Comparação entre parafuso de interferência e transcondilar na reconstrução do LCA
Carregando...
Data
2011-01-01
Autores
Danieli, Marcus Vinicius
Padovani, Carlos Roberto [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Sociedade Brasileira de Ortopedia e Traumatologia
Resumo
OBJETIVO: A fixação femoral na reconstrução do Ligamento Cruzado Anterior (LCA) com enxerto de tendões flexores pode variar muito de acordo com a disposição dos materiais e a experiência do cirurgião. Porém os trabalhos que comparam os sistemas de fixação são efetuados na maioria das vezes em cadáveres ou em animais, sem avaliar os resultados clínicos, prejudicando sua comparação com pacientes humanos vivos. Neste artigo avaliamos o resultado clínico de dois métodos de fixação do enxerto ao fêmur (parafuso de interferência de titânio e parafuso transcondilar de titânio) para saber se, do ponto de vista clinico e subjetivo, há diferença entre estes métodos. MÉTODOS: Foram selecionados 40 pacientes com lesão do LCA sendo que 20 pacientes tiveram seu enxerto fixado ao fêmur com parafuso de interferência e 20 com parafuso transcondilar. Todos foram reavaliados com no mínimo dois anos de pós operatório para medição da gaveta anterior, Pivot Shift e teste de Lachman, além da obtenção dos questionário de Lysholm e IKDC (International Knee Documentation Committee). RESULTADOS: Os resultados não foram estatisticamente diferentes para os critérios avaliados. CONCLUSÃO: As duas formas de fixação são eficientes para esta técnica dentro dos parâmetros estabelecidos. Nível de Evidência II, Estudo Prospectivo Comparativo.
OBJECTIVE: Femoral fixation in ACL reconstruction with flexor tendon grafts can vary greatly according to the provision of materials and the surgeon's experience. But studies comparing fixation systems are most often performed on cadavers or animals, without evaluating the clinical results, which affects their comparison with live human patients. This article evaluates the clinical and subjective outcomes of two methods of graft fixation to the femur (Titanium interference screw and titanium transcondilar device) to determine whether there is any difference between these methods. METHODS: Forty patients with ACL injury were selected. of these, 20 had their graft fixed to the femur with interference screw and 20 with the transcondylar device. All the patients were reevaluated at least two years postoperatively by the anterior drawer test, pivot shift test and Lachman test, as well as obtaining the Lysholm and IKDC (International Knee Documentation Committee) scores. Results: The results were not statistically different for the criteria evaluated, which leads to the conclusion that. CONCLUSION: Both forms of fixation are effective for this technique, within the parameters established. Level of Evidence II, Prospective Comparative study.
OBJECTIVE: Femoral fixation in ACL reconstruction with flexor tendon grafts can vary greatly according to the provision of materials and the surgeon's experience. But studies comparing fixation systems are most often performed on cadavers or animals, without evaluating the clinical results, which affects their comparison with live human patients. This article evaluates the clinical and subjective outcomes of two methods of graft fixation to the femur (Titanium interference screw and titanium transcondilar device) to determine whether there is any difference between these methods. METHODS: Forty patients with ACL injury were selected. of these, 20 had their graft fixed to the femur with interference screw and 20 with the transcondylar device. All the patients were reevaluated at least two years postoperatively by the anterior drawer test, pivot shift test and Lachman test, as well as obtaining the Lysholm and IKDC (International Knee Documentation Committee) scores. Results: The results were not statistically different for the criteria evaluated, which leads to the conclusion that. CONCLUSION: Both forms of fixation are effective for this technique, within the parameters established. Level of Evidence II, Prospective Comparative study.
Descrição
Palavras-chave
Ligamento cruzado anterior, Parafusos ósseos, Ligamento cruzado anterior, Anterior cruciate ligamento, Bone screws, Anterior cruciate ligamento
Como citar
Acta Ortopédica Brasileira. Sociedade Brasileira de Ortopedia e Traumatologia, v. 19, n. 6, p. 338-341, 2011.