r e v b r a s o r t o p . 2 0 1 5;5 0(1):50-56 w w w . r b o . o r g . b r Artigo Original informações sobre o artigo Histórico do artigo: Recebido em 7 de setembro de 2013 Aceito em 24 de outubro de 2013 On-line em 24 de janeiro de 2015 Palavras-chave: Reconstrução do ligamento cruzado anterior Transplantes Tendões r e s u m o Objetivo: Comparar o resultado funcional do tratamento cirúrgico da reconstrução anatô-mica do ligamento cruzado anterior (LCA) com banda única com o uso de dois tipos de enxerto autólogos. Métodos: Foram avaliados prospectivamente 27 pacientes, submetidos à reconstrução anatô-mica do LCA pela técnica de Chambat, divididos em dois grupos: A, com 14 e uso como enxerto dos tendões flexores; e B, com 13 e uso como enxerto do tendão patelar. Em ambos os grupos foi feita fixação com parafuso de interferência absorvível. Resultados: Com base no escore de Lysholm, o grupo A apresentou pontuação média de 71,6 no primeiro mês, enquanto o B apresentou 75. Já no fim do sexto mês ambos apresentaram 96,6. A avaliação do IKDC total mostrou que no primeiro mês a maioria dos pacientes, tanto no grupo A (85,7%) no grupo B (76,9%), apresentava uma avaliação do joelho próximo do normal e no sexto mês o grupo A apresentou 92,9% como normal e o grupo B, 100%. Conclusão: Os resultados, segundo avaliação funcional de Lysholm e subjetiva do IKDC, não apresentaram diferenças estatisticamente significantes entre os grupos e foram melhores no sexto mês. Reconstruction of the anterior cruciate ligament Transplants Tendons a b s t r a c t 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
ObjectiveTo 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.MethodsTwenty-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.ResultsBased 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.ConclusionAccording 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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