Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix,
Autor(a) principal: | |
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Data de Publicação: | 2014 |
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=S0102-36162014000600619 |
Resumo: | Objective:To evaluate a series of patients who underwent surgery for reconstruction of the anterior cruciate ligament with flexor tendons, by means of the anteromedial transportal technique using Rigidfix for femoral fixation, and to analyze the positioning of the pins by means of tomography.Methods:Thirty-two patients were included in the study. The clinical evaluation was done using the Lysholm, subjective IKDC and Rolimeter. All of them underwent computed tomography with 3D reconstruction in order to evaluate the entry point and positioning of the Rigidfix pins in relation to the joint cartilage of the lateral condyle of the femur.Results:The mean Lysholm score obtained was 87.81 and the subjective IKDC was 83.72. Among the 32 patients evaluated, 43% returned to activities that were considered to be very vigorous, 9% vigorous, 37.5% moderate and 12.5% light. In 16 patients (50%), the distal entry point of the Rigidfix pin was located outside of the cartilage (extracartilage); in seven (21.87%), the distal pin injured the joint cartilage (intracartilage); and in nine (28.12%), it was at the border of the lateral condyle of the femur.Conclusion:The patients who underwent ACL reconstruction by means of the anteromedial transportal using the Rigidfix system presented satisfactory clinical results over the length of follow-up evaluated. However, the risk of lesions of the joint cartilage from the distal Rigidfix pin needs to be taken into consideration when the technique via an anteromedial portal is used. Further studies with larger numbers of patients and longer follow-up times should be conducted for better evaluation. |
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Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix,Knee/surgeryAnterior cruciate ligamentReconstructionObjective:To evaluate a series of patients who underwent surgery for reconstruction of the anterior cruciate ligament with flexor tendons, by means of the anteromedial transportal technique using Rigidfix for femoral fixation, and to analyze the positioning of the pins by means of tomography.Methods:Thirty-two patients were included in the study. The clinical evaluation was done using the Lysholm, subjective IKDC and Rolimeter. All of them underwent computed tomography with 3D reconstruction in order to evaluate the entry point and positioning of the Rigidfix pins in relation to the joint cartilage of the lateral condyle of the femur.Results:The mean Lysholm score obtained was 87.81 and the subjective IKDC was 83.72. Among the 32 patients evaluated, 43% returned to activities that were considered to be very vigorous, 9% vigorous, 37.5% moderate and 12.5% light. In 16 patients (50%), the distal entry point of the Rigidfix pin was located outside of the cartilage (extracartilage); in seven (21.87%), the distal pin injured the joint cartilage (intracartilage); and in nine (28.12%), it was at the border of the lateral condyle of the femur.Conclusion:The patients who underwent ACL reconstruction by means of the anteromedial transportal using the Rigidfix system presented satisfactory clinical results over the length of follow-up evaluated. However, the risk of lesions of the joint cartilage from the distal Rigidfix pin needs to be taken into consideration when the technique via an anteromedial portal is used. Further studies with larger numbers of patients and longer follow-up times should be conducted for better evaluation.Sociedade Brasileira de Ortopedia e Traumatologia2014-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600619Revista Brasileira de Ortopedia v.49 n.6 2014reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2014.10.004info:eu-repo/semantics/openAccessInácio,André ManoelLopes Júnior,Osmar ValadãoKuhn,AndréSaggin,José IdílioSaggin,Paulo Renato FernandesSpinelli,Leandro de FreitasCastro,Daniela Medeiros deeng2015-09-23T00:00:00Zoai:scielo:S0102-36162014000600619Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2015-09-23T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, |
title |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, |
spellingShingle |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, Inácio,André Manoel Knee/surgery Anterior cruciate ligament Reconstruction |
title_short |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, |
title_full |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, |
title_fullStr |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, |
title_full_unstemmed |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, |
title_sort |
Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix, |
author |
Inácio,André Manoel |
author_facet |
Inácio,André Manoel Lopes Júnior,Osmar Valadão Kuhn,André Saggin,José Idílio Saggin,Paulo Renato Fernandes Spinelli,Leandro de Freitas Castro,Daniela Medeiros de |
author_role |
author |
author2 |
Lopes Júnior,Osmar Valadão Kuhn,André Saggin,José Idílio Saggin,Paulo Renato Fernandes Spinelli,Leandro de Freitas Castro,Daniela Medeiros de |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Inácio,André Manoel Lopes Júnior,Osmar Valadão Kuhn,André Saggin,José Idílio Saggin,Paulo Renato Fernandes Spinelli,Leandro de Freitas Castro,Daniela Medeiros de |
dc.subject.por.fl_str_mv |
Knee/surgery Anterior cruciate ligament Reconstruction |
topic |
Knee/surgery Anterior cruciate ligament Reconstruction |
description |
Objective:To evaluate a series of patients who underwent surgery for reconstruction of the anterior cruciate ligament with flexor tendons, by means of the anteromedial transportal technique using Rigidfix for femoral fixation, and to analyze the positioning of the pins by means of tomography.Methods:Thirty-two patients were included in the study. The clinical evaluation was done using the Lysholm, subjective IKDC and Rolimeter. All of them underwent computed tomography with 3D reconstruction in order to evaluate the entry point and positioning of the Rigidfix pins in relation to the joint cartilage of the lateral condyle of the femur.Results:The mean Lysholm score obtained was 87.81 and the subjective IKDC was 83.72. Among the 32 patients evaluated, 43% returned to activities that were considered to be very vigorous, 9% vigorous, 37.5% moderate and 12.5% light. In 16 patients (50%), the distal entry point of the Rigidfix pin was located outside of the cartilage (extracartilage); in seven (21.87%), the distal pin injured the joint cartilage (intracartilage); and in nine (28.12%), it was at the border of the lateral condyle of the femur.Conclusion:The patients who underwent ACL reconstruction by means of the anteromedial transportal using the Rigidfix system presented satisfactory clinical results over the length of follow-up evaluated. However, the risk of lesions of the joint cartilage from the distal Rigidfix pin needs to be taken into consideration when the technique via an anteromedial portal is used. Further studies with larger numbers of patients and longer follow-up times should be conducted for better evaluation. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-12-01 |
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=S0102-36162014000600619 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600619 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2014.10.004 |
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.49 n.6 2014 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 |
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1752122359534321664 |