THE EFFECTS OF DONOR AGE AND STRAIN-RATE ON THE BIOMECHANICAL PROPERTIES OF BONE-PATELLAR TENDON-BONE ALLOGRAFTS

被引：144

作者：

BLEVINS, FT ^{[1
]}

HECKER, AT ^{[1
]}

BIGLER, GT ^{[1
]}

BOLAND, AL ^{[1
]}

HAYES, WC ^{[1
]}

机构：

[1] BETH ISRAEL HOSP,CHARLES A DANA RES INST,ORTHOPAED BIOMECH LAB,330 BROOKLINE AVE,BOSTON,MA 02215

来源：

AMERICAN JOURNAL OF SPORTS MEDICINE | 1994年 / 22卷 / 03期

关键词：

D O I：

10.1177/036354659402200306

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Over 50% of all knee injuries involve partial or complete tear of the anterior cruciate ligament. Surgical reconstruction of this ligament using an isometrically placed bone-patellar tendon-bone autograft is the current technique of choice; however, harvest of patellar tendon as a free graft can lead to increased morbidity. To address this issue, allogenic patellar tendon grafts have been introduced as alternatives to autogenic graft material. The purpose of this study was to examine effects of age and strain rate on tensile strength, modulus, and failure mode of bone-patellar tendon-bone allografts from a typical population of tissue donors. Eighty-two, fresh-frozen, bone-patellar tendon-bone allografts were harvested from 25 different donors, aged 17 to 54. Paired grafts from individual patellar tendons were assigned randomly to tensile testing at either 10% or 100% elongation per second. Tensile strength, modulus, and failure mode were not significantly different for tests conducted at these 2 strain rates. Correlations between tensile strength and age were not significant for tests conducted at either strain rate. Specimens tested at a strain rate of 100% per second exhibited weak but significant negative correlation between modulus and age, with modulus decreasing 25% over the age range examined.

引用

页码：328 / 333

页数：6

共 41 条

[21]

McCarroll J.R., Fracture of the patella during a golf swing following reconstruction of the anterior cruciate ligament, A case report. Am J Sports Med, 11, pp. 26-27, (1983)

[22]

McDaniel W.J., Clin Orthop, 172, pp. 158-163, (1983)

[23]

Nikolaou P.K., Seaber A.V., Glisson R.R., Et al., Anterior cruciate ligament allograft transplantation: Long-term function, histology, revascularization, and operative technique, Am J Sports Med, 14, pp. 348-360, (1986)

[24]

Noyes F.R., Butler D.L., Grood E.S., Et al., Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstruction, J Bone Joint Surg, 66A, pp. 344-352, (1984)

[25]

Noyes F.R., Age related and species related changes. J Bone Joint Surg, 58A, pp. 1074-1082, (1976)

[26]

J Bone Joint Surg, 73A, pp. 278-286, (1991)

[27]

Olson E.J., Kang J.D., Fu F.H., Et al., The biomechanical and histological effects of artificial ligament wear particles: In vitro and in vivo studies, Am J Sports Med, 16, pp. 558-570, (1988)

[28]

Paulos L.E., France E.P., Rosenberg T.D., Et al., Comparative material properties of allograft tissues for ligament replacement, Effect of type, age, sterilization and preservation. Trans Orthop Res Soc, 13, (1987)

[29]

Rauch G., Allzeit B., Unfallchirugie, 91, pp. 437-443, (1988)

[30]

Roberts T.S., Am J Sports Med, 19, pp. 35-41, (1991)

← 1 2 3 4 5 →