Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty
OBJECTIVE: Review of the literature concerning the subject and to compare the results of the technique we have been using with the ones reported on the literature. METHODS: This is a retrospective, cross-sectional and observational study. We evaluated the records of patients treated surgically...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2013-06-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000300236&lng=en&tlng=en |
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| author | Marco Túlio Lopes Caldas Tiago Jacques Gonçalves Gustavo Henrique Silva Bárbara Rafael Alves Rodrigues Victor Rocha Figueiredo Jaider Parreiras de Paulo |
| author_facet | Marco Túlio Lopes Caldas Tiago Jacques Gonçalves Gustavo Henrique Silva Bárbara Rafael Alves Rodrigues Victor Rocha Figueiredo Jaider Parreiras de Paulo |
| author_sort | Marco Túlio Lopes Caldas |
| collection | DOAJ |
| description | OBJECTIVE: Review of the literature concerning the subject and to compare the results of the technique we have been using with the ones reported on the literature. METHODS: This is a retrospective, cross-sectional and observational study. We evaluated the records of patients treated surgically at the Hospital from Hospital Maria Amelia Lins January 1997 to January 2011.The following variables were considered: age, gender, side, degree of injury, mechanism of trauma, associated injuries, time elapsed between injury and surgical procedure, complications, range of motion and muscle strength. RESULTS: Five patients underwent surgical treatment with the use of autograft semitendinosus and gracilis tendons and V-Y quadricepsplasty. Regarding gender, there was a male predominance (80%). The average age was 35.2 years old. The right side was the most affected (60%). The predominant mechanism of injury was motorcycle accident (80%). All patients had a complete tendon lesion. Time between injury and surgery averaged 10.4 months. Four patients (80%) had had associated injuries. In all patients muscle strength was satisfactory (M4/M5). Wound dehiscence was observed in 01 patient. Average postoperative range of motion was 110°. CONCLUSIONS: These are rare lesions. Stretching the quadriceps is essential to decrease the tension to the reconstructed patellar ligament and patellofemoral joint. Use of a quadriceps transtendon tunnel is an option to prevent fractures. Hypotrophy of the quadriceps is inevitable, however, the resulting force is sufficient for daily living activities. |
| first_indexed | 2024-03-08T07:03:37Z |
| format | Article |
| id | doaj.art-550ce01f14d542b0b70c2b6c151409ba |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:03:37Z |
| publishDate | 2013-06-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-550ce01f14d542b0b70c2b6c151409ba2024-02-03T05:11:31ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782013-06-0148323624110.1016/j.rbo.2012.08.002S0102-36162013000300236Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplastyMarco Túlio Lopes CaldasTiago Jacques GonçalvesGustavo Henrique Silva BárbaraRafael Alves RodriguesVictor Rocha FigueiredoJaider Parreiras de PauloOBJECTIVE: Review of the literature concerning the subject and to compare the results of the technique we have been using with the ones reported on the literature. METHODS: This is a retrospective, cross-sectional and observational study. We evaluated the records of patients treated surgically at the Hospital from Hospital Maria Amelia Lins January 1997 to January 2011.The following variables were considered: age, gender, side, degree of injury, mechanism of trauma, associated injuries, time elapsed between injury and surgical procedure, complications, range of motion and muscle strength. RESULTS: Five patients underwent surgical treatment with the use of autograft semitendinosus and gracilis tendons and V-Y quadricepsplasty. Regarding gender, there was a male predominance (80%). The average age was 35.2 years old. The right side was the most affected (60%). The predominant mechanism of injury was motorcycle accident (80%). All patients had a complete tendon lesion. Time between injury and surgery averaged 10.4 months. Four patients (80%) had had associated injuries. In all patients muscle strength was satisfactory (M4/M5). Wound dehiscence was observed in 01 patient. Average postoperative range of motion was 110°. CONCLUSIONS: These are rare lesions. Stretching the quadriceps is essential to decrease the tension to the reconstructed patellar ligament and patellofemoral joint. Use of a quadriceps transtendon tunnel is an option to prevent fractures. Hypotrophy of the quadriceps is inevitable, however, the resulting force is sufficient for daily living activities.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000300236&lng=en&tlng=enJoelho/terapiaJoelho/cirurgiaLigamento patelar |
| spellingShingle | Marco Túlio Lopes Caldas Tiago Jacques Gonçalves Gustavo Henrique Silva Bárbara Rafael Alves Rodrigues Victor Rocha Figueiredo Jaider Parreiras de Paulo Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty Revista Brasileira de Ortopedia Joelho/terapia Joelho/cirurgia Ligamento patelar |
| title | Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty |
| title_full | Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty |
| title_fullStr | Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty |
| title_full_unstemmed | Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty |
| title_short | Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty |
| title_sort | treatment of chronic patellar ligament lesion with autograft and v y quadricepsplasty |
| topic | Joelho/terapia Joelho/cirurgia Ligamento patelar |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000300236&lng=en&tlng=en |
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