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RANDOMIZED PROSPECTIVE STUDY COMPARING TRANSVERSE AND EXTRACORTICAL FIXATION IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.
da Silva Guarilha, Eduardo; de Andrade Fígaro Caldeira, Paulo Roberto; de Almeida Lira Neto, Ozorio; Navarro, Marcelo Schmidt; Milani, Antonio; Filho, Mario Carneiro.
Afiliação
  • da Silva Guarilha E; Resident Physician at IFOR Hospital, São Bernardo do Campo, SP, Brazil.
  • de Andrade Fígaro Caldeira PR; Resident Physician at IFOR Hospital, São Bernardo do Campo, SP, Brazil.
  • de Almeida Lira Neto O; Orthopedist in the Knee Group, Department of Orthopedics and Traumatology, Federal University of São Paulo (Unifesp), São Paulo, SP, Brazil.
  • Navarro MS; Orthopedist in the Sports Traumatology Group, Discipline of Orthopedics, ABC School of Medicine (FMABC), Santo André, SP, Brazil.
  • Milani A; PhD in Orthopedics and Traumatology from the Federal University of São Paulo (Unifesp), São Paulo, SP, Brazil.
  • Filho MC; PhD. Affiliated Professor and Head of the Knee Group, Department of Orthopedics and Traumatology, Federal University of São Paulo (Unifesp), São Paulo, SP, Brazil.
Rev Bras Ortop ; 47(3): 354-8, 2012.
Article em En | MEDLINE | ID: mdl-27042646
OBJECTIVE: This study had the objective of prospectively comparing transverse fixation (Cross-Pin™) with extracortical fixation (EZLoc™) for the femur, in surgical reconstruction of the anterior cruciate ligament, from a clinical, biomechanical and functional point of view. METHODS: Between April 2007 and November 2009, 50 patients with acute or chronic anterior cruciate ligament injuries underwent arthroscopic reconstruction using the homologous flexor tendons (gracilis and semitendinosus). Randomization of the femoral fixation method was done by means of a draw at the time of the procedure. Patients were excluded if they presented multiple ligament lesions, fractures, previous surgery, autoimmune disease and impairment of the contralateral knee. The Lysholm scale, SF36 quality-of-life questionnaire and KT1000™ arthrometer were used. RESULTS: After a mean follow-up of 18.1 months, there were no statistically significant differences between the groups regarding the Lysholm scale and KT1000™ measurements. However, the SF36 questionnaire showed a statistical difference such that transverse fixation was superior regarding pain and vitality. CONCLUSION: Both techniques were shown to be efficient for transfemoral fixation, but with almost no statistically significant difference between them. We believe that new studies will be necessary for better understanding of these differences.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Observational_studies Aspecto: Patient_preference Idioma: En Revista: Rev Bras Ortop Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Observational_studies Aspecto: Patient_preference Idioma: En Revista: Rev Bras Ortop Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil