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Anterior cruciate ligament reconstruction with fresh-frozen patellar tendon allografts

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Summary

A prospective study was performed on 30 patients who underwent an anterior cruciate ligament reconstruction with fresh-frozen patellar tendon allograft. An arthroscopic technique alone was used in 10 patients, and in the other 20 patients this was combined with a miniarthrotomy. After a mean follow up of 35 months, the overall functional results were satisfactory in 85%. There were no cases of infection, disease transmission or tissue rejection. Fresh-frozen patellar tendon allografts are a good method of anterior cruciate reconstruction.

Résumé

On a réalisé une étude prospective sur 30 patients traités, de 1988 à 1991, par reconstruction du ligament croisé antérieur (LCA) à l'aide d'allogreffes congelées fraîches de tendon rotulien (os-tendon-os). L'intervention, avec forage d'un tunnel fémoral et tibial, a été pratiquée sous simple arthroscopie dans 10 cas, tandis que chez les 20 autres patients elle a été associée à une mini-arthrotomie. Les opérés ont été suivis 35 mois en moyenne, avec un résultat fonctionnel global satisfaisant dans 85% des cas. Pour cette évaluation on a utilisé la cotation ARPEGE. On n'a observé aucun cas d'infection, de transmission de maladie ou de rejet immunologique. En conséquence nous pensons que les allogreffes congelées fraîches de tendon rotulien représentent une alternative valable dans le traitement des lésions du LCA.

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References

  1. Amendola A, Fowler P (1992) Allograft ACL reconstruction in a sheep model: the effect of synthetic augmentation. Am J Sports Med 20: 336–346

    Google Scholar 

  2. Amiel D, Kleiner JB, Roux RD, Harwood FL, Akeson WH (1986) The phenomenon of ligamentization: anterior cruciate ligament reconstruction with autogenous patellar tendon. J Orthop Res 4: 162–172

    Google Scholar 

  3. Amillo S, Cara JA, Valentí JR (1990) Banco de huesos del sistema musculoesquelético: aplicaciones clinicas. Rev Med Univ Nav 34: 227–234

    Google Scholar 

  4. Arnoczky SP, Warren RF, Ashlock M (1986) Replacement of anterior cruciate ligament using a patellar tendon allograft. J Bone Joint Surg [Am] 68: 376–385

    Google Scholar 

  5. Butler D (1991) Irradiation of 2Mrad or less is safe for sterilizing allograft ligaments; but 3Mrad, freezing weaken tissues. Am J Sports Med 19: 7–11

    Google Scholar 

  6. Curtis R, De Lee J, Drez D (1985) Reconstruction of the anterior cruciate ligament with freeze dried fascia latta allografts in dogs: a preliminary report. Am J Sports Med 13: 408–414

    Google Scholar 

  7. Dejour H, Walch G, Neyret P, Adeline P (1988) Résultats des laxités chroniques antérieures opérées. Rev Chir Orthop 74: 622–636

    Google Scholar 

  8. Drez D, DeLee J, Holden J, Arnoczky S, Noyes F, Roberts T (1991) Anterior cruciate ligament reconstruction using bone-patellar tendon-bone allografts: a biological and biomechanical evaluation in goats. Am J Sports Med 19: 256–263

    Google Scholar 

  9. Gibbons MJ, Butler DL, Grood ES, Bylski-Austrow DI, Levy MS, Noyes FR (1991) Effects of gamma irradiation on the initial mechanical and material properties of goat bone-patellar tendon-bone allografts. J Orthop Res 9: 209–218

    Google Scholar 

  10. Indelicato P, Bittar E, Prevot T, Woods G, Branch TH, Huegel M (1990) Clinical comparison of freeze-dried and fresh frozen patellar tendon allografts for ACL reconstruction of the knee. Am J Sports Med 18: 335–342

    Google Scholar 

  11. Jackson DW, Windler G, Simon T (1990) Intraarticular reaction associated with the use of freeze-dried, ethylene oxide-sterilized bone-patellar tendon-bone allografts in the reconstruction of the anterior cruciate ligament. Am J Sports Med 18: 1–10

    Google Scholar 

  12. Lemaire M, Combelles F (1980) Technique actuelle de plastie ligamentaire pour rupture ancienne du ligament croisé antérieur. Rev Chir Orthop 66: 523–525

    Google Scholar 

  13. Levitt RL, Malinin T (1991) Allograft reconstruction of the anterior cruciate ligament a six-year experience with 300 allografts. Arthroscop 7: 318–319

    Google Scholar 

  14. McDaniel WR Jr, Dameron TB Jr (1980) Untreated ruptures of the anterior cruciate ligament: a follow up study. J Bone Joint Surg [Am] 62: 696–705

    Google Scholar 

  15. Nikolaou PK, Seaber AV, Glisson RR, Ribbeck BM, Bassett FH (1986) Anterior cruciate ligament allograft transplantation: long term function, histology, revascularization and operative technique. Am J Sports Med 14: 348–360

    Google Scholar 

  16. Noyes F, Barber S (1991) The effect of an extra-articular procedure on allograft reconstructions for chronic ruptures of the anterior cruciate ligament. J Bone Joint Surg [Am] 73: 882–892

    Google Scholar 

  17. Noyes F, Barber S, Mangine R (1990) Bone-patellar-bone and fascia lata allografts for reconstruction of the anterior cruciate ligament. J Bone Joint Surg [Am] 72: 1125–1136

    Google Scholar 

  18. Noyes FR, Barber S (1992) The effect of a ligament augmentation device on allograft reconstructions for chronic ruptures of the anterior cruciate ligament. J Bone Joint Surg [Am] 74: 960–973

    Google Scholar 

  19. Roberts TS, Drez D Jr, McCarthy W, Paine R (1991) Anterior cruciate ligament reconstruction using freeze dried, ethylene oxide-sterilized, bone-patellar tendon-bone allografts: two year results in thirty six patients. Am J Sports Med 19: 35–41

    Google Scholar 

  20. Sala D (1992) Reconstrucción del ligamento cruzado anterior de la rodilla con tendón rotuliano autólogo y homólogo crioconservado en fresco. Estudio experimental en ovejas. Tesis Doctoral, University of Navarra, Pamplona, Spain

    Google Scholar 

  21. Sanchis V, Gomar F (1993) Sustitución del ligamento cruzado anterior mediante aloinjertos tendinosos criopreservados. I: Comportamiento biológico del implante a nivel intra-articular. Estudio experimental. Rev Ortop Traum 37 IB: 87–97

    Google Scholar 

  22. Shino K, Inoue M, Horibe S, Nagano J, Ono K (1988) Maturation of allograft tendons transplanted into the knee. An arthroscopic and histologic study. J Bone Joint Surg [Br] 70: 556–560

    Google Scholar 

  23. Shino K, Kawasaki T, Hirose H, Gotoh I, Inoue M, Ono K (1984) Replacement of anterior cruciate ligament by an allogenic tendon graft: an experimental study in the dog. J Bone Joint Surg [Br] 66: 672–681

    Google Scholar 

  24. Shino K, Kimura T, Hirose H, Inoue M, Ono K (1986) Reconstruction of the anterior cruciate ligament by allogenic tendon graft: an operation for chronic ligamentous insufficiency. J Bone Joint Surg [Br] 68: 739–746

    Google Scholar 

  25. Shino K, Nakata K, Inoue M, Horibe S, Hamada M, Nakamura N, Toritsuka Y (1992) Quantitative evaluation following arthroscopic ACL reconstruction: autograft vs allograft. In: Book of abstracts of the first world congress of sports trauma, Spain

  26. Thorson E, Rodrigo J, Vasseur P, Sharkey N, Heitter D (1989) Replacement of ACL: a comparison of autografts and allografts in dogs. Acta Orthop Scand 60: 555–560

    Google Scholar 

  27. Thorson E, Rodrigo J, Vasseur P, Sharkey N, Heitter D (1987) Comparison of frozen allograft versus fresh autologous anterior cruciate ligament replacement in the dog. Trans Orthop Res Soc 12: 65–70

    Google Scholar 

  28. Vasseur PB, Rodrigo UJ, Stevenson S, Clark G, Shonkey N (1987) Replacement of the anterior cruciate ligament with a bone-ligament-bone anterior cruciate ligament allograft in dogs. Clin Orthop 219: 268–277

    Google Scholar 

  29. Wainer RA (1988) Arthroscopic reconstruction of the ACL using allograft tendon. Arthroscopy 4: 199–205

    Google Scholar 

  30. Woo S, Adams D (1990) The tensile properties of human anterior cruciate ligament (ACL) and ACL graft tissues. In: Daniel D, Akeson W, O'Connor J (eds) Knee ligaments. Structure, function, injury and repair. Raven Press, New York

    Google Scholar 

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Authors and Affiliations

  1. Departamento Cirurgía Ortopédica, Clinica Universitaria, Apto 192, E-31080, Pamplona, Spain

    J. R. Valenti, D. Sala & D. Schweitzer

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  1. J. R. Valenti
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  2. D. Sala
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  3. D. Schweitzer
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Valenti, J.R., Sala, D. & Schweitzer, D. Anterior cruciate ligament reconstruction with fresh-frozen patellar tendon allografts. International Orthopaedics 18, 210–214 (1994). https://doi.org/10.1007/BF00188324

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