RT Journal Article
SR Electronic
T1 Ultrastructural study of the extra-articular Leeds-Keio ligament prosthesis
JF Journal of Clinical Pathology
JO J Clin Pathol
FD BMJ Publishing Group Ltd and Association of Clinical Pathologists
SP 665
OP 666
DO 10.1136/jcp.2004.024646
VO 58
IS 6
A1 E Nomura
A1 M Inoue
A1 H Sugiura
YR 2005
UL http://jcp.bmj.com/content/58/6/665.abstract
AB Background: There have been several histological studies of the Leeds-Keio ligament in anterior cruciate ligament reconstruction, but there have been few of the Leeds-Keio ligament in the extra-articular portion. Aims/Methods: To report the histological and ultrastructural findings of two cases of medial patellofemoral ligament reconstruction using the Leeds-Keio ligament, removed 6.1 years and 8.7 years after implantation. Results: In both cases, the tissue over the Leeds-Keio ligament was a ligament-like tissue. Electron microscopy showed that the diameter of the collagen fibrils in the tissue over the Leeds-Keio ligament was unimodal in the case investigated 6.1 years after implantation but bimodal in the case investigated after 8.7 years. Conclusions: The tissue over the Leeds-Keio ligament may continue to grow with prolonged periods of mechanical stress.