55-283
Valoración funcional en pacientes intervenidos mediante plastia de LCA coin semitendinoso-recto interno y sistema ToggleLok.
Functional assessment in patients operated on by ACL plasty with semitendinous-internal rectus and ToggleLok system.
Descalzo-Pérez P, Mifsut-Miedes D, Rodríguez-Collell JR, LópezSánchez A, Silvestre-Muñoz A. 1. DEPARTAMENTO DE CIRUGÍA. UNIVERSITAT DE VALÈNCIA. 2. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. DEPARTAMENTO DE SALUD DE VALENCIA CLÍNICOMALVARROSA
Recepción:
20/01/2021
Aceptación:
20/01/2021
Publicación:
20/01/2021
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Resumen (ES)
Introduction: One of the most frequent knee injuries and one that is increasing, especially in sports, is the
anterior cruciate ligament injury. Surgical reconstruction is essential to recover the biomechanics of the
knee, provide correct stability and pain-free function, as well as avoid early degenerative changes. The
objective of the present study was to assess the functional recovery of patients undergoing reconstruction
of the anterior cruciate ligament by means of ligamentoplasty with semitendinosus- internal rectus tendon
and Toggelock system. Material and methods: A retrospective descriptive observational study was
designed, which included 29 patients who underwent a ligamentoplasty with internal semitendinosusrectum and Togglelock system in our Center, during the years 2017-2018. Variables obtained from the
clinical history and the Lysholm scale were studied to assess the patient. Results: In total, a sample of 29
patients was obtained, 26 men and 3 women with a mean age of 31.13 years (range 19-53). The most
frequently injured knee was the right one in 17 patients out of 29, with 65% presenting associated injuries.
One patient had suffered a tibial fracture operated with an intramedullary nail that altered the final results.
The postsurgical score on the Lysholm subjective assessment scale was 86. The mobility of the operated
knee showed a minimal reduction in flexion of 6º compared to the non-operated knee that was statistically
significant. Conclusion: The results obtained after ACL reconstruction with this technique, using the
semitendinosus- internal rectum plasty and the Togglelock system were good-excellent, with a high degree
of patient satisfaction, few complications, and notable functional results.
anterior cruciate ligament injury. Surgical reconstruction is essential to recover the biomechanics of the
knee, provide correct stability and pain-free function, as well as avoid early degenerative changes. The
objective of the present study was to assess the functional recovery of patients undergoing reconstruction
of the anterior cruciate ligament by means of ligamentoplasty with semitendinosus- internal rectus tendon
and Toggelock system. Material and methods: A retrospective descriptive observational study was
designed, which included 29 patients who underwent a ligamentoplasty with internal semitendinosusrectum and Togglelock system in our Center, during the years 2017-2018. Variables obtained from the
clinical history and the Lysholm scale were studied to assess the patient. Results: In total, a sample of 29
patients was obtained, 26 men and 3 women with a mean age of 31.13 years (range 19-53). The most
frequently injured knee was the right one in 17 patients out of 29, with 65% presenting associated injuries.
One patient had suffered a tibial fracture operated with an intramedullary nail that altered the final results.
The postsurgical score on the Lysholm subjective assessment scale was 86. The mobility of the operated
knee showed a minimal reduction in flexion of 6º compared to the non-operated knee that was statistically
significant. Conclusion: The results obtained after ACL reconstruction with this technique, using the
semitendinosus- internal rectum plasty and the Togglelock system were good-excellent, with a high degree
of patient satisfaction, few complications, and notable functional results.
Palabras clave (ES):
Ligamentoplastia.
Artroscopia.
Valoración
funcional.
:
Rodilla.
Ligamento
cruzado
anterior.
Reconstrucción
Togglelock
Resumen (EN)
Introduction: One of the most frequent knee injuries and one that is increasing, especially in sports, is the
anterior cruciate ligament injury. Surgical reconstruction is essential to recover the biomechanics of the
knee, provide correct stability and pain-free function, as well as avoid early degenerative changes. The
objective of the present study was to assess the functional recovery of patients undergoing reconstruction
of the anterior cruciate ligament by means of ligamentoplasty with semitendinosus- internal rectus tendon
and Toggelock system. Material and methods: A retrospective descriptive observational study was
designed, which included 29 patients who underwent a ligamentoplasty with internal semitendinosusrectum and Togglelock system in our Center, during the years 2017-2018. Variables obtained from the
clinical history and the Lysholm scale were studied to assess the patient. Results: In total, a sample of 29
patients was obtained, 26 men and 3 women with a mean age of 31.13 years (range 19-53). The most
frequently injured knee was the right one in 17 patients out of 29, with 65% presenting associated injuries.
One patient had suffered a tibial fracture operated with an intramedullary nail that altered the final results.
The postsurgical score on the Lysholm subjective assessment scale was 86. The mobility of the operated
knee showed a minimal reduction in flexion of 6º compared to the non-operated knee that was statistically
significant. Conclusion: The results obtained after ACL reconstruction with this technique, using the
semitendinosus- internal rectum plasty and the Togglelock system were good-excellent, with a high degree
of patient satisfaction, few complications, and notable functional results.
anterior cruciate ligament injury. Surgical reconstruction is essential to recover the biomechanics of the
knee, provide correct stability and pain-free function, as well as avoid early degenerative changes. The
objective of the present study was to assess the functional recovery of patients undergoing reconstruction
of the anterior cruciate ligament by means of ligamentoplasty with semitendinosus- internal rectus tendon
and Toggelock system. Material and methods: A retrospective descriptive observational study was
designed, which included 29 patients who underwent a ligamentoplasty with internal semitendinosusrectum and Togglelock system in our Center, during the years 2017-2018. Variables obtained from the
clinical history and the Lysholm scale were studied to assess the patient. Results: In total, a sample of 29
patients was obtained, 26 men and 3 women with a mean age of 31.13 years (range 19-53). The most
frequently injured knee was the right one in 17 patients out of 29, with 65% presenting associated injuries.
One patient had suffered a tibial fracture operated with an intramedullary nail that altered the final results.
The postsurgical score on the Lysholm subjective assessment scale was 86. The mobility of the operated
knee showed a minimal reduction in flexion of 6º compared to the non-operated knee that was statistically
significant. Conclusion: The results obtained after ACL reconstruction with this technique, using the
semitendinosus- internal rectum plasty and the Togglelock system were good-excellent, with a high degree
of patient satisfaction, few complications, and notable functional results.
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