Synthetic ligaments

Class III—Premarket Approval Devices that support or sustain life or present a significant risk of illness or injury fall under the Class-Ill category. Implants, such as pacemakers and silicone gel breast implants, are Class-Ill products, as are internal tissue adhesives, thermal ablation devices, synthetic ligaments and tendons, vacumn pumps, and prosthetic hips. Class-Ill accounts for about 10% of aU medical devices. 

Jones AP, Sidhom S and Sefton G. Long-term clinical review (10-20 years) after reconstruction of the anterior cruciate ligament using the Leeds-Keio synthetic ligament. J Long Term EffMed Implants. 2007 17 59-69. 

Savarese A, Lunghi E, Budassi P and Agosti A. Remarks on the complications following ACL reconstruction using synthetic ligaments. Ital J Orthop Traumatol. 1993 19 79-86. 

Marois Y, Cronier B, Guidoin R, Delagoutte JP, Belanger AY, Marois M, Poddevin N and King MW. Synovial healing response to synthetic ligamentous fibers implanted in the joint of the rat. Actualite En Biomateriaux. 1995 3 339-348. 

This chapter reviews revision ACL reconstruction using conventional BPTB graft via a round tunnel and focuses on where this technique generally stands in the current situation of revision ACL reconstruction. In addition, our preferred procedure of one-stage revision is described with a representative case of post-synthetic ligament failure associated with a large bone defect in the femur. 

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