Graft Selection in Anterior Cruciate Ligament Revision Surgery

Ritchie, Joseph R.; Parker, Richard D.

doi:10.1097/00003086-199604000-00008

Cited by 71 publications

(29 citation statements)

References 51 publications

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“…The success rate of ACL reconstruction has been reported to be between 75% and 90% [26]. However, the evaluation was made on the basis of the anterior translation of the knee.…”

Section: Introductionmentioning

confidence: 99%

Significance of graft tension in anterior cruciate ligament reconstruction Basic background and clinical outcome

Tohyama

Yasuda

1998

Knee Surgery, Sports Traumatology, Arthroscopy

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The purpose of this paper is to review scientific evidence that graft tension affects remodelling of the autograft in ligament reconstruction. The in situ freezing model of the patellar tendon, an ideal patellar tendon autograft model, demonstrated that subsequent cellular proliferation following fibroblast necrosis reduces the mechanical properties of the autograft. Stress shielding enhances reduction of the strength in the once-frozen patellar tendon. The strength of the patellar tendon also changes depending on the degree of stress shielding. Transmission electron micrographs revealed that the number of small-diameter fibrils decreases in the stress-shielded tendons compared with non-stress-shielded tendons after in situ freezing. Restressing essentially restores the mechanical properties of patellar tendon autografts even if the strength has been much reduced by complete stress shielding. The effects of restressing may depend on the period of stress shielding applied before restressing. Unphysiologically high tension significantly reduces the mechanical properties of the in situ frozen anterior cruciate ligament (ACL). Therefore, not only stress-deprivation but also stress-enhancement significantly affect the mechanical properties of tendon autografts. Results of in vivo and in vitro studies suggest that cyclic tensile loading may inhibit the deterioration in mechanical strength of the transplanted tendon. Clinically, our prospective randomized study demonstrated that a relatively high initial tension reduces the postoperative anterior laxity of the knee joint after ACL reconstruction using the doubled autogenous hamstring tendons connected in series with polyester tapes, when the tension applied is less than 80 N. Our experimental and clinical results indicate that the initial tension is one of the significant factors that affect the results of ACL reconstruction, although the optimal initial tension for the other graft materials still remains unknown.

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“…The success rate of ACL reconstruction has been reported to be between 75% and 90% [26]. However, the evaluation was made on the basis of the anterior translation of the knee.…”

Section: Introductionmentioning

confidence: 99%

Significance of graft tension in anterior cruciate ligament reconstruction Basic background and clinical outcome

Tohyama

Yasuda

1998

Knee Surgery, Sports Traumatology, Arthroscopy

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“…11,12 As yet, there have been no studies that compare the amount of osteoarthritis and knee function in patients who underwent revision ACL reconstruction with allograft material and patients who only underwent a primary ACL reconstruction. In general, most articles (research/empirical reports) mainly report laxity and activity differences between revision ACL reconstruction and primary ACL reconstruction patients.…”

mentioning

confidence: 99%

A Cross-Sectional Study Comparing the Rates of Osteoarthritis, Laxity, and Quality of Life in Primary and Revision Anterior Cruciate Ligament Reconstructions

Kievit¹,

Jonkers²,

Barentsz³

et al. 2013

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…MRI and CT scan are useful to find out tunnel positions and size [4] and if these are of concern. Many studies have reported results of revision surgery of bone patellar tendon bone allograft [5,[15][16][17][18], and there are few studies, which report about semitendinosus allograft.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

“…Management of those patients is complex, Operative treatment includes removing the prosthesis and fixation devices and evaluation of femoral and tibial bone stock and determining adequacy of previous tunnel positions [4], and staged surgery may be necessary if there is significant bone loss on either side. Reconstruction can be performed with the use of either autograft or allograft tissue [5][6][7]. Reconstruction with allograft has the major advantage of eliminating donor site morbidity [8,9] and faster rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Revision of failed anterior cruciate ligament reconstruction with quadrupled semitendinosus allograft: intermediate-term outcome

Chougule

Tselentakis

Stefan

et al. 2014

Eur J Orthop Surg Traumatol

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Graft Selection in Anterior Cruciate Ligament Revision Surgery

Cited by 71 publications

References 51 publications

Significance of graft tension in anterior cruciate ligament reconstruction Basic background and clinical outcome

Significance of graft tension in anterior cruciate ligament reconstruction Basic background and clinical outcome

A Cross-Sectional Study Comparing the Rates of Osteoarthritis, Laxity, and Quality of Life in Primary and Revision Anterior Cruciate Ligament Reconstructions

Revision of failed anterior cruciate ligament reconstruction with quadrupled semitendinosus allograft: intermediate-term outcome

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