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2018, Number 2

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Rev Sanid Milit Mex 2018; 72 (2)

Functional results in postoperative patients of arthroscopic anterior cruciate ligament reconstruction with all-inside® technique

Palmieri BRB, Hernández TIE, García VLR

Language: Spanish
References: 19
Page: 110-117
PDF size: 209.03 Kb.


ABSTRACT

Introduction: The anterior cruciate ligament (ACL) provides posteroanterior stability to the knee. The incidence of ACL ruptures is 1/3,000. The gold standard in diagnosis is diagnostic arthroscopy. Arthroscopic reconstruction offers the best results. Objective: To verify that the functional results in postoperative patients of arthroscopic reconstruction of the ACL with the all-inside® technique are good to excellent using the Lysholm functional evaluation scale. Material and methods: The scores obtained on the Lysholm scale prior to surgery were reviewed at two, six, 10 and 15 postoperative weeks of patients diagnosed with ACL lesion undergoing arthroscopic reconstruction using the all-inside® technique from August 1st, 2016 to August 1st, 2017. The results of the Lysholm functional scale were statistically compared using the Friedman test, and the range of mobility, with the ANOVA and Tukey tests. Results: A sample of 34 patients was recruited. The average obtained in the Lysholm scale was 87.82 at the 15th postoperative week. There was a statistically significant difference in score of the Lysholm scale and the range of mobility when comparing the score prior to surgery with 10 and 15 postoperative weeks. Conclusions: All-inside® technique is an adequate therapeutic option for patients with ACL tears that allows good results in short-term follow-up.


REFERENCES

  1. Chambat P. ACL tear. Orthop Traumatol Surg Res. 2013; 99 (1 Suppl.): S43-52.

  2. Swain MS, Henschke N, Kamper SJ, Downie AS, Koes BW, Maher CG. Accuracy of clinical tests in the diagnosis of anterior cruciate ligament injury: a systematic review. Chiropr Man Therap. 2014; 22: 25.

  3. Colombet P, Dejour D, Panisset JC, Siebold R. French Arthroscopy Society. Current concept of partial anterior cruciate ligament ruptures. Orthop Traumatol Surg Res. 2010; 96 (8 Suppl): S109-118.

  4. Montiel JA, Barragán HR, López CG, Lima RO, Lázaro MC, Vallecillo VH et al. Estudio del nivel de concordancia entre los diagnósticos prequirúrgico y artroscópico de lesiones meniscales asociadas a lesiones del ligamento cruzado anterior. Acta Ortop Mex. 2015; 29 (5): 266-270.

  5. Huang W, Zhang Y, Yao Z, Ma L. Clinical examination of anterior cruciate ligament rupture: a systematic review and meta-analysis. Acta Orthop Traumatol Turc. 2016; 50 (1): 22-31.

  6. Grzelak P, Podgórski MT, Stefańczyk L, Domżalski M. Ultrasonographic test for complete anterior cruciate ligament injury. Indian J Orthop. 2015; 49 (2): 143-149.

  7. Oei EH, Nikken JJ, Verstijnen AC, Ginai AZ, Myriam Hunink MG. MR imaging of the menisci and cruciate ligaments: a systematic review. Radiology. 2003; 226 (3): 837-848.

  8. Behairy NH, Dorgham MA, Khaled SA. Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee: comparison with arthroscopy. Int Orthop. 2008; 33 (4): 961-967.

  9. Kiapour AM, Murray MM. Basic science of anterior cruciate ligament injury and repair. Bone Joint Res. 2014; 3 (2): 20-31.

  10. Zaffagnini S, Grassi A, Serra M, Marcacci M. Return to sport after ACL reconstruction: how, when and why? A narrative review of current evidence. Joints. 2015; 3 (1): 25-30.

  11. Hasan S, Nayyar S, Onyekwelu I, Kalra K, Gyftopoulos S, Jazrawi LM. Complications using bioabsorbable cross-pin femoral fixation: a case report and review of the literature. Case Rep Radiol. 2011; 2011: 349230.

  12. Vaishya R, Agarwal AK, Ingole S, Vijay V. Current trends in anterior cruciate ligament reconstruction: a review. Cureus. 2015; 7 (11): e378.

  13. Pauzenberger L, Syré S, Schurz M. “Ligamentization” in hamstring tendon grafts after anterior cruciate ligament reconstruction: a systematic review of the literature and a glimpse into the future. Arthroscopy. 2013; 29 (10): 1712-1721.

  14. Kulczycka P, Larbi A, Malghem J, Thienpont E, Vande Berg B, Lecouvet F. Imaging ACL reconstructions and their complications. Diagn Interv Imaging. 2015; 96 (1): 11-19.

  15. Saka T. Principles of postoperative anterior cruciate ligament rehabilitation. World J Orthop. 2014; 5 (4): 450-459.

  16. Almazán A, Barclay F, Cruz F, Arcuri F. Reconstrucción del ligamento cruzado anterior con técnica todo-adentro. GraftLink: técnica quirúrgica. Artroscopia. 2011; 18 (3): 142-145.

  17. Shaerf DA, Pastides PS, Sarraf KM, Willis-Owen CA. Anterior cruciate ligament reconstruction best practice: a review of graft choice. World J Orthop. 2014; 5 (1): 23-29.

  18. Smith MV, Klein SE, Clohisy JC, Baca GR, Brophy RH, Wright RW. Lower extremity-specific measures of disability and outcomes in orthopaedic surgery. J Bone Joint Surg Am. 2012; 94 (5): 468-477.

  19. Angulo J. Prevalencia de lesiones ligamentarias de rodilla en militares en el Hospital Central Militar: Periodo 2010-2014 [Especialización en Ortopedia]. México: Escuela Militar de Graduados de Sanidad; 2016.




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