The Gore-Tex prosthetic ligament as a salvage procedure in deficient knees

@article{Roolker2000TheGP,
  title={The Gore-Tex prosthetic ligament as a salvage procedure in deficient knees},
  author={W. Roolker and Thomas W Patt and Cornelis Niek van Dijk and Marlies Vegter and R. K. Marti},
  journal={Knee Surgery, Sports Traumatology, Arthroscopy},
  year={2000},
  volume={8},
  pages={20-25}
}
Abstract The purpose of this study was to evaluate the results of prosthetic ligament replacement of the anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) with the Gore-Tex polytetrafluorethyene prosthesis (W.L.Gore and Co., Flagstaff, Ariz.) in 52 patients (54 knees). All patients sustained multiple (failed) knee operations or had knees with gross instability. Twenty-eight (29 knees) of the ¶52 patients (54%) in whom the Goretex prosthesis was still in situ were available… 

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References

SHOWING 1-10 OF 17 REFERENCES

Gore-Tex prosthetic ligament in anterior cruciate deficient knees

It is felt that the Gore-Tex ligament may become a rational alternative for anterior cruciate reconstruction in selected cases of prior reconstructive failure or older, less active individuals with symptomatic instability.

Use of allografts after failed treatment of rupture of the anterior cruciate ligament.

  • D. Daniel
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1995
The results demonstrate that bone-patellar ligamentbone allografts may be used when proper autogenous tissues are not available and that symptoms and abnormal displacement were reduced in most of the patients.

Reconstruction of the anterior cruciate ligament using a torn meniscus.

Although this procedure yielded results similar to those of other procedures in which autogenous tissues are used to reconstruct the ligament, the meniscus should rarely, if ever, be used for reconstruction of the anterior cruciate ligament.

Autogeneic anterior cruciate ligament (ACL) anterior reconstruction of the knee. A review.

In attempting to compare these various reconstructions, it is obvious that it will be necessary to develop a consistent and reproducible subjective and objective knee rating system that is presently not used by these authors.

The effect of a ligament-augmentation device on allograft reconstructions for chronic ruptures of the anterior cruciate ligament.

  • F. NoyesS. Barber
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1992
The addition of the ligament-augmentation device did not improve the efficacy of allograft reconstruction in the treatment of chronic rupture of the anterior cruciate ligament and a new classification system was developed to determine rates of failure.

[Results of surgical treatment of posterior knee instability].

The results of patients who were operated on in the acute state were superior to those with chronic instabilities and chronic posterior instabilities, but complete restoration of knee stability was usually not achieved with the techniques presented in this paper.

Arthroscopically assisted reconstruction of the anterior cruciate ligament with use of autogenous patellar-ligament grafts. Results after twenty-four to forty-two months.

The results of the arthroscopically assisted reconstructions combined with use of early range-of-motion exercises were comparable with those reported after open reconstruction and immobilization of the limb in a plaster cast.

The GORE-TEX expanded polytetrafluoroethylene prosthetic ligament. An in vitro and in vivo evaluation.

The indication for polytetrafluoroethylene (PTFE) reconstruction is chronic insufficiency of the ACL in knees worthy of salvage, and the following evaluation of 130 patients at 15 months or less shows improved stability in 129.

The GORE-TEX expanded polytetrafluoroethylene prosthetic ligament. An in vitro and in vivo evaluation.

The indication for polytetrafluoroethylene (PTFE) reconstruction is chronic insufficiency of the ACL in knees worthy of salvage, and the following evaluation of 130 patients at 15 months or less shows improved stability in 129.

Anterior cruciate ligament injury: Evaluation of intraarticular reconstruction of acute tears without repair

The surgical procedure, with em phasis on early full extension postoperatively, achieved excellent results and provided a stable knee in 155 athletes who had sustained acute ACL tears.