Reconstrucción anatómica del ligamento cruzado anterior: técnica quirúrgica y reporte de casos

Abstract

IntroductionThe main goal in anterior cruciate ligament (ACL) reconstruction is to restore the biomechanics of the knee, provide adequate stability, and pain free function for the patient in order to return to pre-injury functionality. Materials and methodsA retrospective study was designed to clinically and subjectively assess a sample of patients who had an ACL reconstruction with the medial portal technique performed in the Saludcoop Medellin clinic. This sample included all patients who could be evaluated regularly by the treating orthopedist between February 2010 and August 2011. The functional measurement was made using the Lysholm scale. ResultsA total of 38 patients with 39 ACL reconstructions (one patient bilateral) were followed up. A semitendinosus-gracilis autograft, as well as two patellar bone-tendon-bone autografts, were used in 37 patients. Functional scale showed that the average preoperative score was 50.3 (16–90), and the postoperative score was 85.5 (20–95). Lower postoperative scores were associated with patients who had lateral pain when a TransFix® fixation technique was performed. DiscussionThe number of complications is low with this technique, and functional outcomes of patients are excellent. Further prospective studies should be performed to validate this technique.