New barbarians at the gate.
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Biomedical subjects
Publications and source records attributed to F J Funk.
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Many techniques for ligamentous reconstruction have been developed in recent years. In the United States, injuries of the knee have been increasingly treated with innovative methods of surgical reconstruction, most of which have used normal structures. There are obvious theoretic advantages in using synthetic materials that might simplify surgery, spare normal tissues, and possibly facilitate stronger repairs. To these ends, several synthetic substances have been used experimentally and clinically. This is a brief summary of eight of the materials that have been or are being investigated in the United States. Some are no longer in use, others are currently being used in clinical trials. As of this writing, only the Gortex ligament has received a general device release from the Food and Drug Administration (FDA).
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The pattern of knee surgery has changed dramatically in the past eight years as a result of arthroscopy and an appreciation of the possible devastating effects in the knee in which the anterior cruciate ligament (ACL) is lost. The magnitude of the problem has not been clearly defined, and the long-term benefits and liabilities with reconstructive surgery are unknown. The records of 284 patients treated by reconstructive surgery for osteoarthritis of the knee were reviewed to determine the incidence of ligament injury. In approximately 8%, a significant ligament injury had occurred that possibly could be implicated in the subsequent osteoarthritis.