Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis

OBJECTIVE: To compare the functional results from surgical treatment for anatomical reconstruction of the anterior cruciate ligament (ACL) with a single band, using two types of autologous grafts.METHODS: Twenty-seven patients who underwent anatomical reconstruction of the ACL by means of the Chamba...

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Main Authors: Patrícia Barros Bitun, Carlos Roberto Miranda, Ricardo Boso Escudero, Marcelo Araf, Daphnis Gonçalves de Souza
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2015-02-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100050&lng=en&tlng=en
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author Patrícia Barros Bitun
Carlos Roberto Miranda
Ricardo Boso Escudero
Marcelo Araf
Daphnis Gonçalves de Souza
author_facet Patrícia Barros Bitun
Carlos Roberto Miranda
Ricardo Boso Escudero
Marcelo Araf
Daphnis Gonçalves de Souza
author_sort Patrícia Barros Bitun
collection DOAJ
description OBJECTIVE: To compare the functional results from surgical treatment for anatomical reconstruction of the anterior cruciate ligament (ACL) with a single band, using two types of autologous grafts.METHODS: Twenty-seven patients who underwent anatomical reconstruction of the ACL by means of the Chambat technique were evaluated prospectively. They were divided into two groups: A, with 14 patients, using grafts from flexor tendons; and B, with 13 patients, using grafts from the patellar tendon. In both groups, fixation was performed using an absorbable interference screw.RESULTS: Based on the Lysholm score, group A presented a mean score of 71.6 in the first month, while B presented 75. At the end of the sixth month, both groups presented 96.6. Evaluation of the total IKDC showed that in the first month, the majority of the patients, both in group A (85.7%) and in group B (76.9%), presented a knee assessment that was close to normal. In the sixth month, 92.9% of group A had normal presentations, and 100% of group B.CONCLUSION: According to the Lysholm functional evaluation and the IKDC subjective assessment, there was no statistically significant difference in the results between the groups, and the results were better in the sixth month.
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spelling doaj.art-f72b6b1d38af4b659275ad27c75608df2024-03-03T08:38:35ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782015-02-01501505610.1016/j.rboe.2015.02.004S0102-36162015000100050Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilisPatrícia Barros BitunCarlos Roberto MirandaRicardo Boso EscuderoMarcelo ArafDaphnis Gonçalves de SouzaOBJECTIVE: To compare the functional results from surgical treatment for anatomical reconstruction of the anterior cruciate ligament (ACL) with a single band, using two types of autologous grafts.METHODS: Twenty-seven patients who underwent anatomical reconstruction of the ACL by means of the Chambat technique were evaluated prospectively. They were divided into two groups: A, with 14 patients, using grafts from flexor tendons; and B, with 13 patients, using grafts from the patellar tendon. In both groups, fixation was performed using an absorbable interference screw.RESULTS: Based on the Lysholm score, group A presented a mean score of 71.6 in the first month, while B presented 75. At the end of the sixth month, both groups presented 96.6. Evaluation of the total IKDC showed that in the first month, the majority of the patients, both in group A (85.7%) and in group B (76.9%), presented a knee assessment that was close to normal. In the sixth month, 92.9% of group A had normal presentations, and 100% of group B.CONCLUSION: According to the Lysholm functional evaluation and the IKDC subjective assessment, there was no statistically significant difference in the results between the groups, and the results were better in the sixth month.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100050&lng=en&tlng=enReconstrução do ligamento cruzado anteriorTransplantesTendões
spellingShingle Patrícia Barros Bitun
Carlos Roberto Miranda
Ricardo Boso Escudero
Marcelo Araf
Daphnis Gonçalves de Souza
Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis
Revista Brasileira de Ortopedia
Reconstrução do ligamento cruzado anterior
Transplantes
Tendões
title Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis
title_full Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis
title_fullStr Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis
title_full_unstemmed Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis
title_short Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis
title_sort comparison of grafts for anatomical reconstruction of the acl patellar versus semitendinosus gracilis
topic Reconstrução do ligamento cruzado anterior
Transplantes
Tendões
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100050&lng=en&tlng=en
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