Ligaments and tendons of the knee are subjected to large loads during sports and work related activities, and thus, are frequently injured. For the anterior cruciate ligament (ACL) and medial collateral ligament (MCL), there are over 100,000 and 50,000 annual tears, respectively, in the United States alone. As a torn ACL has limited healing potential, surgical reconstruction using autograft replacements, such as the bone-patellar tendon-bone (BPTB) as well as the quadrupled semitendinosus and gracilis tendons, are performed in a large number of patients to restore knee stability. In spite of the over 25 years of experience, knee extension deficits and many long term complications associated with the BPTB autograft, including the progression of osteoarthritis, are serious post-surgical problems. Additionally, there are complications associated with donor site morbidity, anterior knee pain, arthrofibrosis, and inferior biomechanical properties of the patellar tendon (PT). In the case of MCL injuries, functional treatment is sufficient for rapid tissue healing; however, the neo-MCL is known to have significantly inferior tissue quality compared to the intact MCL, and the remodeling process can take years. Thus, it presents an increased chance for reinjury.
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ASME 2008 International Mechanical Engineering Congress and Exposition
October 31–November 6, 2008
Boston, Massachusetts, USA
Conference Sponsors:
- ASME
ISBN:
978-0-7918-4876-0
PROCEEDINGS PAPER
Regeneration of Ligaments and Tendons With ECM Bioscaffolds
Savio L.-Y. Woo,
Savio L.-Y. Woo
University of Pittsburgh, Pittsburgh, PA
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Matthew B. Fisher,
Matthew B. Fisher
University of Pittsburgh, Pittsburgh, PA
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Alejandro J. Almarza
Alejandro J. Almarza
University of Pittsburgh, Pittsburgh, PA
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Savio L.-Y. Woo
University of Pittsburgh, Pittsburgh, PA
Matthew B. Fisher
University of Pittsburgh, Pittsburgh, PA
Alejandro J. Almarza
University of Pittsburgh, Pittsburgh, PA
Paper No:
IMECE2008-68870, pp. 111-112; 2 pages
Published Online:
August 26, 2009
Citation
Woo, SL, Fisher, MB, & Almarza, AJ. "Regeneration of Ligaments and Tendons With ECM Bioscaffolds." Proceedings of the ASME 2008 International Mechanical Engineering Congress and Exposition. Volume 15: Processing and Engineering Applications of Novel Materials. Boston, Massachusetts, USA. October 31–November 6, 2008. pp. 111-112. ASME. https://doi.org/10.1115/IMECE2008-68870
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