Materials used for knee ligament grafting

The authors have presented the review of scientific literature on producing grafts intended for surgical reconstruction of ligament ruptures. The treatment of ligament ruptures in reconstructive plastic surgery could be performed by using synthetic grafts, autologous and allogenic grafts from tissue...

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Main Authors: A. A. Budaev, M. S. Makarov, V. V. Slastinin, N. V. Borovkova
Format: Article
Language:English
Published: N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department 2021-09-01
Series:Трансплантология (Москва)
Subjects:
Online Access:https://www.jtransplantologiya.ru/jour/article/view/588
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author A. A. Budaev
M. S. Makarov
V. V. Slastinin
N. V. Borovkova
author_facet A. A. Budaev
M. S. Makarov
V. V. Slastinin
N. V. Borovkova
author_sort A. A. Budaev
collection DOAJ
description The authors have presented the review of scientific literature on producing grafts intended for surgical reconstruction of ligament ruptures. The treatment of ligament ruptures in reconstructive plastic surgery could be performed by using synthetic grafts, autologous and allogenic grafts from tissue donors. Advantages of synthetic grafts include the possibility of their regular manufacturing under sterile conditions, and providing mechanical properties, high biocompatibility. However, synthetic implants significantly increase the risk of synovitis and other complications, they can not be replaced by the native tissue, and have no ability to regeneration. Autologous grafts have ideal tissue compatibility and quick biointegration, could be harvested from different anatomical sites, but commonly the graft harvesting is followed by donor site morbidity and potential risk of injury nerves, elongates operation time, bad cosmetic results. The use of autografts may be also limited by anatomical features of the patient. Allogenic ligament biomaterial could provide wide range of grafts, but in our days there is no standardized methods for ligament graft sterilization and long storage. Wellknown sterilization methods, such as ionized radiation and chemical treatment, gave controversial results. One could conclude that estimation of ligament graft viability must include a complex study of biomechanical properties, cell and fibers integrity.
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spelling doaj.art-6122df156c984743b87ef5ba4aa476bd2025-03-02T11:07:34ZengN.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare DepartmentТрансплантология (Москва)2074-05062542-09092021-09-0113328029210.23873/2074-0506-2021-13-3-280-292489Materials used for knee ligament graftingA. A. Budaev0M. S. Makarov1V. V. Slastinin2N. V. Borovkova3N.V. Sklifosovsky Research Institute for Emergency MedicineN.V. Sklifosovsky Research Institute for Emergency MedicineClinical Medical Center, A.I. Yevdokimov Moscow State University of Medicine and DentistryN.V. Sklifosovsky Research Institute for Emergency MedicineThe authors have presented the review of scientific literature on producing grafts intended for surgical reconstruction of ligament ruptures. The treatment of ligament ruptures in reconstructive plastic surgery could be performed by using synthetic grafts, autologous and allogenic grafts from tissue donors. Advantages of synthetic grafts include the possibility of their regular manufacturing under sterile conditions, and providing mechanical properties, high biocompatibility. However, synthetic implants significantly increase the risk of synovitis and other complications, they can not be replaced by the native tissue, and have no ability to regeneration. Autologous grafts have ideal tissue compatibility and quick biointegration, could be harvested from different anatomical sites, but commonly the graft harvesting is followed by donor site morbidity and potential risk of injury nerves, elongates operation time, bad cosmetic results. The use of autografts may be also limited by anatomical features of the patient. Allogenic ligament biomaterial could provide wide range of grafts, but in our days there is no standardized methods for ligament graft sterilization and long storage. Wellknown sterilization methods, such as ionized radiation and chemical treatment, gave controversial results. One could conclude that estimation of ligament graft viability must include a complex study of biomechanical properties, cell and fibers integrity.https://www.jtransplantologiya.ru/jour/article/view/588synthetic implantsallograftautologous graftsligament reconstruction
spellingShingle A. A. Budaev
M. S. Makarov
V. V. Slastinin
N. V. Borovkova
Materials used for knee ligament grafting
Трансплантология (Москва)
synthetic implants
allograft
autologous grafts
ligament reconstruction
title Materials used for knee ligament grafting
title_full Materials used for knee ligament grafting
title_fullStr Materials used for knee ligament grafting
title_full_unstemmed Materials used for knee ligament grafting
title_short Materials used for knee ligament grafting
title_sort materials used for knee ligament grafting
topic synthetic implants
allograft
autologous grafts
ligament reconstruction
url https://www.jtransplantologiya.ru/jour/article/view/588
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AT msmakarov materialsusedforkneeligamentgrafting
AT vvslastinin materialsusedforkneeligamentgrafting
AT nvborovkova materialsusedforkneeligamentgrafting