Evaluation of the polypropylene braid as a prosthetic anterior cruciate ligament replacement in the dog

Abstract

The purpose of this scientific investigation, made prior to 1977, was to determine the suitability of a polypro pylene prosthetic ACL. The 3.6 mm diamond-braided prosthesis was implanted in 17 dogs. The device was passed through a trough on the anteromedial side of the tibial crest and over the top of the lateral femoral condyle. The device was internally fixed at both ends to bone using a bushing-lag screw technique which resulted in solid prosthesis immobilization at the time of surgery. Animals were necropsied at 3, 6, or 10 months after implantation. There was partial or total disruption of the prosthesis in all cases. Destruction of the prosthesis was attributed to excessive viscoelastic ity of the device and fatigue failure. Based on this study, prosthetic ACL replacement using this device is not recommended.

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References

Bolton CW, Bruchman WC The GORE-TEX expanded polytetrafluoroethylene prosthetic ligament An in vitro and in vivo evaluation Clin Orthop 196 202-214, 1985

Butler HC Teflon as a prosthetic ligament in repair of anterior cruciate ligaments Am J Vet Res 25. 55-60, 1964

Chen EH, Black J. Materials design analysis of the prosthetic anterior cruciate ligament J Biomed Mat Res 14 567-586, 1980

Chiroff RT Experimental replacement of the anterior cruciate ligament J Bone Joint Surg 57A 1124-1127, 1975

Emery MA, Rostrup D. Repair of the antenor cruciate ligament with 8 mm tube teflon in dogs Can J Surg 4 111-115, 1960

Grood ES, Noyes FR Cruciate hgament prosthesis Strength, creep and fatigue properties J Bone Joint Surg 58A. 1083-1088, 1976

Gupta BN, Brinker WD Anterior cruciate ligament prosthesis in the dog J Am Vet Assoc 54 1057-1061, 1969

Kennedy JC, Roth JH, Mendenhall HV, et al Presidential address Intraarticular replacement in the anterior cruciate ligament deficient knee. Am J Sports Med 8 1-8, 1980

Kennedy JC, Roth JH, Schmidt AA: The ligament augmentation device (LAD) in the anterior cruciate ligament deficient knee Orthop Trans 4 403, 1980

10.

Laurin C. Prosthetic replacment of the cruciate ligaments J Bone Joint Surg 55A 652, 1973

11.

Leighton RL , Bnghtman AH Experimental and clinical evaluation of a new prosthetic antenor cruciate ligament in the dog J Am Animal Hosp Assoc 12 735-740,1976

12.

McPherson GH , Mendenhall HV, Roth JH, et al Experimental, mechanical and histologic evaluation of the Kennedy ligament augmentation device. Clin Orthop 196. 186-195, 1985

13.

Park JP, Grana WA, Chitwood JS A high strength dacron augmentation for cruciate ligament reconstruction: A two-year canine study Clin Orthop 196. 175-185, 1985

14.

Roth JH, Kennedy JC, Lockstadt H., et al Polypropylene braid augmented and nonaugmented intraarticular anterior cruciate ligament reconstruction. Am J Sports Med 13 321-336, 1985

15.

Roth JH, Kennedy JC, Mendenhall HV, et al. Long term evaluation of the "Ligament Augmentation Device" in the reconstruction of the anterior cruciate ligament in goats Orthop Trans 9 156, 1985

16.

Saidi K., Beauchamp PP, Laurin CA Prosthetic replacement of the anterior cruciate ligament in dogs Can J Surg 19 547-549, 1976

17.

Vaughan LC A study of replacement of the anterior cruciate ligament in the dog by fascia, skin and nylon Vet Rec 75. 537-541, 1963