Alternative Operative Procedure for Anterior Cruciate Ligament Replacement with a Composite Graft for Early Functional Treatment
Reconstruction of damaged ligaments, especially the anterior cruciate ligament (ACL), is one of the most challenging problems in traumatologic and orthopedic surgery. The long-term success rate of primary repair is less than ideal. In recent years the emphasis has shifted towards the use of autogenous tissue grafts, because artificial total replacements failed more or less totally. Biomechanical studies on ACL biological substitutes demonstrate that none of the tissue grafts by themselves is strong enough or matches the stiffness and strength of natural ligament [51.
KeywordsAnterior Cruciate Ligament Knee Joint Anterior Cruciate Ligament Reconstruction Patellar Tendon Anterior Cruciate Ligament Injury
Unable to display preview. Download preview PDF.
- 5.Noyes FR, Butler DL, Paulos LE, Grood ES (1985) Intra-articular cruciate reconstruction. I: Perspectives on graft strength, vascularization, and immediate motion after replacement. Clin Orthop 196:71Google Scholar
- 6.Paulos LE, Butler DL, Noyes FR, Grood ES (1983) Intra-articular cruciate reconstruction. II: Replacement with vascularized patellar tendon. Clin Orthop 172:78Google Scholar
- 7.Schabus R, Kwasny O, Wagner M, Plenk H (1986) Allogene Verstärkungsplastik bei autologer Ersatzplastik des vorderen Kreuzbandes. Hefte Unfallheilkd (in press)Google Scholar