35-204
Resultados de la técnica de Zarins en la reconstrucción del ligamento cruzado anterior.
Results of anterior cruciate ligament reconstruction using the Zarins Technique
J.C. MONLLAU GARCÍA**, X. JUAN SEGARRA*, P. HINAREJOS GÓMEZ*, J. VILARÓ ANGULO*, R. CUGAT BERTOMEU** Y J. BALLESTER SOLEDA* *SERVICI0 DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL UNIVERSITARI DEL MAR (UNIVERSITAT AUTÓNOMA DE BARCELONA). BARCELONA. **DEPARTAMENTO DE TRAUMATOLOGÍA, DELEGACIÓN TERRITORIAL CATALANA MUTUALIDAD DE FUTBOLISTAS. BARCELONA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Ninety-six patients who had chronic lesions of the
anterior cruciate were treated using a combined method of
intraarticular and extraarticular transfer of the semitendinous
tendon and a strip of fascia lata (Zarins technique). Eighty-five
patients were studied at 119 (110 to 130) months after surgery.
In 88 percent of the patients, instrumented measurement of
anteroposterior laxity at 30 degrees knee flexion was zero to
five milimiters. The pivot shift test was negative in 91 percent
of them. Radiological changes were observed in 52 percent
of the patients. According to the Zarins scale, 88 percent of
the patients were rated as excellent or good. Lysholm evaluation
showed an average of 93 points. This study demonstrates
that this method can restore long term stability to a knee that
has a torn anterior cruciate ligament.
anterior cruciate were treated using a combined method of
intraarticular and extraarticular transfer of the semitendinous
tendon and a strip of fascia lata (Zarins technique). Eighty-five
patients were studied at 119 (110 to 130) months after surgery.
In 88 percent of the patients, instrumented measurement of
anteroposterior laxity at 30 degrees knee flexion was zero to
five milimiters. The pivot shift test was negative in 91 percent
of them. Radiological changes were observed in 52 percent
of the patients. According to the Zarins scale, 88 percent of
the patients were rated as excellent or good. Lysholm evaluation
showed an average of 93 points. This study demonstrates
that this method can restore long term stability to a knee that
has a torn anterior cruciate ligament.
Palabras clave (ES):
Rodilla
Rotura
Reconstrucción
LCA
Anterior
Cruzado
Ligamento
Zarins
Resumen (EN)
Ninety-six patients who had chronic lesions of the
anterior cruciate were treated using a combined method of
intraarticular and extraarticular transfer of the semitendinous
tendon and a strip of fascia lata (Zarins technique). Eighty-five
patients were studied at 119 (110 to 130) months after surgery.
In 88 percent of the patients, instrumented measurement of
anteroposterior laxity at 30 degrees knee flexion was zero to
five milimiters. The pivot shift test was negative in 91 percent
of them. Radiological changes were observed in 52 percent
of the patients. According to the Zarins scale, 88 percent of
the patients were rated as excellent or good. Lysholm evaluation
showed an average of 93 points. This study demonstrates
that this method can restore long term stability to a knee that
has a torn anterior cruciate ligament.
anterior cruciate were treated using a combined method of
intraarticular and extraarticular transfer of the semitendinous
tendon and a strip of fascia lata (Zarins technique). Eighty-five
patients were studied at 119 (110 to 130) months after surgery.
In 88 percent of the patients, instrumented measurement of
anteroposterior laxity at 30 degrees knee flexion was zero to
five milimiters. The pivot shift test was negative in 91 percent
of them. Radiological changes were observed in 52 percent
of the patients. According to the Zarins scale, 88 percent of
the patients were rated as excellent or good. Lysholm evaluation
showed an average of 93 points. This study demonstrates
that this method can restore long term stability to a knee that
has a torn anterior cruciate ligament.
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