Estudo radiográfico da reconstrução do ligamento cruzado anterior pela via transtibial

Estudo radiográfico da reconstrução do ligamento cruzado anterior pela via transtibial

Alternative title Radiological study of reconstruction of the anterior cruciate ligament by transtibial approach
Author Fernandes, Rafael de Souza Campos Google Scholar
Franciozi, Carlos Eduardo da Silveira Autor UNIFESP Google Scholar
Campos Fernandes, Ricardo de Souza Google Scholar
Subtil de Oliveira, Marlon Alves Google Scholar
Nascimento, Laura Google Scholar
McNeill Ingham, Sheila Jean Autor UNIFESP Google Scholar
Daher, Samir Salim Google Scholar
Waisberg, Jaques Google Scholar
Abdalla, Rene Jorge Autor UNIFESP Google Scholar
Institution Hosp Coracao HCor
Inst Assistencia Med Servidor Publ Estadual IAMSP
Universidade Federal de São Paulo (UNIFESP)
Abstract Introduction: the rupture of the anterior cruciate ligament (ACL) is often due to sports activities and its reconstruction methods have undergone constant changes due to improvements in the surgical techniques. Objective: To evaluate the radiological placement of the tibial and femoral tunnels using the transtibial technique assisted by the femoral pre-drilling. Method: Radiological analysis (AP and lateral), at 4 weeks postoperatively in 98 patients, totaling 100 cases of ACL reconstruction. Three examiners evaluated the placement of the tibial and femoral tunnels. Methods for assessing the positioning of the tunnels were: Scanlan, Staubli and Rauschning and Bernard. Results: the a angle (AP) was 64.13 degrees (+/- 4.29 degrees) and the beta angle (lateral) was 57.28 degrees (+/- 4.41 degrees). the mean tibial positioning was 41.99% (+/- 5.14%). the ACL graft was inserted into the lateral condyle of the femur and the average percentage of radiographic positioning in the green quadrant was 62%, the yellow quadrant, 37% and 1% in the red quadrant. Conclusions: the transtibial technique for ACL reconstruction, assisted by the femoral pre-drilling provides the anatomical position of the graft in the majority of the cases, as radiological evidence.
Keywords anterior cruciate ligament
tibia
knee
reconstruction
Language Portuguese
Date 2014-07-01
Published in Revista Brasileira de Medicina Do Esporte. São Paulo, SP: Soc Brasileira Med Esporte, v. 20, n. 4, p. 294-298, 2014.
ISSN 1517-8692 (Sherpa/Romeo, impact factor)
Publisher Soc Brasileira Med Esporte
Extent 294-298
Origin http://dx.doi.org/10.1590/1517-86922014200401935
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000341778000010
SciELO ID S1517-86922014000400294 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/37906

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