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L’utilizzo degli “allograft“ nella chirurgia del ginocchio

The use of allograft in knee surgery

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Archivio di Ortopedia e Reumatologia

Abstract

In recent years the use of allografts has brought new surgical solutions for the replacement or reconstruction of ligaments or tendons in complex sports trauma of the knee. Our experience in the use of allografts began in March 2004. In 5 years we have used allografts in 38 patients affected by: combined rupture of ACL and PCL, isolated rupture of PCL, previous ACL surgery, rupture of the patello-femoral ligament, meniscal transplants, monocompartmental arthroplasty with combined reconstruction of ACL.

The good results obtained show that the use of allografts in knee surgery is an excellent solution in complex cases otherwise difficult to solve. Therefore we believe that they are to be reserved for selected cases, due to their intrinsic characteristics and their cost.

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Bibliografia

  1. Weiss NG, Kaplan LD, Graf BK (2003) Graft selection in surgical reconstruction of the multiple-ligament injured knee. Oper Tech Sports Med 11:218–225

    Article  Google Scholar 

  2. Bonamo JJ, Krinick RM, Sporn AA (1984) Rupture of the patellar ligament after use of its central third for anterior cruciate reconstruction. A report of two cases. J Bone Joint Surg Am 66:1294–1297

    CAS  PubMed  Google Scholar 

  3. Amiel D, Kleiner JB, Roux RD et al (1986) The phenomenon of “ligamentization”:anterior cruciate ligament reconstruction with autogenous patellar tendon. J Orthop Res 4:162–172

    Article  CAS  PubMed  Google Scholar 

  4. Corsetti JR, Jackson DW (1996) Failure of anterior cruciate ligament reconstruction: the biologic basis. Clin Orthop 325:42–49

    Article  PubMed  Google Scholar 

  5. Nikolaou PK, Seaber AV, Glisson RR et al (1986) Anterior cruciate ligament allograft transplantation. Long-term function, histology, revascularization, and operative technique. Am J Sports Med 14:348–360

    Article  CAS  PubMed  Google Scholar 

  6. Maeda A, Horibe S, Matsumoto N et al (1998) Solvent-dried and gamma-irradiated tendon allografts in rats. Mechanical and morphological evaluation. J Bone Joint Surg Br 80:731–736

    Article  CAS  PubMed  Google Scholar 

  7. Shino K, Oakes BW, Inoue M et al (1990) Human ACL graft: Collagen fibril populations studied as a function of age of the graft. Trans Orthop Res Soc 15:520

    Google Scholar 

  8. Harner CD, Giffin JR, Vogrin TM, Woo SL (2001) Anatomy and bio mechanics of the posterior cruciate ligament and posterolateral corner. Oper Tech Sports Med 9:39–46

    Article  Google Scholar 

  9. Noyes FR, Barber-Westin SD (1996) Reconstruction of the anterior cruciate ligament with human allograft. Comparison of early and later results. J Bone Joint Surg Am 78:524–537

    CAS  PubMed  Google Scholar 

  10. Shino K, Inoue M, Horibe S et al (1988) Maturation of allograft tendons transplanted into the knee. An arthroscopic and histological study. J Bone Joint Surg Br 70:556–560

    CAS  PubMed  Google Scholar 

  11. Young SD, Toth AP (2006) Complications of allograft use in anterior cruciate ligament reconstruction. Oper Tech Sports Med 14:20–26

    Article  Google Scholar 

  12. Pollard ME, Kang Q, Berg EE (1995) Radiographic sizing for meniscal transplantation. Arthroscopy 11:684–687

    Article  CAS  PubMed  Google Scholar 

  13. Rodeo SA, Seneviratne A, Suzuki K et al (2000) Histological analysis of human meniscal allografts. A preliminary report. J Bone Joint Surg Am 82:1071–1082

    PubMed  Google Scholar 

  14. Noyes FR, Barber-Westin SD, Rankin M (2004) Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am 86:1392–1404

    PubMed  Google Scholar 

  15. Verdonk PC, Demurie A, Almqvist KF et al (2005) Transplantation of viable meniscal allograft. Survivorship analysis and clinical outcome of one hundred cases. J Bone Joint Surg Am 87:715–724

    Article  PubMed  Google Scholar 

  16. Garrett J, Wyman J (2001) The operative technique of fresh osteochondral allografting of the knee. Operative Techniques in Orthopaedics 11:132–137

    Article  Google Scholar 

  17. Karataglis D, Learmonth DJ (2005) Management of big osteochondral defects of the knee using osteochondral allografts with the MEGA-OATS technique. Knee 12:389–393

    Article  CAS  PubMed  Google Scholar 

  18. Benedetti MG, Berti L, Chirco S et al (2006) Gait analysis of patients affected by post-traumatic ankle arthrosis treated with osteochondral allograft transplantation. Gait Posture 24[Suppl. 1]:17

    Article  Google Scholar 

  19. Sistema Nazionale Linee Guida (2009) Scelta del trapianto nella chirurgia primaria del legamento crociato anteriore

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Authors and Affiliations

  1. S.C.1a Divisione di Ortopedia e Traumatologia, Istituto Ortopedico G.Pini, Milano, Italy

    A. Ventura, M. Caforio & E. Borgo

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  1. A. Ventura
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  2. M. Caforio
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  3. E. Borgo
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Ventura, A., Caforio, M. & Borgo, E. L’utilizzo degli “allograft“ nella chirurgia del ginocchio. Arch Ortop Reumatol 120, 42–43 (2009). https://doi.org/10.1007/s10261-009-0054-3

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  • DOI: https://doi.org/10.1007/s10261-009-0054-3

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