Autologe und homologe Kreuzbandtransplantate—feingeweblicher Einbau,klinische Ergebnisse

A successful integration of cruciate ligament grafts is dependent upon the structure of connective tissue transplants, the conservation in case of homologous grafts, the functional load, the fixation of the graft, and the bed for the transplant. As shown by our own experimentations on animals, the integration of connective tissue transplants depends above all on the connective tissue type (native, conserved), the functional stimulus, and the bed for the transplant. Nevertheless, the communications in literature indicate identical clinical results for different types of autologous transplants, which gives occasion, to mention the specific cruciate ligament stability tests, i.e. the Lachman test and the Pivot-Shift sign. The authors discuss their own results achieved by using one third of a patellar tendon or pes anserinus tendons as cruciate ligament substitutes.