ObjectiveGain in elbow flexion in patients with brachial plexus injury is extremely important. The transfer of a fascicle from the ulnar nerve to the motor branch of the musculocutaneous nerve (Oberlin surgery) is a treatment option. However, in some patients, gain in elbow flexion is associated with wrist and finger flexion. This study aimed to assess the frequency of this association and the functional behavior of the limb.MethodsCase–control study of 18 patients who underwent the Oberlin surgery. Group 1 included patients without disassociation of range of elbow flexion and that of the fingers and wrist; Group 2 included patients in whom this disassociation was present. In the functional evaluation, the Sollerman and DASH tests were used.ResultsIt was observed that 38.89% of the patients did not present disassociation of elbow flexion with flexion of the wrist and fingers. Despite the existence of a favorable difference in the group with disassociation of the movement, when the Sollerman protocol was applied to the comparison between both groups, this difference was not statistically significant. With the DASH test, however, there was a statistically significant difference in favor of the group of patients who managed to disassociate the movement.ConclusionThe association of elbow flexion with flexion of the wrist and fingers, in the group studied, was shown to be a frequent event, which influenced the functional result of the affected limb.

r e v b r a s o r t o p . 2 0 1 5;5 0(1):50-56 w w w . r b o . o r g . b r Artigo Original informações sobre o artigo Histórico do artigo: Recebido em 7 de setembro de 2013 Aceito em 24 de outubro de 2013 On-line em 24 de janeiro de 2015 Palavras-chave: Reconstrução do ligamento cruzado anterior Transplantes Tendões r e s u m o Objetivo: Comparar o resultado funcional do tratamento cirúrgico da reconstrução anatô-mica do ligamento cruzado anterior (LCA) com banda única com o uso de dois tipos de enxerto autólogos. Métodos: Foram avaliados prospectivamente 27 pacientes, submetidos à reconstrução anatô-mica do LCA pela técnica de Chambat, divididos em dois grupos: A, com 14 e uso como enxerto dos tendões flexores; e B, com 13 e uso como enxerto do tendão patelar. Em ambos os grupos foi feita fixação com parafuso de interferência absorvível. Resultados: Com base no escore de Lysholm, o grupo A apresentou pontuação média de 71,6 no primeiro mês, enquanto o B apresentou 75. Já no fim do sexto mês ambos apresentaram 96,6. A avaliação do IKDC total mostrou que no primeiro mês a maioria dos pacientes, tanto no grupo A (85,7%) no grupo B (76,9%), apresentava uma avaliação do joelho próximo do normal e no sexto mês o grupo A apresentou 92,9% como normal e o grupo B, 100%. Conclusão: Os resultados, segundo avaliação funcional de Lysholm e subjetiva do IKDC, não apresentaram diferenças estatisticamente significantes entre os grupos e foram melhores no sexto mês. Reconstruction of the anterior cruciate ligament Transplants Tendons a b s t r a c t Objective: To compare the functional results from surgical treatment for anatomical reconstruction of the anterior cruciate ligament (ACL) with a single band, using two types of autologous grafts.Methods: Twenty-seven patients who underwent anatomical reconstruction of the ACL by means of the Chambat technique were evaluated prospectively. They were divided into two

ObjectiveTo compare the functional results from surgical treatment for anatomical reconstruction of the anterior cruciate ligament (ACL) with a single band, using two types of autologous grafts.MethodsTwenty-seven patients who underwent anatomical reconstruction of the ACL by means of the Chambat technique were evaluated prospectively. They were divided into two groups: A, with 14 patients, using grafts from flexor tendons; and B, with 13 patients, using grafts from the patellar tendon. In both groups, fixation was performed using an absorbable interference screw.ResultsBased on the Lysholm score, group A presented a mean score of 71.6 in the first month, while B presented 75. At the end of the sixth month, both groups presented 96.6. Evaluation of the total IKDC showed that in the first month, the majority of the patients, both in group A (85.7%) and in group B (76.9%), presented a knee assessment that was close to normal. In the sixth month, 92.9% of group A had normal presentations, and 100% of group B.ConclusionAccording to the Lysholm functional evaluation and the IKDC subjective assessment, there was no statistically significant difference in the results between the groups, and the results were better in the sixth month.

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