ACL prosthesis: any promise for the future?

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Saccomanni Bernardino

Abstract

Biological tissue autograft reconstruction using the patellar tendon or quadrupled semitendinosus/gracilis tendons has become the most popular procedure in surgical treatment of a ruptured anterior cruciate ligament (ACL). This article provides a review of the history of the use of prosthetics with respect to ACL reconstruction grafts including Carbon Fibre, Gore-Tex and Dacron prosthetics, as well as the Leeds-Keio Artificial Ligament and the Kennedy Ligament Augmentation Device (LAD). Emphasis is placed on the ligament advanced reinforcement system (LARS) as preliminary investigations of its use have been encouraging. Significant progress has been made recently with respect to the understanding of ACL anatomy, composition, biomechanics, and healing processes, leading to innovative techniques using approaches based in tissue engineering principles. Most of grafts that have been developed to date have failed due to unsatisfactory long-term physiological and functional performance. Most permanent ACL prostheses are prone to creep, fatigue, and mechanical failure within several years after implantation. In view of these factors, prosthetics are not widely used today in ACL reconstruction, and autogenous tissue grafts remain the g...Continue Reading

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Citations

Dec 9, 2010·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Zuzana MachotkaLuke Perraton
May 15, 2013·The Journal of Veterinary Medical Science·Yasuji HaradaNaohide Tomita
Nov 6, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jon Karlsson
Mar 8, 2011·The Physician and Sportsmedicine·William N LevineTodd C Moen
Sep 2, 2014·Materials Science & Engineering. C, Materials for Biological Applications·M HoyerA Lohan
Nov 9, 2010·Cell Transplantation·Pierrot TremblayFrancine Goulet
Apr 4, 2021·Journal of Biomedical Materials Research. Part a·Shengyuan ZhouXiongsheng Chen

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