title: Collagen fibers as a temporary scaffold for replacement of ACL in goats.
abstract: ACL substitutes made of braided or plied purified collagen fibers and cross-linked with hexamethylenediisocyanate were implanted into a total of 14 adult goats to achieve resorption within 8 to 10 months. Two types of collagen fiber prostheses differing in degree of collagen purification were tested. The implants were harvested 2 to 11 months postimplantation, tested for mechanical strength, and evaluated by morphological methods. In the first group (n = 5), the less purified and less cross-linked collagen fiber ACL implant induced fast connective tissue ingrowth. At 6 months postimplantation, 40 to 60% of the collagen implant was resorbed. No studies on breaking strength were done in this group. In the second group, highly purified and more crosslinked ACL implants were less infiltrated by cells and were resorbed only by 10 to 20%. Still, the breaking strength was decreased to 10% of the original implant strength. In the second group, the fixation of the ACL implant in the bone tunnel with a bone wedge was insufficient (n = 6); however, additional fixation with metal screws was successful (n = 3). We conclude that cross-linked collagen fibers alone cannot be used as a safe ACL substitute as they quickly lose mechanical strength despite limited biodegradation.
authors.affiliation: University of Arizona Health Sciences Center, Department of Surgery, Tucson 85724.
authors.forename: M
authors.initials: M
authors.lastname: Chvapil
authors.forename: D P
authors.initials: DP
authors.lastname: Speer
authors.forename: H
authors.initials: H
authors.lastname: Holubec
authors.forename: T A
authors.initials: TA
authors.lastname: Chvapil
authors.forename: D H
authors.initials: DH
authors.lastname: King
mesh_terms: D000818:Animals; D016118:Anterior Cruciate Ligament; D001696:Biomechanical Phenomena; D001846:Bone Development / Q000502:physiology; D002460:Cell Line; D003094:Collagen; D003238:Connective Tissue / Q000502:physiology; D004195:Disease Models, Animal; D005260:Female; D006041:Goats; D008297:Male; D008422:Materials Testing; D019736:Prostheses and Implants
chemical_list: D003094:Collagen