Reconstrução anatômica do ligamento cruzado anterior com dupla banda: estudo prospectivo com seguimento de dois anos

Gali, Julio Cesar; Mod, Mauricio Sante Bettio; Mimura, Hélio Massahiro; Kushiyama, Walberto

doi:10.1590/s0102-36162011000100006

Cited by 4 publications

(4 citation statements)

References 26 publications

(24 reference statements)

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“…Some authors advocate using a double band, but others do not. In theory, a double band presents several advantages, such as making a greater graft-bone area available, thereby favoring greater anchorage of collagen fibers (19)(20)(21) . Construction of the tunnels can be done independently, thus Figure 3 -KT-1000 arthrometer.…”

Section: Discussionmentioning

confidence: 99%

Reconstrução anatômica do ligamento cruzado anterior do joelho: banda dupla ou banda simples?

Zanella¹,

Bervig²,

Badotti³

et al. 2012

Rev. bras. ortop.

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Objective: To evaluate the double-band and single-band techniques for anatomical reconstruction of the anterior cruciate ligament of the knee and demonstrate that the doubleband technique not only provides greater anterior stability but also causes less pain and a better subjective patient response. Methods: We selected 42 patients who underwent anterior cruciate ligament reconstruction, by means of either the single-band anatomical reconstruction technique, using flexor tendon grafts with two tunnels, or the double-band anatomical reconstruction technique, using four tunnels and grafts from the semitendinosus and gracilis tendons. All fixations were performed using interference screws. There was no variation in the sample. Before the operation, the objective Rev Bras Ortop. 2012;47(2): [197][198][199][200][201][202][203] and subjective IKDC scores, Lysholm score and length of time with the injury were evaluated. All these variables were reassessed six months later, and the KT-1000 correlation with the contralateral knee was also evaluated. Results: There was no significant difference between the two groups in subjective evaluations, but the single-band group showed better results in relation to range of motion and objective evaluations including KT-1000 (with statistical significance). Conclusion: Our study demonstrated that there was no difference between the two groups in subjective evaluations, but better results were found using the single-band anatomical technique, in relation to objective evaluations.

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Section: Discussionmentioning

confidence: 99%

Reconstrução anatômica do ligamento cruzado anterior do joelho: banda dupla ou banda simples?

Zanella¹,

Bervig²,

Badotti³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

show abstract

“…Some authors advocate using a double band, but others do not. In theory, a double band presents several advantages, such as making a greater graft-bone area available, thereby favoring greater anchorage of collagen fibers 19 , 20 , 21 . Construction of the tunnels can be done independently, thus ensuring that the correct angle is used for each band, as described by Yasuda et al (13) .…”

Section: Discussionmentioning

confidence: 99%

Anatomical Reconstruction of Anterior Cruciate Ligament of the Knee: Double Band or Single Band?

Zanella¹,

Bervig²,

Badotti³

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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Objective: To evaluate the double-band and single-band techniques for anatomical reconstruction of the anterior cruciate ligament of the knee and demonstrate that the double-band technique not only provides greater anterior stability but also causes less pain and a better subjective patient response. Methods: We selected 42 patients who underwent anterior cruciate ligament reconstruction, by means of either the single-band anatomical reconstruction technique, using flexor tendon grafts with two tunnels, or the double-band anatomical reconstruction technique, using four tunnels and grafts from the semitendinosus and gracilis tendons. All fixations were performed using interference screws. There was no variation in the sample. Before the operation, the objective and subjective IKDC scores, Lysholm score and length of time with the injury were evaluated. All these variables were reassessed six months later, and the KT-1000 correlation with the contralateral knee was also evaluated. Results: There was no significant difference between the two groups in subjective evaluations, but the single-band group showed better results in relation to range of motion and objective evaluations including KT-1000 (with statistical significance). Conclusion: Our study demonstrated that there was no difference between the two groups in subjective evaluations, but better results were found using the single-band anatomical technique, in relation to objective evaluations.

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“…We always use an accessory anteromedial port: the arthroscope is placed in the anteromedial portal in order to better view the anteromedial and posterolateral insertions in the lateral femoral condyle. Through the accessory anteromedial portal, we mark out the insertions of the anterior cruciate ligament in the lateral femoral condyle ( 6 ) and the drilling positions for the tunnels. Fu et al ( 7 ) reported that anteromedial femoral tunnels were accurately constructed through an anteromedial tibial tunnel in only 10% of the cases, whereas this was achieved through a posterolateral tibial tunnel in 60% of the cases and through an accessory anteromedial portal in 100% of the cases in which this was the chosen access route.…”

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confidence: 99%

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Gali

Oliveira

2011

Revista Brasileira de Ortopedia (English Edition)

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Reconstrução anatômica do ligamento cruzado anterior com dupla banda: estudo prospectivo com seguimento de dois anos

Cited by 4 publications

References 26 publications

Reconstrução anatômica do ligamento cruzado anterior do joelho: banda dupla ou banda simples?

Reconstrução anatômica do ligamento cruzado anterior do joelho: banda dupla ou banda simples?

Anatomical Reconstruction of Anterior Cruciate Ligament of the Knee: Double Band or Single Band?

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