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Ligaments and Ligamentoplasties

Published: January 1997
Publisher: Springer-Verlag New York, LLC
ISBN: 3540611711
Hardcover Book
Number of Pages: 377
 
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Ligaments and Ligamentoplasties


Prosthetic replacement of ligaments is a problem which still has not been solved. Despite the development of different synthetic implants and better knowledge of the ligament biomechanics, there is currently no prosthesis that shows satisfactory results. As a result, synthetic implants have either not been approved at all or approved by the FDA for limited use only as a replacement for the anterior cruciate ligament. The purpose of this book is to provide an overview of the growing knowledge of natural ligaments and to review, using a biomimetical approach, the different concepts and designs of artificial ligaments developed during the last decades. This approach is undertaken in an effort to better understand why artificial ligaments fail, to redefine design criteria, and stimulate the development of a new generation of more effective replacement devices.


Table of Contents:


Introduction: Evaluation of Cruciate Ligament Prostheses - Critique of Current Concepts and Procedures 1
Passive and Dynamic Stability of the Knee Joint 19
Sensory Endings in Ligaments: Response Properties and Effects on Proprioception and Motor Control 39
Morphological Evaluation of Bone-Ligament Interaction in Biological and Artificial Reconstruction 85
Mesomechanical Modeling of Living Soft Tissue 99
Fundamental Considerations on Cruciate Ligament Surgery 115
The History of Ligament Substitutes 143
A Classification of Prosthetic Ligament Failures 167
Computer-Assisted Planning of Prosthetic Anterior Cruciate Ligament Insertion 193
Isometric Reconstruction of the Anterior Cruciate Ligament: Femoral and Tibial Tunnel Placement 203
Considerations on the Biomechanics of the Knee Joint with Regard to Ligament Reconstruction, Especially with a Polyethylene-Terephthalate Alloplastic Ligament (Trevira Ligament) 227
Reconstruction of Cruciate Ligaments Using a Synthetic Ligament of Polyethylene Terephthalate (Trevira Ligament) 245
Isolated and Combined Posterior Cruciate Ligament Instability 255
Polyethylene Fibers as Substitute for Anterior Cruciate Knee Ligament in Goats: A Histological Study 281
Motion-Induced Inhibition of Effective Osseous Fixation of a Polyethylene Filamentous Prosthesis: Histological, Histomorphometrical, and Biomechanical Studies of a High-Tensile Polyethylene Filamentous Braid for Replacement of the Anterior Cruciate Ligament in Goats 289
Artificial Materials and Structures for Extracellular Matrix Scaffolding of Orthopedic Tissues: A Review 303
Biochemical and Mechanical Stimulation of Knee Fibroblasts for Regeneration of Ligaments In Vitro 343
Tissue-Engineered Ligament 367
Subject Index 379


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Ligaments and Ligamentoplasties





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