PubMed Health⌕ Search

Biomedical subjects

A Van Kampen

Publications and source records attributed to A Van Kampen.

3 recordsLinked to original sources

Augmentation in anterior cruciate ligament reconstruction-a histological and biomechanical study on goats.

We studied reconstruction of the anterior cruciate ligament (ACL) in skeletally mature goats. In one group, the autogenous tissue was augmented with polydioxanone (PDS), the other group had no augmentation. Histological complete incorporation and remodeling of the transplant was found in both groups. The newly formed connective tissues gradually assumed the microscopic properties of the normal ligament. The augmented group showed a delay in remodeling and maturation of the fiber bundles. Mechanically, the PDS-augmented transplants were stronger than the nonaugmented transplants immediately after surgery. During the first 6 weeks, a rapid decrease in strength of the augmented transplants was found, whereas the strength of the nonaugmented group gradually increased. The results of our experiment do not favor augmentation of autografts in reconstruction of the ACL.

Animals↗

Symptomatic ring-shaped lateral meniscus.

Abnormalities of the lateral meniscus in humans are a long-known fact. Three different types of discoid menisci are described in Watanabe's atlas, being considered as congenital malformations. For the second time in the literature, a fourth ring-shaped type of discoid lateral meniscus was described as an incidental finding in this Journal by Monllau et al. in 1998. The present case is the first description of a symptomatic, ring-shaped lateral meniscus with a concomitant, recurrent cyst at the lateral aspect of a child's knee.

Arthroscopy↗

Influence of soft structures on patellar three-dimensional tracking.

During knee flexion, the human patella moves along a complex path resulting from the combined actions of articular contact and soft-tissue stabilization. The current study is an attempt to characterize the role of these soft structures on patellar kinematics. To this end, the three-dimensional patellar motion during full knee flexion was accurately measured before and after partial dissection of the joint. The guiding role of the femoral groove prevailed over soft-tissue action through most of the range of motion. At full extension, however, when the patella and the femur were not in contact, the influence of the retinaculi was most noticeable, highlighting the unstable behavior of the patella near extension. The differences between the intact and dissected knee kinematics suggested that control over patellar motion is ensured by the transverse soft-tissue structures near extension and by the patellofemoral joint geometry during further flexion.

Biomechanical Phenomena↗