Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/1413-785220182602155160 http://hdl.handle.net/11449/179945 |
Resumo: | Purpose: To present a technical variation in tibial fixation of quadruple hamstring grafts during anatomic reconstruction of the anterior cruciate ligament (ACL). The secondary purpose was to decrease the costs associated with this procedure. Methods: Twenty patients who underwent ACL reconstruction were selected. A tibial tunnel was constructed using standard techniques, and a femoral tunnel was anatomically created using the outside-in technique. The hamstring autograft was passed (with its bend) into the tibial tunnel and affixed to the tibia using the suspensory technique and a simple staple. Femoral fixation was performed using a titanium interference screw. The patients underwent postoperative evaluations at 0, 3, 6 and 12 months using the subjective International Knee Documentation Committee (IKDC) form and Lysholm knee scores. Results: The IKDC and Lysholm score results improved over time (p < 0.001) without major complications. The cost of the procedure could be reduced by using lower-cost hardware (staples). Conclusion: The proposed technique for anatomic ACL reconstruction using inverted hamstring grafts with their bend in the tibial tunnel, suspension-type fixation using a staple demonstrated good to excellent results after 1 year of follow up, with lower aggregate costs. |
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Repositório Institucional da UNESP |
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Technical variation in affixing hamstring grafts to the tibia in ACL reconstructionAnterior cruciate ligament reconstructionOrthopedic fixation devicesTendonsPurpose: To present a technical variation in tibial fixation of quadruple hamstring grafts during anatomic reconstruction of the anterior cruciate ligament (ACL). The secondary purpose was to decrease the costs associated with this procedure. Methods: Twenty patients who underwent ACL reconstruction were selected. A tibial tunnel was constructed using standard techniques, and a femoral tunnel was anatomically created using the outside-in technique. The hamstring autograft was passed (with its bend) into the tibial tunnel and affixed to the tibia using the suspensory technique and a simple staple. Femoral fixation was performed using a titanium interference screw. The patients underwent postoperative evaluations at 0, 3, 6 and 12 months using the subjective International Knee Documentation Committee (IKDC) form and Lysholm knee scores. Results: The IKDC and Lysholm score results improved over time (p < 0.001) without major complications. The cost of the procedure could be reduced by using lower-cost hardware (staples). Conclusion: The proposed technique for anatomic ACL reconstruction using inverted hamstring grafts with their bend in the tibial tunnel, suspension-type fixation using a staple demonstrated good to excellent results after 1 year of follow up, with lower aggregate costs.Hospital Uniorte and Hospital Santa Casa de LondrinaInstituto de Biociências da Unesp de BotucatuInstituto de Biociências da Unesp de BotucatuHospital Uniorte and Hospital Santa Casa de LondrinaUniversidade Estadual Paulista (Unesp)Danieli, Marcus ViniciusFernandes Guerreiro, João PauloQueiroz, Alexandre OliveiraPadovani, Carlos Roberto [UNESP]2018-12-11T17:37:23Z2018-12-11T17:37:23Z2018-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article94-97application/pdfhttp://dx.doi.org/10.1590/1413-785220182602155160Acta Ortopedica Brasileira, v. 26, n. 2, p. 94-97, 2018.1413-7852http://hdl.handle.net/11449/17994510.1590/1413-785220182602155160S1413-785220180002000942-s2.0-85048440609S1413-78522018000200094.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengActa Ortopedica Brasileira0,343info:eu-repo/semantics/openAccess2023-10-10T06:08:59Zoai:repositorio.unesp.br:11449/179945Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T14:33:43.881386Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction |
title |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction |
spellingShingle |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction Danieli, Marcus Vinicius Anterior cruciate ligament reconstruction Orthopedic fixation devices Tendons |
title_short |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction |
title_full |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction |
title_fullStr |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction |
title_full_unstemmed |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction |
title_sort |
Technical variation in affixing hamstring grafts to the tibia in ACL reconstruction |
author |
Danieli, Marcus Vinicius |
author_facet |
Danieli, Marcus Vinicius Fernandes Guerreiro, João Paulo Queiroz, Alexandre Oliveira Padovani, Carlos Roberto [UNESP] |
author_role |
author |
author2 |
Fernandes Guerreiro, João Paulo Queiroz, Alexandre Oliveira Padovani, Carlos Roberto [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Hospital Uniorte and Hospital Santa Casa de Londrina Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Danieli, Marcus Vinicius Fernandes Guerreiro, João Paulo Queiroz, Alexandre Oliveira Padovani, Carlos Roberto [UNESP] |
dc.subject.por.fl_str_mv |
Anterior cruciate ligament reconstruction Orthopedic fixation devices Tendons |
topic |
Anterior cruciate ligament reconstruction Orthopedic fixation devices Tendons |
description |
Purpose: To present a technical variation in tibial fixation of quadruple hamstring grafts during anatomic reconstruction of the anterior cruciate ligament (ACL). The secondary purpose was to decrease the costs associated with this procedure. Methods: Twenty patients who underwent ACL reconstruction were selected. A tibial tunnel was constructed using standard techniques, and a femoral tunnel was anatomically created using the outside-in technique. The hamstring autograft was passed (with its bend) into the tibial tunnel and affixed to the tibia using the suspensory technique and a simple staple. Femoral fixation was performed using a titanium interference screw. The patients underwent postoperative evaluations at 0, 3, 6 and 12 months using the subjective International Knee Documentation Committee (IKDC) form and Lysholm knee scores. Results: The IKDC and Lysholm score results improved over time (p < 0.001) without major complications. The cost of the procedure could be reduced by using lower-cost hardware (staples). Conclusion: The proposed technique for anatomic ACL reconstruction using inverted hamstring grafts with their bend in the tibial tunnel, suspension-type fixation using a staple demonstrated good to excellent results after 1 year of follow up, with lower aggregate costs. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-11T17:37:23Z 2018-12-11T17:37:23Z 2018-03-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1413-785220182602155160 Acta Ortopedica Brasileira, v. 26, n. 2, p. 94-97, 2018. 1413-7852 http://hdl.handle.net/11449/179945 10.1590/1413-785220182602155160 S1413-78522018000200094 2-s2.0-85048440609 S1413-78522018000200094.pdf |
url |
http://dx.doi.org/10.1590/1413-785220182602155160 http://hdl.handle.net/11449/179945 |
identifier_str_mv |
Acta Ortopedica Brasileira, v. 26, n. 2, p. 94-97, 2018. 1413-7852 10.1590/1413-785220182602155160 S1413-78522018000200094 2-s2.0-85048440609 S1413-78522018000200094.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Acta Ortopedica Brasileira 0,343 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
94-97 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128378444709888 |