Indelicato, P.A. Bone tunnel enlargement after anterior cruciate ligament replacement. Am J Sports Med. 1994, 22, 410–414.

8. Frank, C.B. Bone tunnel enlargement after anterior cruciate ligament replacement. Comment of Fahey et al. Am J Sports Med. 1994, 22, 410–414.

9. Friedman, R.J., black, J., Galante, J.O. et al. Current concepts in orthopaedic biomaterials and implant fixation. J Bone Joint Surg. 1993, 75, 1086–1096.

10. Harner, C.D. Editorial commentrevision ACL surgery. Clin Orthop. 1996, 1, 325.

11. Harrner, C.D., Irrang, J.J., Silverstein, S. et al. Loss of motion after cruciate ligament reconstruction. Am J. Sports Med. 1992, 20, 499–506.

12. Harner, C.D., Olson, E., Irrang, J.S. et al. Allograft versus autograft anterior cruciate ligament reconstruction. Clin Orthop. 1996, 324, 134–144.

13. Höher, J., Withrow, J.D., Livesay, G.A. et al. Early stress cause graft tunnel motion in hamstring grafts. Ortop Res Soc. 1998, 23, 44.

14. Howel, S.M., Gotlieb, J.E. Endoscopic fixation a doublelooped semitendinosus and gracilis anterior cruciate ligament graft using bone mulch screw. Oper Tech Orthop. 1996, 6, 152–160.

15. Ishibashi, Z., Rudy, T., Livesay, G.A. et al. The efect of anterior cruciate ligament graft fixation site at the tibia on knee stability. Evaluation using a robotic testing system. Arthroscopy. 1997, 13, 177–182.

16. Jackson, D.W., Windler, G.E., Simon T.M. Intraarticular reaction with the use of freeze dried, ethylene oxid sterilized bone patella tendonbone allografts in the reconstruction of the anterior cruciate ligament. Am J Sports Med. 2000, 18, 1–10.

17. Jackson,D., W., Grood, E.S., Arnoczky, S.P. Freeze dried anterior cruciate ligament allografts. Preliminary studies in a goat modell. Am J Sports Med. 1987, 15, 295–303.

18. Kartus, J., Magnusson, L., Stener, S. et al. Complications following arthroscopic anterior cruciate ligament reconstruction. Knee Surg. Sports Traumatol Arthrosc. 1999, 7, 2–8.

19. Juareguito, J.W., Paulos, L.E. Why grafts fail: Clin Orthop. 1996, 325, 25–41.

20. Jiranek, W.A., Machalo, M., Jasty, M., et al. Productions of cytokines around loosened cemented acetabular components. J Bone Joint Surg. 1993, 75A, 836–879.

21. Linn, R.M., Fischer, D.A., Smith, J.P., et al. Achilles tendon allograft reconstruction of the anterior cruciate ligamentdeficient knee. Am J Sports Med. 1993, 21, 825–831.

22. L´insalata, J.C., Klatt, B., Fu, F.H. et al. Tunnel expansion following ACL reconstruction: A comparision of hamstring and patellar tendon autografts. Knee Surg. Sports Traumatol Arthrosc. 1997, 5, 234–238.

23. Maloney, W.J., Jasty, M., Hartus, W.H. et al. Endosteal erosion in assotiation with stable uncemented femoral components. J Bone Joint Surg. 1990, 72A, 1025–1034.

24. Shapiro, M.M., Markolf, K.L, Burchfield, D.M. et al. Biomechanical consequences of replacement of the anterior cruciate ligament with a patellar ligament allograft. J Bone Joint Surg. 1996, 78A, 1728–1734.

25. Peyrache, M.D., Dijan, P., Chrástek, P. et al. Tibial tunnel enlargement after anterior cruciate ligament reconstruction by autogennous bonepatellar tendonbone graft. Knee Surg. Sports Traumatol Arthrosc. 1996, 2–8.

26. Tomita, F., Yasuda, K., Mikami, S. Comparision of intraosseos graft healing between the double flexor tendon graft and the bonepatellar tendonbone graft in anterior cruciate ligament reconstruction. Arthroscopy. 2001, 17, 461–476.

27. Weiler, A., Hoffmann, R.F., Bail, H.J. et al. Tendon healing in a bone tunnel. Arthroscopy. 2002, 18, 124–135.

Labels
Surgery Traumatology Trauma surgery
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#