Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes
Autor(a) principal: | |
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Data de Publicação: | 2019 |
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=S0102-36162019000200178 |
Resumo: | Abstract Objective The aim of the present study was to evaluate the clinical results, functional outcomes, and risk factors after anatomic reconstructions using knee flexor grafts in athletes. Methods The authors followed-up 32 patients and 34 knees for 1 year in a prospective design case series evaluating pre- and postoperative functional scores (Kujala and Lysholm) and associated risk factors. Results All of the 32 patients had a significant increase of the Lysholm and Kujala scores. Patients with < 5 preoperative dislocations had a better score on the Lysholm and Kujala scales. The mean preoperative Lysholm score was 62.8, and the mean postoperative score was 94.3. The mean preoperative Kujala score was 63.0, and the mean postoperative score was 94.0. Conclusion Medial patellofemoral ligament reconstruction with hamstring graft in athletes with patellar instability improved clinical and functional scores. The bone drilling through the patella and the positioning of the femoral tunnel should be judiciously performed. |
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Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletesjoint instabilityjoint ligamentspatellar dislocationpatellofemoral jointathletesAbstract Objective The aim of the present study was to evaluate the clinical results, functional outcomes, and risk factors after anatomic reconstructions using knee flexor grafts in athletes. Methods The authors followed-up 32 patients and 34 knees for 1 year in a prospective design case series evaluating pre- and postoperative functional scores (Kujala and Lysholm) and associated risk factors. Results All of the 32 patients had a significant increase of the Lysholm and Kujala scores. Patients with < 5 preoperative dislocations had a better score on the Lysholm and Kujala scales. The mean preoperative Lysholm score was 62.8, and the mean postoperative score was 94.3. The mean preoperative Kujala score was 63.0, and the mean postoperative score was 94.0. Conclusion Medial patellofemoral ligament reconstruction with hamstring graft in athletes with patellar instability improved clinical and functional scores. The bone drilling through the patella and the positioning of the femoral tunnel should be judiciously performed.Sociedade Brasileira de Ortopedia e Traumatologia2019-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200178Revista Brasileira de Ortopedia v.54 n.2 2019reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rbo.2017.10.004info:eu-repo/semantics/openAccessGarms,EmersonCarvalho,Rogerio Teixeira deJanovsky,CésarNicolini,Alexandre PedroSalviani,Rafael SalmeronLiggieri,Andre Ciconeeng2019-05-29T00:00:00Zoai:scielo:S0102-36162019000200178Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2019-05-29T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes |
title |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes |
spellingShingle |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes Garms,Emerson joint instability joint ligaments patellar dislocation patellofemoral joint athletes |
title_short |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes |
title_full |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes |
title_fullStr |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes |
title_full_unstemmed |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes |
title_sort |
Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes |
author |
Garms,Emerson |
author_facet |
Garms,Emerson Carvalho,Rogerio Teixeira de Janovsky,César Nicolini,Alexandre Pedro Salviani,Rafael Salmeron Liggieri,Andre Cicone |
author_role |
author |
author2 |
Carvalho,Rogerio Teixeira de Janovsky,César Nicolini,Alexandre Pedro Salviani,Rafael Salmeron Liggieri,Andre Cicone |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Garms,Emerson Carvalho,Rogerio Teixeira de Janovsky,César Nicolini,Alexandre Pedro Salviani,Rafael Salmeron Liggieri,Andre Cicone |
dc.subject.por.fl_str_mv |
joint instability joint ligaments patellar dislocation patellofemoral joint athletes |
topic |
joint instability joint ligaments patellar dislocation patellofemoral joint athletes |
description |
Abstract Objective The aim of the present study was to evaluate the clinical results, functional outcomes, and risk factors after anatomic reconstructions using knee flexor grafts in athletes. Methods The authors followed-up 32 patients and 34 knees for 1 year in a prospective design case series evaluating pre- and postoperative functional scores (Kujala and Lysholm) and associated risk factors. Results All of the 32 patients had a significant increase of the Lysholm and Kujala scores. Patients with < 5 preoperative dislocations had a better score on the Lysholm and Kujala scales. The mean preoperative Lysholm score was 62.8, and the mean postoperative score was 94.3. The mean preoperative Kujala score was 63.0, and the mean postoperative score was 94.0. Conclusion Medial patellofemoral ligament reconstruction with hamstring graft in athletes with patellar instability improved clinical and functional scores. The bone drilling through the patella and the positioning of the femoral tunnel should be judiciously performed. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-01 |
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=S0102-36162019000200178 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200178 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rbo.2017.10.004 |
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.54 n.2 2019 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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1752122361921929216 |