The Use of Carbon Fiber Implants in Anterior Cruciate Ligament Surgery

Strover, A.; Firer, P; MED, M.

doi:10.1097/00003086-198506000-00014

Cited by 32 publications

(14 citation statements)

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“…No necrosis of the fascia lata was observed after 48 weeks; the nutrition of the fascia lata probably arose from the surrounding connective tissue. Fascia lata is often used with synthetic materials to protect them from abrasion [31]. This effect was also noticed in the present study; the three failures of the reconstruction were all in the primary-suture-PLLA group.…”

Section: Discussionsupporting

confidence: 82%

Tissue response to a braided poly-L-lactide implant in an experimental reconstruction of anterior cruciate ligament

Laitinen¹,

Alitalo²,

Toivonen³

et al. 1993

J Mater Sci: Mater Med

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During follow-up periods of 6, 12, 24 and 48 weeks, the tissue response to a braided poly-Llactide (PLLA) implant, 3.2 mm in diameter, was investigated in the reconstruction of experimental anterior cruciate ligament (ACL) ruptures in 32 sheep. In 16 sheep the cut ACL was removed and reconstructed with the fascia lata augmented with a PLLA implant. In 16 sheep the ACL was cut from its midportion, sutured, and thereafter augmented with a PLLA implant. The tissue reactions were typical of a scant non-specific-foreign-body reaction. The number of inflammatory and giant cells was greatest at six weeks, decreasing thereafter. Degradation of the PLLA was incomplete at 48 weeks. No signs of synovitis or changes in the cartilaginous surfaces were observed. The reconstructions in both groups were anchored to the bone by fibroconnective tissue, and remodelling of the bone was seen along the drill channels. After 48 weeks the maturation of the fibroconnective tissue and the orientation of the collagen fibres were higher (p < 0.01 ) in the fascia-lata-PLLA group than in the primarysuture-PLLA group. Histologically, the braided PLLA implants proved to be suitable for ACL repair in sheep. The augmentation of the fascia lata with the PLLA implant seemed to be preferable to that of the primary suture of the ACL.

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Section: Discussionsupporting

confidence: 82%

Tissue response to a braided poly-L-lactide implant in an experimental reconstruction of anterior cruciate ligament

Laitinen¹,

Alitalo²,

Toivonen³

et al. 1993

J Mater Sci: Mater Med

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“…Numerous synthetic materials have been used to reconstruct the ACL with varying degrees of short-term success but mostly disappointing long-term results. [3][4][5]14,18,26,27 In short, prosthetic reconstruction of the ACL to date has been unsuccessful. Synthetic ligaments can be divided into 3 types: true prostheses such as polytetrafluroethylene (Gore-Tex) or Dacron, 14,16 scaffolds that provide a latticework for collagen ingrowth such as the Leed's-Keio device (Xiros, Leeds, England), 27 and augmentation de-vices such as the Kennedy ligament augmentation device (3M, St. Paul, Minn).…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5]14,18,26,27 In short, prosthetic reconstruction of the ACL to date has been unsuccessful. Synthetic ligaments can be divided into 3 types: true prostheses such as polytetrafluroethylene (Gore-Tex) or Dacron, 14,16 scaffolds that provide a latticework for collagen ingrowth such as the Leed's-Keio device (Xiros, Leeds, England), 27 and augmentation de-vices such as the Kennedy ligament augmentation device (3M, St. Paul, Minn). 18 It initially was hoped these augmentation devices would protect autogenous tissue during healing; however, none of these prosthetic devices have worked well or remain in common use.…”

Section: Discussionmentioning

confidence: 99%

Assisted Reproduction of the Anterior Cruciate Ligament

Pritchett¹

2009

J Knee Surg

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“…In 1985, Angus Strover of South Africa didn't notice any occurrence of carbon debris in the knee joint cavity when the carbon fibers were used with the remnants of the original ligament or within a fascia sheath. 37 When it comes to Poland, the wide-ranging studies concerning carbon fiber usage generally in knee surgery and knee ligament reconstructions, especially in ACL reconstruction, have been carried out mainly by Andrzej Górecki and Wojciech Kuś in the Clinics of Orthopedics and Traumatology of the Medical University in Warszawa in cooperation with the AGH University of Science and Technology in Kraków. 38,39 The mid-1980s also brought the ligament replacement named Activated Biological Composite (ABC).…”

Section: The Fi Rst Half Of the 20 Th Centurymentioning

confidence: 99%