Reconstruction of the anterior cruciate ligament by allogeneic tendon graft. An operation for chronic ligamentous insufficiency

Abstract

We describe the use of allogeneic human tendon as an intra-articular replacement for the anterior cruciate ligament. Depending on the type and degree of functional instability we recommend the addition, in some cases, of supplementary extra-articular procedures. We have reviewed 31 patients at least two years after operation and have found that 30 of them had been able to return to full sporting activities. The indications for operation and the techniques are discussed and the use of allogeneic tendon is recommended. 1 3 women with an average age of 25 years (range 18 to 46 years). The average time from the initial injury to the K. Shino, MD. DMSC.

Tendon graft fixation in ACL reconstructionIn vitro evaluation of bioabsorbable tenodesis screw

“…With long-term biomechanical strength characteristics comparable to quadruple strand hamstring autografts and surpassing BPTB allografts, double-strand tibialis anterior tendon allografts provide an effective construct for ACL reconstruction, while avoiding the tissue morbidity com- monly associated with autograft harvest (Shino et al 1986, 1990, Haut Donohue et al 2002. However, there are several disadvantages in using soft tissue allografts.…”

Tripled semitendinosus anterior cruciate ligament reconstruction with Endobutton fixation: A 2-3-year follow-up study of 35 patients

“…Furthermore, the clinical relevance of bone tunnel enlargement has not been clearly defined. While some authors consider this phenomenon a serious complication and early sign of graft failure (Peyrache et al 1996, Nebelung et al 1998, others question the relevance of this phenomenon (Shino et al 1986). As in many previous investigations (Peyrache et al 1996, Nebelung et al 1998, Clathworthy et al 1999), we could not find a correlation between bone tunnel enlargement and clinical outcome.…”

The results of fresh-frozen patellar tendon allografts for chronic anterior cruciate ligament deficiency of the knee

“…Laboratory studies have described the results of allogenic tissue used for intraarticular ACL reconstruction. 1,4,5,7,9,[12][13][14][15][16][17][18]20 In 1986, Shino et al16 described the results of intraarticular allogenic ACL substitutes using various types of freshfrozen tissue (Achilles tendon, anterior tibialis tendon, peroneal tendons) in the human. Two-thirds of these patients also underwent an extraarticular procedure.…”