| Autor: |
Marco Túlio Lopes Caldas, Tiago Jacques Gonçalves, Gustavo Henrique Silva Bárbara, Rafael Alves Rodrigues, Victor Rocha Figueiredo, Jaider Parreiras de Paulo |
| Jazyk: |
English<br />Portuguese |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
Revista Brasileira de Ortopedia, Vol 48, Iss 3, Pp 236-241 (2013) |
| Druh dokumentu: |
article |
| ISSN: |
1982-4378 |
| DOI: |
10.1016/j.rbo.2012.08.002 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
