Anatomical reconstruction of the anterior cruciate ligament. Surgical technique and case reports
DOI:
https://doi.org/10.1016/j.rccot.2017.03.003Keywords:
anterior cruciate ligament, femoral tunnel, medial portal, arthroscopic reconstructionAbstract
Background: The main objective in the reconstruction of the anterior cruciate ligament is to restore knee biomechanics, provide adequate stability, and a function free of pain in order to return to the activity level prior to injury. The objective of the study is to present the surgical technique used, as well as the outcomes of our case series.
Materials & methods: A retrospective study was designed, to subjectively and clinically evaluate a sample of patients who underwent reconstruction of the anterior cruciate ligament with the medial portal technique. The Lysholm scale was used for the subjective evaluation of the patient, after completing rehabilitation and returning to work activities.
Results: The mean pre-surgical score on the Lysholm scale was 50.3 (16-90), with a mean postsurgical score 85.5 (20-95). Low post-surgical scores were associated with patients who had lateral pain when TransFix® was used as the fixation technique.
Discussion: The femoral tunnel by anteromedial portal in the reconstruction of the anterior cruciate ligament is a variation of the traditional arthroscopic technique that can be performed safely when taking clear anatomical parameters into account.
Evidence level: IV.
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