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, 52 (3), 319-324
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Comparative Evaluation of the Results of Three Techniques in the Reconstruction of the Anterior Cruciate Ligament, With a Minimum Follow-Up of Two Years

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Comparative Evaluation of the Results of Three Techniques in the Reconstruction of the Anterior Cruciate Ligament, With a Minimum Follow-Up of Two Years

Ricardo de Paula Leite Cury et al. Rev Bras Ortop.

Abstract

Objective: To compare the clinical results of the reconstruction of the anterior cruciate ligament by transtibial, transportal, and outside-in techniques.

Methods: This was a retrospective study on 90 patients (ACL reconstruction with autologous flexor tendons) operated between August 2009 and June 2012, by the medial transportal (30), transtibial (30), and "outside-in" (30) techniques. The following parameters were assessed: objective and subjective IKDC, Lysholm, KT1000, Lachman test, Pivot-Shift and anterior drawer test.

Results: On physical examination, the Lachman test and Pivot-Shift indicated a slight superiority of the outside-in technique, but without statistical significance (p = 0.132 and p = 0.186 respectively). The anterior drawer, KT1000, subjective IKDC, Lysholm, and objective IKDC tests showed similar results in the groups studied. A higher number of complications were observed in the medial transportal technique (p = 0.033).

Conclusion: There were no statistically significant differences in the clinical results of patients undergoing reconstruction of the anterior cruciate ligament by transtibial, medial transportal, and outside-in techniques.

Keywords: Anterior cruciate ligament reconstruction; Anterior cruciate ligament/injuries; Knee; Orthopedic procedures.

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