Reconstrução do ligamento cruzado anterior com o terço central do tendão do músculo quadríceps: análise de resultados após 10 anos

Guimarães, Mark Guimarães Drew Crosland; Carvalho, Lucas Resende de; Terra, Dalton Lopes

doi:10.1590/s0102-36162009000400004

Cited by 13 publications

(5 citation statements)

References 28 publications

(39 reference statements)

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“…Other graft types that were less often cited by the participants, like the central third of the quadriceps muscle and allografts, have also shown good results when used in ACL reconstructions. Thus, these can be considered to be good alternatives in reconstructing this ligament 19 , 20 , 21 .…”

Section: Discussionmentioning

confidence: 99%

Anterior Cruciate Ligament Injury: Treatment and Rehabilitation. Current Perspectives and Trends

Arliani

Astur

Kanas

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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Objective: The aim of this study was to evaluate the procedures used by knee surgeons in Brazil for treating and rehabilitating anterior cruciate ligament injuries. Methods: A questionnaire consisting of 21 closed questions was developed, addressing topics relating to treatment and rehabilitation after anterior cruciate ligament reconstruction. The questionnaire was applied to Brazilian knee surgeons during the three days of the 42nd Brazilian Congress of Orthopedics and Traumatology in 2010. Results: A total of 226 surgeons filled out the questionnaire completely. The most commonly used types of graft were hamstrings tendons and the central third of the ipsilateral patellar tendon, which were used by 82.3% and 53.5% of the sample, respectively. The technique of reconstruction with a single transtibial band was the first preference and was used by 66.4% of the participants. A period of 1 to 4 weeks between injury and surgical procedure was considered ideal by most participants (52.65%). Complaints from patients that the knee was ‘giving way’ or unstable and presence of a positive pivot shift maneuver were the most decisive factors considered in making the decision to operate the patient. Patient satisfaction and absence of complaints of instability during the postoperative period were the criteria deemed to be most important for the surgery to be considered a success. Conclusions: There are clearly evolving trends in treating and rehabilitating the anterior cruciate ligament in Brazil. However, more prospective controlled studies are needed in order to evaluate the clinical and scientific benefits of these trends.

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Section: Discussionmentioning

confidence: 99%

Anterior Cruciate Ligament Injury: Treatment and Rehabilitation. Current Perspectives and Trends

Arliani

Astur

Kanas

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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“…Thus, these can be considered to be good alternatives in reconstructing this ligament (19)(20)(21) . Sensory abnormalities during the postoperative period following ACL reconstruction, due to lesions of the infrapatellar branch of the saphenous nerve that are caused while harvesting graft material from the flexor tendon, may affect up to 74% of the patients (22) .…”

Section: Resultsmentioning

confidence: 99%

Lesão do ligamento cruzado anterior: tratamento e reabilitação. Perspectivas e tendências atuais

Arliani¹,

Astur²,

Kanas³

et al. 2012

Rev. bras. ortop.

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Objective: The aim of this study was to evaluate the procedures used by knee surgeons in Brazil for treating and rehabilitating anterior cruciate ligament injuries. Methods: A questionnaire consisting of 21 closed questions was developed, addressing topics relating to treatment and rehabilitation after anterior cruciate ligament reconstruction. The questionnaire was applied to Brazilian knee surgeons during the three days of the 42 nd Brazilian Congress of Orthopedics and Traumatology in 2010. Results: A total of 226 surgeons filled out the questionnaire completely. The most commonly used types of graft were hamstrings tendons and the central third of the ipsilateral patellar tendon, which were used by 82.3% and 53.5% of the sample, respectively. The technique of reconstruction with a single transtibial band was the first preference and was Rev Bras Ortop. 2012;47(2):191-96 used by 66.4% of the participants. A period of 1 to 4 weeks between injury and surgical procedure was considered ideal by most participants (52.65%). Complaints from patients that the knee was 'giving way' or unstable and presence of a positive pivot shift maneuver were the most decisive factors considered in making the decision to operate the patient. Patient satisfaction and absence of complaints of instability during the postoperative period were the criteria deemed to be most important for the surgery to be considered a success. Conclusions: There are clearly evolving trends in treating and rehabilitating the anterior cruciate ligament in Brazil. However, more prospective controlled studies are needed in order to evaluate the clinical and scientific benefits of these trends.

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“…Walden et al 3 em recente levantamento epidemiológico entre jogadores de futebol da primeira divisão da Europa, constatou a utilização de tendões flexores em 67% dos atletas profissionais operados na Suécia. A maioria dos trabalhos comparativos entre as duas técnicas demonstram resultados funcionais iguais, independentemente do perfil dos pacientes em relação ao sexo e ao tipo de prática esportiva 3,17,20 . Bons resultados de retorno ao esporte também podem ser conseguidos utilizando-se outros enxertos tal como o tendão quadriciptal 16 .…”

Section: Discussionunclassified

Resultados da reconstrucao do ligamento cruzado anterior em atletas amadores de futebol

Santos

Sado²,

Neto

et al. 2014

Rev Bras Med Esporte

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RESUMOIntrodução: O futebol é um esporte muito praticado em nosso meio, ocasionando uma grande incidência de lesões do ligamento cruzado anterior (LCA) . Frequentemente há necessidade de tratamento cirúrgico para se permitir o retorno à sua prática, e cada vez mais são utilizados os tendões isquiotibiais como enxertos de escolha para a técnica cirúrgica. Existem poucos dados na literatura a respeito do retorno à prática do futebol em nível amador após esse tipo de tratamento. Objetivo: Avaliar o índice de retorno à prática do futebol entre atletas amadores submetidos à reconstrução do LCA , utilizando-se como enxerto os tendões semitendíneo e grácil. Métodos: Foram avaliados 97 pacientes submetidos à reconstrução do LCA com seguimento mínimo de 2 anos. A avaliação foi feita através da escala de Lysholm e do questionamento direto a respeito do retorno à prática de esportes, com ênfase ao retorno à prática do futebol amador. Resultados: 60,8% dos pacientes operados voltaram a jogar futebol. Entre aqueles que não voltaram a praticar futebol, 9,3% continuaram a prática de outros esportes, sem que este fato estivesse relacionado com a lesão do joelho e 11,4% pararam de praticar esportes, relacionando o abandono da prática diretamente a sintomas no joelho operado. Um grande número (18,5%) de pacientes informou que não retornou ao futebol devido a variadas causas relacionadas a fatores psicológicos tais como: perda de motivação, medo de uma nova lesão e mudança de estilo de vida. Conclusão: É alto o índice de pacientes que não retornam à prática do futebol após o tratamento cirúrgico por motivos psicológicos. Portanto, existe a necessidade de mais estudos nesse campo a fim de selecionarmos melhor os pacientes e, assim, melhorarmos as indicações cirúrgicas e, consequentemente, os resultados do tratamento da lesão do LCA. Palavras

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Reconstrução do ligamento cruzado anterior com o terço central do tendão do músculo quadríceps: análise de resultados após 10 anos

Cited by 13 publications

References 28 publications

Anterior Cruciate Ligament Injury: Treatment and Rehabilitation. Current Perspectives and Trends

Anterior Cruciate Ligament Injury: Treatment and Rehabilitation. Current Perspectives and Trends

Lesão do ligamento cruzado anterior: tratamento e reabilitação. Perspectivas e tendências atuais

Resultados da reconstrucao do ligamento cruzado anterior em atletas amadores de futebol

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