Revista de la Facultad de Medicina

Comparative study between primary reconstructions of anterior cruciate ligament and the use of bone-tendon-bone autograft.

DOI: https://doi.org/10.37345/23045329.v1i21.42

Artículos | Publicado: 2016-12-30

Autores:

  • José Antonio Prieto
  • Hector Nuila

Introduction: The use of autograft is the procedure of choice for reconstruction of the anterior cruciate ligament (ACL). The success is based on its results and postoperative quality of life. Primary reconstruction is a new technique with promising results and decreased complications. This technique is exposed to ensure stabilization without the use of grafts. Objective: Compare results between primary repair and reconstruction using bone-tendon-bone autograft. Methods: A clinical epidemiological cross-sectional study was conducted using variables of central tendency for measuring results. Postoperative follow-up was given to patients measuring the variables of pain, range of motion, and incorporation time to
exercise. Results: Follow up to meet the rehabilitation protocol. The average pain was 4.6 ± 1.33, the range of motion in flexion was 90.16º ± 3.23 in the first week, and the time returning to the exercise was 13.84 ±3.14 weeks. Conclusions: No difference was found in the results of postoperative pain. A marked difference was observed in the ranges of motion and incorporation time to exercise, favoring primary repair in the time it took patients to return to physical activity.

Miller, M.D. Anterior Cruciate Ligament. In: Miller, M.D, Sanders, T (eds.) Presentation, Imaging and Treatment of Common Musculoskeletal Conditions. Philadelphia: Elsevier Inc; 2012. p. 419-30.

Miller, M.D. Anterior Cruciate Ligament Injury. In: Miller, M, Macknight, J, Hart, J (eds.) Essential Orthopaedics. Philadelphia: Elsevier Inc; c2010. p. 611-615.

Scott, N. Complications of Anterior Cruciate Ligament Reconstruction. In: Archibald, J.D, Baer, G.S (eds.) Insall & Scott Surgery of the Knee. Baltimore: Elsevier Inc; 2012. p. 428-34.

Weninger, P, Wepner, F, Kissler, F, Enenkel, M, Wurnig, C. Anatomic Double-Bundle Reinsertion After Acute Proximal Anterior Cruciate Ligament Injury Using Knotless PushLock Anchors. Arthrosc Tech. 2015; 4(1): e1-e6.

DiFelice, G.S, Villegas, C, Taylor, S. Anterior Cruciate Ligament Preservation: Early Results of a Novel Arthroscopic Technique for Suture Anchor Primary Anterior Cruciate Ligament Repair. Arthroscopy. 2015; 31(11): 2162-2171.

Taylor, S.A, Khair, T.R, DiFelice, G.S. Primary Repair of the Anterior Cruciate Ligament: A Systematic Review. Arthroscopy. 2015; 31(11): 1-15.

Macdonald, S.A, Heard, S.M, Hiemstra, L.A, Buchko, G.M.L, Kerslake, S. A comparison of pain scores and medication use in patients undergoing single-bundle or double- bundle anterior cruciate ligament reconstruction. Can J Surg. 2014; 57(3): e98-104.

Reverte-vinaixa, M.M, Minguell, J, Joshi, N, Díaz-ferreiro, E. . .W, Duarri, G. Revision anterior cruciate ligament reconstruction using tibial or hamstring tendon allografts. J Ortho Surg. 2014; 22(1): 60-4.

Sasaki, S, Tsuda, E, Hiraga, Y, Yamamoto, Y, Maeda, S. Prospective Randomized Study of Objective and Subjective Clinical Results Between Double-Bundle and Single-Bundle Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2016; 44(4): 855-64.

Legnani, C, Zini, S.M, Borgo, E, Ventura, A. Can graft choice affect return to sport following revision anterior cruciate ligament reconstruction surgery? Arch Orthop Trauma Surg. 2016; 136(4): 527-31.

Tiftikci, U, Serbest, S, Kilinic, C . Y, Karabicak, G, Vergili, O. Return to work in miners following anterior cruciate ligament reconstruction. Pan Afr Med J. 2015; 22(173).

https://revista-medicina.ufm.edu

Facultad de Medicina de la Universidad Francisco Marroquín

Email: revistamedicina@ufm.edu

ISSN online 2304-5353 / ISSN printed 2304-5329

 

Cómo citar

Comparative study between primary reconstructions of anterior cruciate ligament and the use of bone-tendon-bone autograft . (2016). Revista De La Facultad De Medicina, 1(21), 15-21. https://doi.org/10.37345/23045329.v1i21.42