43-233
Tratamiento de las roturas de ligamento cruzado anterior con injerto autologo HTH. Seguimiento mínimo de dos años.
Reconstruction of the anterior cruciate ligament using bone-patellar
M. MALILLOS TORÁN*, F. MARTÍNEZ DELGADO*, A. HERRERA RODRÍGUEZ*. *SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO MIGUEL SERVET. ZARAGOZA.
Recepción:
24/07/2008
Aceptación:
24/07/2008
Publicación:
16/09/2008
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Resumen (ES)
We report our experience in the treatment of anterior cruciate ligament (ACL) tears employing bonepatellar tendon-bone autograft, with a minimum follow-up of two years. The average time of follow-up was 40.6 ±8.8 months. Lysholm knee score was in the preoperative period 64.6 (±19.1), and in the postoperative period, 89.4 (±10.1) (p <0.001). Cincinnati knee score was, in the preoperative period, 277.32 (±58.8), and in the follow-up 370.93 (±40) (p <0.001). Using the IKDC evaluation system, at the follow-up period, 76% were level A or B. The KT-1000 arthrometer findings were normal or nearly normal in 93% of the cases. Pain on kneeling and pain in donor site were the most important limitations of this technique. Bone-patelar tendon-bone remains a valid option of treatment in ACL tears.
Resumen (EN)
We report our experience in the treatment of anterior cruciate ligament (ACL) tears employing bonepatellar tendon-bone autograft, with a minimum follow-up of two years. The average time of follow-up was 40.6 ±8.8 months. Lysholm knee score was in the preoperative period 64.6 (±19.1), and in the postoperative period, 89.4 (±10.1) (p <0.001). Cincinnati knee score was, in the preoperative period, 277.32 (±58.8), and in the follow-up 370.93 (±40) (p <0.001). Using the IKDC evaluation system, at the follow-up period, 76% were level A or B. The KT-1000 arthrometer findings were normal or nearly normal in 93% of the cases. Pain on kneeling and pain in donor site were the most important limitations of this technique. Bone-patelar tendon-bone remains a valid option of treatment in ACL tears.
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