On Tue, 10 May 2016 18:11:30 +0100, Phil W Lee <
ph...@lee-family.me.uk>
wrote:
>John B. <
slocom...@gmail.xyz> considered Tue, 10 May 2016 09:11:15
>I don't think they've been using that method for decades now.
Possibly not. I only have personal knowledge of one case where a
Biceps ligament snapped and the guy was in Hungary, maybe 15 years
ago, when it happened and was treated in a local hospital.
>The main debate seems to have moved on to the best source of graftable
>tissue, along with details of which particular routing to use for each
>ligament for the best outcome.
>I researched it up quite intensively when I was being evaluated for
>PCL reconstruction (with the encouragement of Mr Edwards, my
>consultant orthopedic surgeon). It turned out that due to the length
>of time since the injury, I was an extremely poor candidate for
>surgical reconstruction, with as much chance of a worse outcome as an
>improved one (40% worse, 40% better, 20% no change, on the stats at
>the time).
>That was about 15 years ago, and even then knotting was only mentioned
>in passing as an outdated technique. I can't find any reference to it
>in current literature at all (although I don't have access to as much
>now as I did then). Now all the discussion about anchoring methods I
>can find seems to be about the relative merits of different wedge
>devices versus bone wedges, with or without additional fixative pegs,
>pins, or screws.
>Of course, most of what I've read has been with particular reference
>to the knee, but then that does seem to be about the most common
>ligament reconstruction site. It may be that on less heavily loaded
>ligaments, knotting is still used as it is strong enough on it's own.
>It's too late for me now anyway - I've lost far too much leg function
>for other reasons for it to be worth messing about with.
--
cheers,
John B.