Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years
ABSTRACT OBJECTIVE: To compare the clinical results of the reconstruction of the anterior cruciate ligament by transtibial, transportal, and outside-in techniques. METHODS: This was a retrospective study on 90 patients (ACL reconstruction with autologous flexor tendons) operated between August 2...
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Thieme Revinter Publicações Ltda.
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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=S0102-36162017000300319&lng=en&tlng=en |
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| author | Ricardo de Paula Leite Cury Jan Willem Cerf Sprey André Luiz Lima Bragatto Marcelo Valentim Mansano Herman Fabian Moscovici Luiz Gabriel Betoni Guglielmetti |
| author_facet | Ricardo de Paula Leite Cury Jan Willem Cerf Sprey André Luiz Lima Bragatto Marcelo Valentim Mansano Herman Fabian Moscovici Luiz Gabriel Betoni Guglielmetti |
| author_sort | Ricardo de Paula Leite Cury |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE: To compare the clinical results of the reconstruction of the anterior cruciate ligament by transtibial, transportal, and outside-in techniques. METHODS: This was a retrospective study on 90 patients (ACL reconstruction with autologous flexor tendons) operated between August 2009 and June 2012, by the medial transportal (30), transtibial (30), and “outside-in” (30) techniques. The following parameters were assessed: objective and subjective IKDC, Lysholm, KT1000, Lachman test, Pivot-Shift and anterior drawer test. RESULTS: On physical examination, the Lachman test and Pivot-Shift indicated a slight superiority of the outside-in technique, but without statistical significance (p = 0.132 and p = 0.186 respectively). The anterior drawer, KT1000, subjective IKDC, Lysholm, and objective IKDC tests showed similar results in the groups studied. A higher number of complications were observed in the medial transportal technique (p = 0.033). CONCLUSION: There were no statistically significant differences in the clinical results of patients undergoing reconstruction of the anterior cruciate ligament by transtibial, medial transportal, and outside-in techniques. |
| first_indexed | 2024-03-08T07:56:03Z |
| format | Article |
| id | doaj.art-afe07647052849fe91775ee368fc7c6e |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:14:13Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-afe07647052849fe91775ee368fc7c6e2024-04-03T08:57:23ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-437852331932410.1016/j.rboe.2017.05.003S0102-36162017000300319Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two yearsRicardo de Paula Leite CuryJan Willem Cerf SpreyAndré Luiz Lima BragattoMarcelo Valentim MansanoHerman Fabian MoscoviciLuiz Gabriel Betoni GuglielmettiABSTRACT OBJECTIVE: To compare the clinical results of the reconstruction of the anterior cruciate ligament by transtibial, transportal, and outside-in techniques. METHODS: This was a retrospective study on 90 patients (ACL reconstruction with autologous flexor tendons) operated between August 2009 and June 2012, by the medial transportal (30), transtibial (30), and “outside-in” (30) techniques. The following parameters were assessed: objective and subjective IKDC, Lysholm, KT1000, Lachman test, Pivot-Shift and anterior drawer test. RESULTS: On physical examination, the Lachman test and Pivot-Shift indicated a slight superiority of the outside-in technique, but without statistical significance (p = 0.132 and p = 0.186 respectively). The anterior drawer, KT1000, subjective IKDC, Lysholm, and objective IKDC tests showed similar results in the groups studied. A higher number of complications were observed in the medial transportal technique (p = 0.033). CONCLUSION: There were no statistically significant differences in the clinical results of patients undergoing reconstruction of the anterior cruciate ligament by transtibial, medial transportal, and outside-in techniques.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000300319&lng=en&tlng=enAnterior cruciate ligament/injuriesAnterior cruciate ligament reconstructionKneeOrthopedic procedures |
| spellingShingle | Ricardo de Paula Leite Cury Jan Willem Cerf Sprey André Luiz Lima Bragatto Marcelo Valentim Mansano Herman Fabian Moscovici Luiz Gabriel Betoni Guglielmetti Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years Revista Brasileira de Ortopedia Anterior cruciate ligament/injuries Anterior cruciate ligament reconstruction Knee Orthopedic procedures |
| title | Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years |
| title_full | Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years |
| title_fullStr | Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years |
| title_full_unstemmed | Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years |
| title_short | Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years |
| title_sort | comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament with a minimum follow up of two years |
| topic | Anterior cruciate ligament/injuries Anterior cruciate ligament reconstruction Knee Orthopedic procedures |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000300319&lng=en&tlng=en |
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