The ABC carbon and polyester prosthetic ligament for ACL-deficient knees. Early results in 31 cases.
We treated 39 knees with chronic deficiency of the anterior cruciate ligament by reconstruction using the ABC carbon and polyester prosthetic ligament; 31 (79.5%) were reviewed at an average follow-up of 34 months. There had been four complete failures requiring revision. The remaining 27 were studied in detail. On the Lysholm rating, only 11 knees (41%) had good results with a score of over 76. The mean anterior drawer movement was reduced from 7.6 mm before operation to 5.8 mm at review. The mean difference from the opposite uninjured knee was 3.9 mm before operation, 1 mm (in 21 patients) at mean follow-up of 7.4 months and 2.5 mm (in 27 patients) at 34 months, indicating progressive loss of effect. In our opinion the results are unsatisfactory: we do not recommend the use of this prosthetic ligament.
Department of Orthopaedic Surgery, Leicester Royal Infirmary, Leicester, UK.
B S
BS
Mody
L
L
Howard
M L
ML
Harding
H V
HV
Parmar
D J
DJ
Learmonth
D000328:Adult; D016118:Anterior Cruciate Ligament; D001182:Arthroscopy; D001696:Biomechanical Phenomena; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D012086:Reoperation; D016896:Treatment Outcome