Abstract
Artificial anterior ligament reconstruction was very popular between 1975 and 1990. Recently, disappointing results have been published. We reviewed 68 patients who had received an artificial anterior cruciate ligament reconstruction 1 year and 5 years after their operation. The Leeds-Keio device was used as a scaffold. The ligament failed in 32 knees. This was arthroscopically confirmed in 20 cases. The other 12 knees were grossly unstable, with a reappearance of pivot shift, anterior drawer sign and high KT 1000. Generally, we found a marked increase in laxity over the period of investigation. Several biopsies were taken during arthroscopic examination of suspected ruptures. They showed lack of collagenisation and ingrowth.
Similar content being viewed by others
References
Barrett TR, Line LL, Shelton WR, Manning JO, Phelps R (1993) The Dacron ligament prosthesis in anterior cruciate ligament reconstruction. Am J Sports Med 21: 367–373
Corner EM (1914) Notes of a case illustrative of an anterior crucial ligament, demonstrating the action of that ligament. Proc R Soc Med 7: 120–123
Dandy DJ, Gray AJR (1994) Anterior cruciate ligament reconstruction with the Leeds-Keio prosthesis plus extra-articular tenodesis. J Bone Joint Surg [Br] 76: 193–197
Engström B, Wredmark T, Westblad P (1993) Patellar tendon or Leeds-Keio graft in the surgical treatment of anterior cruciate ligament ruptures. Clin Orthop 295: 190–197
Fujikawa K (1988) Clinical stuty of anterior cruciate ligament reconstruction with the Leeds Keio artificial ligament. In: Friedman MJ, Ferkel RD (eds) Prosthetic ligament reconstruction of the knee. Saunders, Philadelphia, pp 132–139
Fujikawa K (1993) The Leeds-Keio ligament. In: Strover A (ed) The intra-articular reconstruction of anterior cruciate ligament. Butterworth-Heineman, London, pp 173–207
Fujikawa K, Nele F, Seedhom B (1989) Arthroscopy after anterior cruciate reconstruction with the Leeds-Keio ligament. J Bone Joint Surg [Br] 71: 566–570
Gillquist J (1993) Reconstruction of old anterior cruciate ligament tears with a Dacron prothesis. Am J Sports Med 21: 358–365
Indelicato P, Pascale M, Huegel M (1989) Early experience with Gore-tex polytetrafluoroethylene. Anterior cruciate ligament prosthesis. Am J Sports Med 17: 55–62
Jennings AG, Seedhom BB (1994) Proprioception in the knee and reflex hamstring contraction latency. J Bone Joint Surg [Br] 76: 491–494
Lysholm J, Gillquist J (1982) Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 10: 150–154
Macnicol MF, Penny ID, Sheppard L (1991) Early results of the Leeds-Keio anterior cruciate ligament replacement. J Bone Joint Surg [Br] 73: 377–380
Marcacci M, Gubellini P, Buda R, Ruggeri A, Guizzardi S (1991) Histologic and ultrastructural findings of tissue ingrowth. The Leeds-Keio prosthetic anterior cruciate ligament. Clin Orthop 267: 115–121
McPherson GK, Mendenhall HV, Gribbons DF (1985) Experimental, mechanical and histologic evaluation of the Kennedy ligament augmentation device. Clin Orthop 196: 186–195
Mody BS, Howard L, Harding ML (1993) The ABC carbon and polyester prosthetic ligament for ACL-deficient knees. J Bone Joint Surg [Br] 75: 818–821
Noyes F, Butler DL, Grood EZ (1984) Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructions. J Bone Joint Surg [Am] 66: 344–352
Ochi M, Yamanaka T, Sumen Y, Ikuta Y (1993) Arthroscopic and histologic evaluation of anterior cruciate ligaments reconstructed with the Leeds-Keio ligament. Arthroscopy 9: 387–393
Seedhom BB (1988) The Leeds-Keio ligament: biomechanics. In: Friedman MJ, Ferkel RD (eds) Prosthetic ligament reconstruction of the knee. Saunders, Philadelphia, pp 118–131
Settlage RA, Johnson DJ, Berman AB (1991) A clinical comparison of two GORE-TEX ligament designs: two year results. Presented at the Combined Congress of the International Arthroscopy Association and the International Society of the Knee. Toronto, Canada, May 13–17
Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee injuries. Clin Orthop 198: 43–49
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Schroven, I.T.J., Geens, S., Beckers, L. et al. Experience with the Leeds-Keio artificial ligament for anterior cruciate ligament reconstruction. Knee Surg, Sports traumatol, Arthroscopy 2, 214–218 (1994). https://doi.org/10.1007/BF01845590
Issue Date:
DOI: https://doi.org/10.1007/BF01845590