Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200203 |
Resumo: | ABSTRACT OBJECTIVE: To present the outcomes of posterior cruciate ligament (PCL) double-bundle reconstruction using autologous hamstring tendons, with a minimum follow-up of two years. METHODS: Evaluation of 16 cases of PCL injury that underwent double-bundle reconstruction with autogenous hamstring tendons, between 2011 and 2013. The final sample consisted of 16 patients, 15 men and one woman, with a mean age of 31 years (21-49). The predominant mechanism was motorcycle accident in half of the cases. There was a mean interval of 15 months between the time of lesion and the surgery (three to 52 months). Five lesions were isolated and 11, associated. Clinical evaluation, application of validated scores, and measurements with use of the KT-1000 were performed. RESULTS: The analysis showed a mean preoperative Lysholm score of 50 points (28-87), progressing to 94 points (85-100) postoperatively. The IKDC score also demonstrated improvement. In the preoperative evaluation, four and 12 patients were respectively classified as C (abnormal) and D (very unusual), and in the postoperative evaluation six as A (normal) and ten as B (close to normal). In the post-operative evaluation by KT1000 arthrometer, 13 patients showed difference between 0-2 mm and 3 between 3 and 5 mm, when compared with the contralateral side. CONCLUSION: Autologous hamstring tendons are a viable option in double-bundle reconstruction of the PCL, with good clinical results in a minimum follow-up of two years. |
id |
SBOT-2_667ae93fa98897d6c629a375a95db9c8 |
---|---|
oai_identifier_str |
oai:scielo:S0102-36162017000200203 |
network_acronym_str |
SBOT-2 |
network_name_str |
Revista Brasileira de Ortopedia (Online) |
repository_id_str |
|
spelling |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-upKnee/surgeryPosterior cruciate ligamentKnee injuriesEvaluation of results of therapeutic interventionsABSTRACT OBJECTIVE: To present the outcomes of posterior cruciate ligament (PCL) double-bundle reconstruction using autologous hamstring tendons, with a minimum follow-up of two years. METHODS: Evaluation of 16 cases of PCL injury that underwent double-bundle reconstruction with autogenous hamstring tendons, between 2011 and 2013. The final sample consisted of 16 patients, 15 men and one woman, with a mean age of 31 years (21-49). The predominant mechanism was motorcycle accident in half of the cases. There was a mean interval of 15 months between the time of lesion and the surgery (three to 52 months). Five lesions were isolated and 11, associated. Clinical evaluation, application of validated scores, and measurements with use of the KT-1000 were performed. RESULTS: The analysis showed a mean preoperative Lysholm score of 50 points (28-87), progressing to 94 points (85-100) postoperatively. The IKDC score also demonstrated improvement. In the preoperative evaluation, four and 12 patients were respectively classified as C (abnormal) and D (very unusual), and in the postoperative evaluation six as A (normal) and ten as B (close to normal). In the post-operative evaluation by KT1000 arthrometer, 13 patients showed difference between 0-2 mm and 3 between 3 and 5 mm, when compared with the contralateral side. CONCLUSION: Autologous hamstring tendons are a viable option in double-bundle reconstruction of the PCL, with good clinical results in a minimum follow-up of two years.Sociedade Brasileira de Ortopedia e Traumatologia2017-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200203Revista Brasileira de Ortopedia v.52 n.2 2017reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.02.006info:eu-repo/semantics/openAccessCury,Ricardo de Paula LeiteCastro Filho,Rômulo NevesSadatsune,Daniel AkiraPrado,Davi Ribeiro doGonçalves,Ricardo José PeruzzoMestriner,Marcos Barbierieng2017-05-04T00:00:00Zoai:scielo:S0102-36162017000200203Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2017-05-04T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up |
title |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up |
spellingShingle |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up Cury,Ricardo de Paula Leite Knee/surgery Posterior cruciate ligament Knee injuries Evaluation of results of therapeutic interventions |
title_short |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up |
title_full |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up |
title_fullStr |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up |
title_full_unstemmed |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up |
title_sort |
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up |
author |
Cury,Ricardo de Paula Leite |
author_facet |
Cury,Ricardo de Paula Leite Castro Filho,Rômulo Neves Sadatsune,Daniel Akira Prado,Davi Ribeiro do Gonçalves,Ricardo José Peruzzo Mestriner,Marcos Barbieri |
author_role |
author |
author2 |
Castro Filho,Rômulo Neves Sadatsune,Daniel Akira Prado,Davi Ribeiro do Gonçalves,Ricardo José Peruzzo Mestriner,Marcos Barbieri |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Cury,Ricardo de Paula Leite Castro Filho,Rômulo Neves Sadatsune,Daniel Akira Prado,Davi Ribeiro do Gonçalves,Ricardo José Peruzzo Mestriner,Marcos Barbieri |
dc.subject.por.fl_str_mv |
Knee/surgery Posterior cruciate ligament Knee injuries Evaluation of results of therapeutic interventions |
topic |
Knee/surgery Posterior cruciate ligament Knee injuries Evaluation of results of therapeutic interventions |
description |
ABSTRACT OBJECTIVE: To present the outcomes of posterior cruciate ligament (PCL) double-bundle reconstruction using autologous hamstring tendons, with a minimum follow-up of two years. METHODS: Evaluation of 16 cases of PCL injury that underwent double-bundle reconstruction with autogenous hamstring tendons, between 2011 and 2013. The final sample consisted of 16 patients, 15 men and one woman, with a mean age of 31 years (21-49). The predominant mechanism was motorcycle accident in half of the cases. There was a mean interval of 15 months between the time of lesion and the surgery (three to 52 months). Five lesions were isolated and 11, associated. Clinical evaluation, application of validated scores, and measurements with use of the KT-1000 were performed. RESULTS: The analysis showed a mean preoperative Lysholm score of 50 points (28-87), progressing to 94 points (85-100) postoperatively. The IKDC score also demonstrated improvement. In the preoperative evaluation, four and 12 patients were respectively classified as C (abnormal) and D (very unusual), and in the postoperative evaluation six as A (normal) and ten as B (close to normal). In the post-operative evaluation by KT1000 arthrometer, 13 patients showed difference between 0-2 mm and 3 between 3 and 5 mm, when compared with the contralateral side. CONCLUSION: Autologous hamstring tendons are a viable option in double-bundle reconstruction of the PCL, with good clinical results in a minimum follow-up of two years. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200203 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200203 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2017.02.006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.52 n.2 2017 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
_version_ |
1752122360576606208 |