28-165

Reconstrucción del ligamento cruzado anterior con plastia mixta de semitendinoso y fibra de Kennedy-Lad

REPAIR OF ANTERIOR CRUCIATE LIGAMENT THE KNEE WITH SIMULTANEOUS SEMITENDINOUS TENDON PLASTIA AND KENNEDY-LAD COMPOSITE GRAFT

F. MARCO, E. MANZANO, J. C. SANCHEZ BARBERO, A. PEREZ CABALLER, M. NORIEGA, R. OTERO y L. LOPEZ DURAN Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario «San Carlos». Universidad Complutense. Madrid.
Recepción:
13/01/2009
Aceptación:
13/01/2009
Publicación:
13/01/2009


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Resumen (ES)

The authors assess the results of the anterior cruciate ligament (ACL) reconstructionby means of a semitendinous tendon and Kennedy LAD composite graft. Minimum followuphas been two years (mean of thirty eight months). In every cases the lesion was consideredas chronic and surgery consisted of ACL reconstruction and partial meniscectomy if neccessary.Studies performed to asses the results included: functional (Lysholm) and clinical (Marshall)tests, manual stability tests (Lachman, pivot-shift, neutral anterior drawer), instrumented stabilitymeasurement (KT-1000 arthrometer), activity score and subjective patient self-assessment. Thedata collected indicate that the performance of the composite graft is adequate in 92% of thecases, allowing the patients a satisfactory knee joint function in their daily life including sportingactivities.

Palabras clave (ES):

Lad
Semitendinoso
Cruzado
Anterior
Plastia
Injerto
Reparación
Rodilla
LCA
Fibra
Kennedy
Ligamento
Reconstrucción

Resumen (EN)

The authors assess the results of the anterior cruciate ligament (ACL) reconstructionby means of a semitendinous tendon and Kennedy LAD composite graft. Minimum followuphas been two years (mean of thirty eight months). In every cases the lesion was consideredas chronic and surgery consisted of ACL reconstruction and partial meniscectomy if neccessary.Studies performed to asses the results included: functional (Lysholm) and clinical (Marshall)tests, manual stability tests (Lachman, pivot-shift, neutral anterior drawer), instrumented stabilitymeasurement (KT-1000 arthrometer), activity score and subjective patient self-assessment. Thedata collected indicate that the performance of the composite graft is adequate in 92% of thecases, allowing the patients a satisfactory knee joint function in their daily life including sportingactivities.

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