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Abstract
From our experience with the Leeds-Keio artificial ligament at Bolton Hospitals we
report the histology from three cases in which the new ligament was demonstrated to
have failed in response to trivial injury, after an initially successful anterior
cruciate replacement. The histology showed fragmentation of graft material associated
with a chronic inflammatory response in the new ligament. A chronic inflammatory response
occurs as a result of fragmentation of the Dacron fibres; and once established, inhibits
production of the neoligament, thus dooming it to failure.
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References
- Clinical study of anterior cruciate ligament reconstruction with the Leeds-Keio artificial ligament.in: Friedman M.J. Ferkel R.D. Prosthetic Ligament Reconstruction of the Knee. WB Saunders, Philadelphia1988: 118
- Arthroscopy after anterior cruciate reconstruction with the Leeds-Keio ligament.J. Bone Joint Surg. [Br]. 1989; 71B: 566
- Early results of the Leeds-Keio anterior cruciate ligament replacement.J. Bone Joint Surg. [Br]. 1991; 73B: 377
- Experimental, mechanical, and histologic evaluation of the Kennedy ligament augmentation device.Clin. Orthop. 1985; 196: 186
- The Leeds-Keio ligament: biomechanics.in: Friedman M.J. Ferkel R.D. Prosthetic Ligament Reconstruction of the Knee. WB Saunders, Philadelphia1988: 132
- The Leeds-Keio artificial ligament for replacing the cruciates.I. Mech E. 1984; : 99
Article info
Publication history
Accepted:
April 27,
1994
Identification
Copyright
© 1994 Published by Elsevier Inc.
