{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:23:39Z","timestamp":1777386219605,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1989,3,1]],"date-time":"1989-03-01T00:00:00Z","timestamp":604713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1989,3]]},"abstract":"<jats:p>We performed an arthroscopic \"second look\" in 21 knees (20 patients) that had arthroscopic implantation of the GORE-TEX prosthesis for chronic ACL insuffi ciency. Arthroscopy was done on eight knees at the time of screw removal, eight for knee pain, two for giving way, and three for recurrent effusions. The de gree of synovial joint reaction, graft synovial ingrowth, and graft rupture was graded. Microscopic examination was carried out on all biopsies of the GORE-TEX liga ment.<\/jats:p>\n                  <jats:p>The average patient age was 30 years and the aver age time interval from original implantation to second look was 11 months. The GORE-TEX was intact in 11 knees, 10% ruptured in 6, and completely ruptured in 4. There was no correlation between number of GORE- TEX strands ruptured and synovial reaction. No parti cles of the graft were noted in the synovium if the implant was intact, but particles were noted with graft rupture.<\/jats:p>\n                  <jats:p>We conclude that the intact GORE-TEX ligament is an inert substance and does not cause significant joint reaction. Impingement in the intercondylar notch ap peared to be the most common cause of graft failure. Further study is critical to determine the natural history of the GORE-TEX ligament and the knees' response to this prosthetic device.<\/jats:p>","DOI":"10.1177\/036354658901700202","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"147-153","source":"Crossref","is-referenced-by-count":35,"title":["Arthroscopic \"second look\" at the GORE-TEX ligament"],"prefix":"10.1177","volume":"17","author":[{"given":"Richard D.","family":"Ferkel","sequence":"first","affiliation":[{"name":"Southern California Orthopedic Institute, Van Nuys, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James M.","family":"Fox","sequence":"additional","affiliation":[{"name":"Southern California Orthopedic Institute, Van Nuys, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Wood","sequence":"additional","affiliation":[{"name":"Southern California Orthopedic Institute, Van Nuys, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilson","family":"Del Pizzo","sequence":"additional","affiliation":[{"name":"Southern California Orthopedic Institute, Van Nuys, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc J.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Southern California Orthopedic Institute, Van Nuys, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J.","family":"Snyder","sequence":"additional","affiliation":[{"name":"Southern California Orthopedic Institute, Van Nuys, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1989,3,1]]},"reference":[{"key":"atypb1","unstructured":"Alm A., Gillquist J.: The reconstruction of anterior cruciate ligament by using the medial third of the patellar ligament. Acta Chir Scand 140: 289-296, 1974"},{"key":"atypb2","unstructured":"Bolton CW: GORE-TEX cruciate ligament prosthesis: Three year clinical results . Flagstaff, AZ, W.L. Gore & Associates, Inc, 1987"},{"key":"atypb3","doi-asserted-by":"crossref","unstructured":"Bolton CW, Bruchman WC: The GORE-TEX expanded polytetrafluoroethylene prosthetic ligament . An in vitro and in vivo evaluation. Clin Orthop 196: 202-213, 1985","DOI":"10.1097\/00003086-198506000-00027"},{"key":"atypb4","unstructured":"Bolton CW, Bruchman B.: Mechanical and biological properties of the GORE-TEX expanded polytetrafluorethylene (PTFE) prosthetic ligament. Aktuel Probl Chir Orthop 26: 40-51, 1983"},{"key":"atypb5","unstructured":"Boyce B.: Physical characteristics of expanded polytetrafluoroethylene grafts , in Stanley JC (ed): Biologic and Synthetic Vascular Prostheses. New York, Grune & Stratton, 1982, pp 553-561"},{"key":"atypb6","unstructured":"Bruchman WC, Bain JR, Bolton CW: Prosthetic replacement of the cruciate ligaments with expanded PTFE , in Feagin JA (ed): The Crucial Ligaments . New York, Churchill Livingstone , 1988, pp 507-516"},{"key":"atypb7","doi-asserted-by":"crossref","unstructured":"Comer EM: Notes of a case illustrative of an artificial crucial ligament, demonstrating the action of the ligament. Proc R Soc Med 7: 120-121, 1914","DOI":"10.1177\/003591571400700264"},{"key":"atypb8","unstructured":"Fox JM: Arthroscopic insertion of the prosthetic Gore-Tex ligament, in Friedman MJ, Ferkel JD (eds): Prosthetic Knee Ligament Reconstruction. Philadelphia, WB Saunders, 1988, pp 165-179"},{"key":"atypb9","unstructured":"Fox JM, Del Pizzo W., Friedman MJ, et al: Techniques and preliminary results in arthroscopic anterior cruciate prosthesis. AAOS Videotape Library, PCE-VT 212, 1986"},{"key":"atypb10","unstructured":"Markolf KL: Clinical and laboratory studies with the Gore-Tex ligament at UCLA , in Friedman MJ, Ferkel RD (eds) Prosthetic Knee Ligament Reconstruction . Philadelphia, WB Saunders, 1988, pp 149-155"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.3109\/17453676808989442"},{"key":"atypb12","unstructured":"Stonebrook SN, Berman AB, Bruchman WC, et al: Effects of implant technique on the functional biomechanics of the Gore-Tex cruciate ligament prosthesis, in Fnedman MJ, Ferkel RD (eds): Prosthetic Knee Ligament Reconstruction. Philadelphia , WB Saunders, 1988, pp 140-148"},{"key":"atypb13","unstructured":"Strum G., Markolf K., Ferkel R., et al: In vivo AP stability measurements of patients with synthetic antenor cruciate ligaments. Orthop Trans 10: 253, 1986"},{"key":"atypb14","doi-asserted-by":"crossref","unstructured":"Thompson SK , Calver R., Monk Cje: Antenor cruciate ligament repair for rotatory instability: The Lindemann dynamic muscle-transfer procedure . J Bone Joint Surg 60A: 917-920, 1978","DOI":"10.2106\/00004623-197860070-00007"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1177\/036354657900700108"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658901700202","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658901700202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:35:19Z","timestamp":1777368919000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354658901700202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,3]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1989,3]]}},"alternative-id":["10.1177\/036354658901700202"],"URL":"https:\/\/doi.org\/10.1177\/036354658901700202","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1989,3]]}}}