Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 2, Issue 4, pp 214–218 | Cite as

Experience with the Leeds-Keio artificial ligament for anterior cruciate ligament reconstruction

  • I. T. J. Schroven
  • St. Geens
  • L. Beckers
  • W. Lagrange
  • G. Fabry
Anterior Cruciate Papers

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.

Key words

Anterior cruciate ligament reconstruction Leeds-Keio artifical ligament 

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References

  1. 1.
    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: 367–373PubMedGoogle Scholar
  2. 2.
    Corner EM (1914) Notes of a case illustrative of an anterior crucial ligament, demonstrating the action of that ligament. Proc R Soc Med 7: 120–123Google Scholar
  3. 3.
    Dandy DJ, Gray AJR (1994) Anterior cruciate ligament reconstruction with the Leeds-Keio prosthesis plus extra-articular tenodesis. J Bone Joint Surg [Br] 76: 193–197Google Scholar
  4. 4.
    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: 190–197PubMedGoogle Scholar
  5. 5.
    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 132–139Google Scholar
  6. 6.
    Fujikawa K (1993) The Leeds-Keio ligament. In: Strover A (ed) The intra-articular reconstruction of anterior cruciate ligament. Butterworth-Heineman, London, pp 173–207Google Scholar
  7. 7.
    Fujikawa K, Nele F, Seedhom B (1989) Arthroscopy after anterior cruciate reconstruction with the Leeds-Keio ligament. J Bone Joint Surg [Br] 71: 566–570Google Scholar
  8. 8.
    Gillquist J (1993) Reconstruction of old anterior cruciate ligament tears with a Dacron prothesis. Am J Sports Med 21: 358–365PubMedGoogle Scholar
  9. 9.
    Indelicato P, Pascale M, Huegel M (1989) Early experience with Gore-tex polytetrafluoroethylene. Anterior cruciate ligament prosthesis. Am J Sports Med 17: 55–62PubMedGoogle Scholar
  10. 10.
    Jennings AG, Seedhom BB (1994) Proprioception in the knee and reflex hamstring contraction latency. J Bone Joint Surg [Br] 76: 491–494Google Scholar
  11. 11.
    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: 150–154PubMedGoogle Scholar
  12. 12.
    Macnicol MF, Penny ID, Sheppard L (1991) Early results of the Leeds-Keio anterior cruciate ligament replacement. J Bone Joint Surg [Br] 73: 377–380Google Scholar
  13. 13.
    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: 115–121PubMedGoogle Scholar
  14. 14.
    McPherson GK, Mendenhall HV, Gribbons DF (1985) Experimental, mechanical and histologic evaluation of the Kennedy ligament augmentation device. Clin Orthop 196: 186–195PubMedGoogle Scholar
  15. 15.
    Mody BS, Howard L, Harding ML (1993) The ABC carbon and polyester prosthetic ligament for ACL-deficient knees. J Bone Joint Surg [Br] 75: 818–821Google Scholar
  16. 16.
    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: 344–352Google Scholar
  17. 17.
    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: 387–393PubMedGoogle Scholar
  18. 18.
    Seedhom BB (1988) The Leeds-Keio ligament: biomechanics. In: Friedman MJ, Ferkel RD (eds) Prosthetic ligament reconstruction of the knee. Saunders, Philadelphia, pp 118–131Google Scholar
  19. 19.
    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 13–17Google Scholar
  20. 20.
    Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee injuries. Clin Orthop 198: 43–49PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • I. T. J. Schroven
    • 1
  • St. Geens
    • 2
  • L. Beckers
    • 3
  • W. Lagrange
    • 2
  • G. Fabry
    • 1
  1. 1.Orthopaedic DepartmentUniversity Hospital Pellenberg, K.U. LeuvenPellenbergBelgium
  2. 2.Heilig hart ZiekenhuisLierBelgium
  3. 3.Imelda Ziekenhuis BonheidenImeldalaanBelgium
  4. 4.Afdeling OrthopedieU.Z. PellenbergPellenbergBelgium

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