Leeds-Keio Artificial Ligament Research Articles

Arthroscopic Reconstruction of the Amterior Cruciate Ligament with Leeds-Keio Artificial Ligament

Arthroscopic reconstruction of the anterior cruciate ligament with Leeds-Keio artificial ligament was performed on 10 cases between July 1986 and November 1986. The average age of the patients at the time of surgery was 20 years. Almost all patients showed good clinical results at follow-up of more than 6 months.

Ｌｅｅｄｓ‐Ｋｅｉｏ補強用メッシュによる膝前十字靭帯再建術の治療成績とその問題点について

Ｌｅｅｄｓ‐Ｋｅｉｏ補強用メッシュによる膝前十字靭帯再建術の治療成績とその問題点について

鏡視下前十字靭帯再建術の試み Ｘ線透視を用いて

Open surgery for reconstruction of anterior cruciate ligament (ACL) such as Insall method required large incision and long period of post-operative immobilization. Arthroscopic surgery has many advantages in comparison with open surgery such as small incision, minimmum scar formation, preventing muscle damage and so on.Our technique for ACL reconstruction under X-ray control is reported. Initially, arthroscopic meniscectomy and/or meniscal suture are done. Then 3cm skin incisions are made on lateral femoral condyle and anterior of the tibia. After exposure of the cortex, 1.5mm Kirshner wires are inserted under X-ray image.The isometric points for ACL reconstruction are just posterior and superior region of the femoral attachment and anterior medial site of the tibial attachment.Following these Kirshner wires, stepped bone tunnels are made using 5mm and 8mm reamers. Then the Leeds-Keio's artificial ligament is passed carefully and fixed with bone plugs and staples.If necessary, extra-articular reconstruction is done. After a week of immobilization, the device of continuous passive motion is applied and three weeks later, partial weight bearing is permitted using the Lenox-Hill brace. Although the follow-up period is short as long as 4 months, range of motion and stability are better with our present method than our previous open method.

Leeds-Keio Artificial Ligament. Application for Fresh Injury of the Cruciate Ligament of the Knee

Leeds-Keio Artificial Ligament. Application for Fresh Injury of the Cruciate Ligament of the Knee