Ligaments and Ligamentoplasties

Overview

Despite a substantial amount of literature already accumulated on the subject, our understanding of the structure, function, and biology of the cruciate ligaments has yet to reach the point where we can repair this complicated structure. This volume does not attempt to address every aspect of cruciate ligament replacement, but rather chooses to concentrate on the neurological function of the ligaments. It adopts a pragmatic approach to fatigue testing in more physiological conditions, biomimetic designs, European...

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Overview

Despite a substantial amount of literature already accumulated on the subject, our understanding of the structure, function, and biology of the cruciate ligaments has yet to reach the point where we can repair this complicated structure. This volume does not attempt to address every aspect of cruciate ligament replacement, but rather chooses to concentrate on the neurological function of the ligaments. It adopts a pragmatic approach to fatigue testing in more physiological conditions, biomimetic designs, European surgical techniques and new approaches derived from tissue engineering. As such, it is the first volume to sufficiently emphasise the progress that has been made outside of North America and follows more closely the SICOT/SIROT philosophy. The first section provides an overview of the increasing amount of knowledge on natural ligaments, while the second one reviews - using a biomimetical approach - the different concepts and designs of artificial ligaments developed over the last few decades. The final section presents new directions to expand our present understanding and suggests future approaches.

The book contains black-and-white illustrations.

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Product Details

  • ISBN-13: 9783642644047
  • Publisher: Springer Berlin Heidelberg
  • Publication date: 7/31/2012
  • Edition description: Softcover reprint of the original 1st ed. 1997
  • Edition number: 1
  • Pages: 387
  • Product dimensions: 6.14 (w) x 9.21 (h) x 0.84 (d)

Table of Contents

Introduction: Evaluation of Cruciate Ligament Prostheses — Critique of Current Concepts and Procedures.- I Fundamental Aspects of the Ligaments.- I.1 Passive and Dynamic Stability of the Knee Joint.- I.2 Sensory Endings in Ligaments: Response Properties and Effects on Proprioception and Motor Control.- I.3 Morphological Evaluation of Bone-Ligament Interaction in Biological and Artificial Reconstruction.- I.4 Mesomechanical Modeling of Living Soft Tissue.- I.5 Fundamental Considerations on Cruciate Ligament Surgery.- II Artificial Ligaments: Materials and Designs, Mechanical Performance, Lifetime, Fixation Techniques, Biofunctionality.- II.1 The History of Ligament Substitutes.- II.2 A Classification of Prosthetic Ligament Failures.- II.3 Computer-Assisted Planning of Prosthetic Anterior Cruciate Ligament Insertion.- II.4 Isometric Reconstruction of the Anterior Cruciate Ligament: Femoral and Tibial Tunnel Placement.- II.5 Considerations on the Biomechanics of the Knee Joint with Regard to Ligament Reconstruction, Especially with a Polyethylene-Terephthalate Alloplastic Ligament (Trevira Ligament).- II.6 Reconstruction of Cruciate Ligaments Using a Synthetic Ligament of Polyethylene Terephthalate (Trevira Ligament).- II.7 Isolated and Combined Posterior Cruciate Ligament Instability.- II.8 Polyethylene Fibers as Substitute for Anterior Cruciate Knee Ligament in Goats: A Histological Study.- II.9 Motion-Induced Inhibition of Effective Osseous Fixation of a Polyethylene Filamentous Prosthesis: Histological, Histomorphometrical, and Biomechanical Studies of a High-Tensile Polyethylene Filamentous Braid for Replacement of the Anterior Cruciate Ligament in Goats.- III Future Trends: Tissue Engineering, Regeneration.- III.1 Artificial Materials and Structures for Extracellular Matrix Scaffolding of Orthopedic Tissues: A Review.- III.2 Biochemical and Mechanical Stimulation of Knee Fibroblasts for Regeneration of Ligaments In Vitro.- III.3 Tissue-Engineered Ligament.

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