gms | German Medical Science

67. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie
89. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie
44. Tagung des Berufsverbandes der Fachärzte für Orthopädie

11. bis 16.11.2003, Messe/ICC Berlin

An Innovative Surgical-plasty Technique for the Reconstruction of Anterior Cruciate Ligament

Meeting Abstract (DGOOC 2003)

  • corresponding author John Sourlas - B Orthopaedic Dpt, University of Athens, Ag.Olga Hospital, Greece, Athens, 26442, Athens, Phone: 0032610-438711, Fax: 0032610-994579
  • E.A. Magnissalis - Research Centre for Biomaterials, Smyrnis 15, Greece
  • S. Plessas - B Orthopaedic Dpt, University of Athens, Ag.Olga Hospital, Greece
  • G. Papachristou - B Orthopaedic Dpt, University of Athens, Ag.Olga Hospital, Greece

Deutsche Gesellschaft für Unfallchirurgie. Deutsche Gesellschaft für Orthopädie und orthopädische Chirurgie. Berufsverband der Fachärzte für Orthopädie. 67. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 89. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie und 44. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 11.-16.11.2003. Düsseldorf, Köln: German Medical Science; 2003. Doc03dguO3-6

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgu2003/03dgu0804.shtml

Published: November 11, 2003

© 2003 Sourlas et al.
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Outline

Text

Aim

The development and the experimental application of an innovative surgical ACL reconstruction technique based on the results of an anthropometric study for the tibial insertion of the ACL.

Methods

The rationale of the reported technique was based on the reproduction of the insertion characteristics of the natural ACL, by using a pair of grafts with common origin and different insertions (Δ-plasty). Experimental surgery was conducted on porcine knee joints mounted on an bench device and using grafts from porcine feet. Grafts were selected according to biomechanical performance in tension and their routing was precisely achieved by means of a specially designed targeting device guiding the drills. Anterior and posterior graft bundles were tensioned and stabilized at flexion angles of 30 and 100 Grade respectively. The stability of the reconstructed joints at various flexion angles was evaluated by subjective judgment using a drawer test and their performance was compared to conventionally reconstructed witnesses.

Results

Compared to conventional ones, the reported technique was of equivalent surgical demands and provided an encouraging outcome with respect to knee stability.

Conclusions

The innovative Δ-plasty technique for the reconstruction of ACL is a promising surgical approach, deserving further evaluation with in vitro biomechanical testing.