POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH AUTOGRAFT OF THE DOUBLE SEMITENDINOSUS MUSCLES AND MIDDLE THIRD OF THE QUADRICEPS TENDON WITH DOUBLE FEMORAL AND SINGLE TIBIAL TUNNELS: CLINICAL RESULTS IN TWO YEARS FOLLOW UP
| Autor: | Nilson Roberto Severino, Roger Avakian, Ricardo de Paula Leite Cury, Tatsuo Aihara, Victor Marques de Oliveira, Osmar Pedro Arbix de Camargo |
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| Rok vydání: | 2012 |
| Předmět: |
Femoral tunnel
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Posterior Cruciate Ligament Reconstruction Arthroscopy Small sample Knee Injuries General Medicine musculoskeletal system Surgery medicine.anatomical_structure Double bundle Posterior cruciate ligament medicine Original Article Posterior Cruciate Ligament Knee Quadriceps tendon business Reduction (orthopedic surgery) |
| Zdroj: | Revista Brasileira de Ortopedia |
| ISSN: | 2255-4971 |
| DOI: | 10.1016/s2255-4971(15)30346-3 |
| Popis: | Objective: To evaluate the surgical aspects that may offer good anatomic and functional results in posterior cruciate ligament (PCL) reconstruction using an autologous graft of the quadriceps tendon and double semitendinosus through a double femoral tunnel. Methods: Fourteen patients with isolated PCL lesions, instability and pain were operated on by arthroscopy and evaluated according to the International Knee Documentation Committee (IKDC) and Lysholm scales. Posterior knee laxity was examined with a KT1000 arthrometer. Results: The mean postoperative posterior side-to-side difference was between 0-2 mm in 57.1% of patients and between 3 and 5 mm in 35.7% of cases. The average Lysholm score was 93 points in the final follow-up. In the IKDC evaluation, 3 patients were graded A, 10 were graded B, and 1 patient was graded C. Conclusions: Double bundle arthroscopic PCL reconstruction based on the anatomical positioning of the tunnels, with double semitendinosus tendon and single quadriceps, provides a clinically evident reduction in symptoms and restores satisfactory stability, although no statistically significant difference was found due to the small sample. |
| Databáze: | OpenAIRE |
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