Tendon healing in a bone tunnel. Part II

2002 ◽  
Vol 18 (2) ◽  
pp. 124-135 ◽  
Author(s):  
Andreas Weiler ◽  
Reinhard F.G. Hoffmann ◽  
Hermann J. Bail ◽  
Oliver Rehm ◽  
Norbert P. Südkamp
Keyword(s):  
Tendon Healing ◽  
Bone Tunnel

Tendon-healing in a bone tunnel. A biomechanical and histological study in the dog.

1993 ◽  
Vol 75 (12) ◽  
pp. 1795-1803 ◽  
Author(s):  
S A Rodeo ◽  
S P Arnoczky ◽  
P A Torzilli ◽  
C Hidaka ◽  
R F Warren
Keyword(s):  
Histological Study ◽  
Tendon Healing ◽  
Bone Tunnel

Tendon healing in a bone tunnel. Part I

2002 ◽  
Vol 18 (2) ◽  
pp. 113-123 ◽  
Author(s):  
Andreas Weiler ◽  
Ricarda Peine ◽  
Alireza Pashmineh-Azar ◽  
Clemens Abel ◽  
Norbert P. Südkamp ◽  
...  
Keyword(s):  
Tendon Healing ◽  
Bone Tunnel

Augmentation of Tendon Healing in an Intraarticular Bone Tunnel with Use of a Bone Growth Factor

2001 ◽  
Vol 29 (6) ◽  
pp. 689-698 ◽  
Author(s):  
Kyle Anderson ◽  
Aruna M. Seneviratne ◽  
Kazutaka Izawa ◽  
Brent L. Atkinson ◽  
Hollis G. Potter ◽  
...  
Keyword(s):  
Growth Factor ◽  
Bone Growth ◽  
Cruciate Ligament ◽  
Tendon Healing ◽  
Tendon Graft ◽  
Bone Tunnel ◽  
Resonance Imaging ◽  
Load To Failure ◽  
Anterior Cruciate ◽  
Bone Growth Factor

We hypothesized that an exogenous bone growth factor could augment healing of a tendon graft in a bone tunnel in a rabbit anterior cruciate ligament-reconstruction model. Seventy rabbits underwent bilateral anterior cruciate ligament reconstructions with a semitendinosus tendon graft. One limb received a collagen sponge carrier vehicle containing a mixture of bone-derived proteins while the contralateral limb was treated with either no sponge or a sponge without bone-derived proteins. The reconstruction was evaluated at 2, 4, or 8 weeks with histologic, biomechanical, and magnetic resonance imaging analysis. Histologic analysis demonstrated that specimens treated with bone-derived proteins had a more consistent, dense interface tissue and closer apposition of new bone to the graft, with occasional formation of a fibrocartilaginous interface, when compared with control specimens. The treated specimens had significantly higher load-to-failure rates than did control specimens. Treatment with bone-derived proteins resulted in an average increase in tensile strength of 65%. The treated specimens were stronger than control specimens at each time point, but the difference was greatest at 8 weeks. On the basis of signal characteristics and new bone formation, magnetic resonance imaging was useful for predicting which limb was treated, the site of failure, and the limbs with higher load-to-failure values. This study demonstrates the potential for augmenting tendon healing in an intraarticular bone tunnel using an osteoinductive growth factor.

Tendon Healing in a Bone Tunnel Differs at the Tunnel Entrance versus the Tunnel Exit

2006 ◽  
Vol 34 (11) ◽  
pp. 1790-1800 ◽  
Author(s):  
Scott A. Rodeo ◽  
Sumito Kawamura ◽  
Hyon-Jeong Kim ◽  
Christian Dynybil ◽  
Liang Ying
Keyword(s):  
Tendon Healing ◽  
Bone Tunnel ◽  
Tunnel Entrance

Periosteal Augmentation of a Tendon Graft Improves Tendon Healing in the Bone Tunnel

2004 ◽  
Vol 419 ◽  
pp. 223-231 ◽  
Author(s):  
Inchan Youn ◽  
Deryk G Jones ◽  
Pamela J Andrews ◽  
Marcus P Cook ◽  
J-K Francis Suh
Keyword(s):  
Tendon Healing ◽  
Tendon Graft ◽  
Bone Tunnel

scholarly journals Use of a new model allowing controlled uniaxial loading to evaluate tendon healing in a bone tunnel

2015 ◽  
Vol 34 (5) ◽  
pp. 852-859 ◽  
Author(s):  
Scott A. Rodeo ◽  
Clifford Voigt ◽  
Richard Ma ◽  
John Solic ◽  
Mark Stasiak ◽  
...  
Keyword(s):  
Tendon Healing ◽  
Bone Tunnel ◽  
Uniaxial Loading ◽  
New Model

scholarly journals Tendon Healing in Bone Tunnel after Human Anterior Cruciate Ligament Reconstruction: A Systematic Review of Histological Results

2018 ◽  
Vol 32 (05) ◽  
pp. 454-462 ◽  
Author(s):  
Hongbin Lu ◽  
Can Chen ◽  
Shanshan Xie ◽  
Yifu Tang ◽  
Jin Qu
Keyword(s):  
Systematic Review ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Healing Process ◽  
Tendon Healing ◽  
Tendon Graft ◽  
Bone Tunnel ◽  
Bone Interface ◽  
Graft Healing ◽  
Anterior Cruciate

AbstractMost studies concerning to tendon healing and incorporation into bone are mainly based on animal studies due to the invasive nature of the biopsy procedure. The evidence considering tendon graft healing to bone in humans is limited in several case series or case reports, and therefore, it is difficult to understand the healing process. A computerized search using relevant search terms was performed in the PubMed, EMBASE, Scopus, and Cochrane Library databases, as well as a manual search of reference lists. Searches were limited to studies that investigated tendon graft healing to bone by histologic examination after anterior cruciate ligament (ACL) reconstruction with hamstring. Ten studies were determined to be eligible for this systematic review. Thirty-seven cases were extracted from the included studies. Most studies showed that a fibrovascular interface would form at the tendon–bone interface at the early stage and a fibrous indirect interface with Sharpey-like fibers would be expected at the later stage. Cartilage-like tissue at tendon graft–bone interface was reported in three studies. Tendon graft failed to integrate with the surrounding bone in 10 of the 37 cases. Unexpectedly, suspensory type of fixation was used for the above failure cases. An indirect type of insertion with Sharpey-like fibers at tendon–bone interface could be expected after ACL reconstruction with hamstring. Regional cartilage-like tissue may form at tendon–bone interface occasionally. The underlying tendon-to-bone healing process is far from understood in the human hamstring ACL reconstruction. Further human studies are highly needed to understand tendon graft healing in bone tunnel after hamstring ACL reconstruction.

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