Library Subscription: Guest
Begell Digital Portal Begell Digital Library eBooks Journals References & Proceedings Research Collections
Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v10.i3.60
13 pages

The Outcome and Complications of ACL Reconstruction Augmented with a Ligament Augmentation Device for a Follow-up Period of More Than Five years

Takeshi Muneta
Department of Orthopaedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
Ichiro Sekiya
Department of Orthopaedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
Yusuke Sakaguchi
Department of Orthopaedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
Haruyasu Yamamoto
Department of Orthopaedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
Kenichi Shinomiya
Department of Orthopaedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan

ABSTRACT

The outcome of anterior cruciate ligament (ACL) reconstruction augmented with the Ligament Augmentation Device (LAD), a braided polypropylene device, was reported in 60 patients out of 105, at an average of 94.7 months after surgery. As autogenous tissue, quadriceps ten-don-prepateliar periosteum-patellar tendon (QTS), and then semitendinosus and gracilis tendons (STG ) were selected. At current follow-up, there were no significant differences of any parameter among the 3 groups. Anterior laxity with KT-1000 averaged a difference of 3.3 mm with 8 knees more than 5 mm. Revision surgery was needed in 10 knees (5.3%). The QTS group improved in extension loss and extension strength, while the STG group showed deterioration in anterior stability over the longer term. There was no persistent problem of cases with chronic hydrops.