2000, Number 2
<< Back Next >>
Acta Ortop Mex 2000; 14 (2)
Treatment for chronic injuries of the anterior cruciate ligament by interferential screw
Villalobos MJ, Trueba DCA, Rosas HE, Luque GC
Language: Spanish
References: 8
Page: 133-136
PDF size: 85.00 Kb.
ABSTRACT
A review of 300 of patients with ACL injury was carried out, from 1990 to 1995, treated by middle third bone-patelar tendon-bone homograft and interference screw by arthroscopical technique. The evaluation was performed in the Lysholm II scale, placing the results as good or excellent. The average surgical time was of 1 hour 30 minutes. The patients began gait at the third postoperative day and with continuous pasive motion of 120° in 15 days. One patient underwent infection, one had deep venous thrombosis and 25 had patelar tendinitis. The succesful outcome from the ACL reconstruction depends on an adecuate donor site and preparation of the graft, the fixation and tension of it, and a precise tunneling technique.
REFERENCES
Clancy WG Jr. Arthroscopic anterior cruciate ligament reconstruction with patella tendon. In Dorr LD (de): Techniques Orthop 1989; 2: 13-22.
Gillquist J. Symposium. Management of anterior Cruciate ligament injuries. Comtemp Orthop 21(4): 393-424.
Jackson DW, Cohon BT, Morrison DS. A new technique for harvesting the patella tendon in patients undergoing anteior cruciate ligament reconstruction. Orthop 1990; 13(2): 165-167.
Graf B. Isometric placement of substitutes for the anterior cruciate ligament. In: Jackson DW, Drez D (de): The anterior cruciate deficient Knee. CV. Mosby, ST Louis 1987: 55-71.
Kurosaka M, Yashiya S, Andrish JT. A biomechanical comparison of different surgical techniques of graft fixation in anterior cruiciate ligament resconstruction. Am J Sport Med 15: 225-229.
Matthews LS. Pitfalls in the use of interference screws for anterior circulate ligament reconstruction. Artroscopy 1989; 5(3): 225-226.
Noyes ER, Basset RW, Grodd ES, Bulter DL. Arthroscopy in acute traumatic hemartrosis of knee. J Bone Joint Surg 1980; 62A: 6987.
Yoshiya S, Andrish JT, Manley MT, Baur TW. Graft tension in anterior cruciate ligament reconstruction. Am J Sports Med 1987; 15(5): 464-469.