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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_IV | Pages 25 - 25
1 Mar 2012
Altman G Horan R Weitzel P Horan D Mortarino E DeAngelis N Toponarski I Huang J Boepple H Prudom J Richmond J
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Objectives

We hypothesise that a long-term bioresorbable hydrophilic silkworm silk device, the SeriACL(tm) scaffold, can support the development and remodelling of native functional ligament tissue if designed to anticipate the remodelling curve of an ACL graft. This study evaluated the SeriACL scaffold for ACL replacement in a goat model at 3, 6 and 12 months.

Methods

The ACL of 43 goats was replaced in an arthroscopically assisted procedure. The ACL was excised, a guide pin driven into the femur and 6mm diameter antegrade drilling performed. The tibial tunnel was drilled under direct visualisation. The graft was anchored around a post on the femur, tensioned to 50N and cycled 30x before tibial fixation with a staple and sutures around a post. Animals were clinically, mechanically and histologically evaluated.


The Journal of Bone & Joint Surgery British Volume
Vol. 64-B, Issue 4 | Pages 429 - 431
1 Aug 1982
Samra Y Hertz M Shaked Y Zwas S Altman G

Three cases of spinal osteomyelitis due to brucellosis are reported, all in women. Radiological confirmation was delayed for at least three months after the first clinical manifestation, while in one patient a bone scan was positive at an early stage. In two of the three cases the diagnosis was delayed because of insufficient awareness of the disease. Spinal osteomyelitis caused by Brucella is indistinguishable radiologically from that caused by other micro-organisms and needle aspiration or exploration is frequently performed to establish the correct diagnosis. Increased awareness of brucellosis and the carrying out of appropriate blood cultures and serological tests may make these procedures unnecessary.