HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Shino, K. Articles by Ono, K. Search for Related Content PubMed Articles by Shino, K. Articles by Ono, K.

Reconstruction of the anterior cruciate ligament using allogeneic tendon

Long-term followup

Knee and Sports Medicine Service, Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan

Masahiro Inoue

Knee and Sports Medicine Service, Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan

Shuji Horibe

Knee and Sports Medicine Service, Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan

Masayuki Hamada

Knee and Sports Medicine Service, Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan

Keiro Ono

Knee and Sports Medicine Service, Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan

Eighty-four patients who underwent ACL reconstruc tion with fresh-frozen allogeneic tendon were reviewed and evaluated with subjective and functional rating scales, physical examinations, instrumented anterior drawer tests, isokinetic testing, and arthroscopy. The average followup was 57 months (range, 36 to 90 months) and the average age at operation was 22 years (range, 16 to 37 years).

The subjective and functional results were rated as excellent in 48 patients (57%), good in 31 (37%), and fair in 2 (2%). Three patients (3%) experienced a retear of the ACL. Physical examinations and instrumented anterior drawer tests showed that satisfactory anterior stability was restored in 88% of the patients. Isokinetic evaluations demonstrated that the extension torque of the involved knee recovered to a slightly lower level than that of the controls, although the flexion torque recovered to a level equivalent to that of the controls. Arthroscopic evaluations revealed that the allografts were elaborately remodeled, viable, and taut. There was no sign of immunologic rejection at any time post operatively. Additional extraarticular procedures, con sisting of both pes anserinus transfer on the medial side and iliotibial band reinforcement on the lateral side, had no effect on the results.

This article has been cited by other articles:

				M. Y. H. Soon, A. Hassan, J. H. P. Hui, J. C. H. Goh, and E. H. Lee An Analysis of Soft Tissue Allograft Anterior Cruciate Ligament Reconstruction in a Rabbit Model: A Short-Term Study of the Use of Mesenchymal Stem Cells to Enhance Tendon Osteointegration Am. J. Sports Med., June 1, 2007; 35(6): 962 - 971. [Abstract] [Full Text] [PDF]

				Y. Ikema, H. Tohyama, H. Nakamura, F. Kanaya, and K. Yasuda Growth kinetics and integrin expression of fibroblasts infiltrating devitalised patellar tendons are different from those of intrinsic fibroblasts J Bone Joint Surg Br, December 1, 2005; 87-B(12): 1689 - 1693. [Abstract] [Full Text] [PDF]

				R. V. West and C. D. Harner Graft Selection in Anterior Cruciate Ligament Reconstruction J. Am. Acad. Ortho. Surg., May 1, 2005; 13(3): 197 - 207. [Abstract] [Full Text] [PDF]

				J. D. Yoo, R. Papannagari, S. E. Park, L. E. DeFrate, T. J. Gill, and G. Li The Effect of Anterior Cruciate Ligament Reconstruction on Knee Joint Kinematics Under Simulated Muscle Loads Am. J. Sports Med., February 1, 2005; 33(2): 240 - 246. [Abstract] [Full Text] [PDF]

				N. L. Harris, P. A. Indelicato, M. S. Bloomberg, K. Meister, and D. L. Wheeler Radiographic and Histologic Analysis of the Tibial Tunnel after Allograft Anterior Cruciate Ligament Reconstruction in Goats Am. J. Sports Med., May 1, 2002; 30(3): 368 - 373. [Abstract] [Full Text] [PDF]

				G. P Ernst, E. Saliba, D. R Diduch, S. R Hurwitz, and D. W Ball Lower-Extremity Compensations Following Anterior Cruciate Ligament Reconstruction Physical Therapy, March 1, 2000; 80(3): 251 - 260. [Abstract] [Full Text] [PDF]

				R. F. LaPrade, C. D. Hamilton, R. D. Montgomery, F. Wentorf, and H. D. Hawkins The Reharvested Central Third of the Patellar Tendon: A Histologic and Biomechanical Analysis Am. J. Sports Med., December 1, 1997; 25(6): 779 - 785. [Abstract] [PDF]

				J. P. Furia, D. M. Lintner, P. Saiz, H. W. Kohl, and P. Noble Isometry Measurements in the Knee With the Anterior Cruciate Ligament Intact, Sectioned, and Reconstructed Am. J. Sports Med., June 1, 1997; 25(3): 346 - 352. [Abstract] [PDF]

				M. S. Shapiro and E. L. Freedman Allograft Reconstruction of the Anterior and Posterior Cruciate Ligaments After Traumatic Knee Dislocation Am. J. Sports Med., September 1, 1995; 23(5): 580 - 587. [Abstract] [PDF]

				B. D. Beynnon, R. J. Johnson, H. Toyama, P. A. Renstrom, S. W. Arms, and R. A. Fischer The Relationship Between Anterior-Posterior Knee Laxity and the Structural Properties of the Patellar Tendon Graft: A Study in Canines Am. J. Sports Med., December 1, 1994; 22(6): 812 - 820. [Abstract] [PDF]