The influence of femoral tunnel position in single-bundle ACL reconstruction on functional outcomes and return to sports

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art_FERNANDES_The_influence_of_femoral_tunnel_position_in_single_2014.PDF (339.54 KB)
Citações na Scopus
23
Tipo de produção
article
Data de publicação
2014
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
FREGNI, Felipe
WEAVER, Kayleen
Citação
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, v.22, n.1, p.97-103, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The purpose of this study was to radiographically investigate the influence of femoral tunnel placement in ACL reconstruction on early outcomes and return to sports due to anatomic and nonanatomic positioning. A prospective study was conducted from 2008 to 2010, with 86 athletes who underwent ACL reconstruction between anteromedial (AM) footprint and high AM position. Knee functional outcomes (IKDC objective and subjective, Tegner score, and Lysholm scale) return to sports and complications were analyzed at 6- and 12-month follow-up. At follow-up, it was observed that tunnel projection along Blumensaat's line was correlated with functional outcomes on Tegner scale (at 6 and 12 months) and IKDC subjective (at 12 months). There was a significant difference in mean tunnel projection along Blumensaat's line when analyzing return to sports (73 +/- A 1.4 and 79 +/- A 1.7 %, respectively, for projections on return vs. no return to sports, p = 0.02) and complications (73 +/- A 1.3 vs. 78 +/- A 1.6 %, respectively, for projections on no complications vs. complications, p = 0.03). No differences were stated on coronal view. These correlations between tunnel positioning on functional outcomes could not be explained by demographic or baseline characteristics. The clinical relevance of this study is that tunnel positioning along AM footprint and high AM position represented by tunnel projection along Blumensaat's line is associated with early return to sports on previous Tegner level and better functional outcome in athletes. III.
Palavras-chave
Sports medicine, Anterior cruciate ligament/injuries/surgery, Anatomic, Single-bundle, Transtibial, Imaging, Outcome
URI
https://observatorio.fm.usp.br/handle/OPI/5422
Referências
  1. Aglietti P, 2004, J BONE JOINT SURG AM, V86A, P2143
  2. Bedi A, 2011, ARTHROSCOPY, V27, P1543, DOI 10.1016/j.arthro.2011.03.079
  3. Bernard M, 1997, Am J Knee Surg, V10, P14
  4. Biau DJ, 2007, CLIN ORTHOP RELAT R, P180, DOI 10.1097/BLO.0b013e31803dcd6b
  5. Bicer EK, 2010, KNEE SURG SPORT TR A, V18, P1075, DOI 10.1007/s00167-009-0993-8
  6. Dargel J, 2006, SURG RADIOL ANAT, V28, P398, DOI 10.1007/s00276-006-0107-y
  7. Dargel J, 2009, KNEE SURG SPORT TR A, V17, P220, DOI 10.1007/s00167-008-0639-2
  8. Eriksson K, 2001, J BONE JOINT SURG BR, V83B, P348, DOI 10.1302/0301-620X.83B3.11685
  9. Fernandes TL, 2012, KNEE SURG SPORT TR A, V20, P275, DOI 10.1007/s00167-011-1585-y
  10. Forsythe B, 2010, J BONE JOINT SURG AM, V92A, P1418, DOI 10.2106/JBJS.I.00654
  11. GOOD L, 1987, ACTA ORTHOP SCAND, V58, P658, DOI 10.3109/17453678709146509
  12. Gougoulias N, 2008, KNEE, V15, P486, DOI 10.1016/j.knee.2008.07.006
  13. HARNER CD, 1994, ARTHROSCOPY, V10, P502, DOI 10.1016/S0749-8063(05)80004-0
  14. Heming JF, 2007, AM J SPORT MED, V35, P1708, DOI 10.1177/0363546507304137
  15. Jansson KA, 2003, AM J SPORT MED, V31, P12
  16. Jepsen CF, 2007, ARTHROSCOPY, V23, P1326, DOI 10.1016/j.arthro.2007.09.010
  17. Johnson DS, 2001, KNEE, V8, P51, DOI 10.1016/S0968-0160(01)00068-0
  18. JONSSON H, 1994, J BONE JOINT SURG BR, V76B, P82
  19. Karlsson J, 2011, AM J SPORT MED, V39, P2016, DOI 10.1177/0363546511402660
  20. Khalfayan EE, 1996, AM J SPORT MED, V24, P335, DOI 10.1177/036354659602400315
  21. Klos TVS, 2000, ARTHROSCOPY, V16, P499, DOI 10.1053/jars.2000.4634
  22. Kopf S, 2011, ARTHROSCOPY, V27, P200, DOI 10.1016/j.arthro.2010.07.010
  23. Kopf S, 2009, KNEE SURG SPORT TR A, V17, P213, DOI 10.1007/s00167-008-0709-5
  24. Lautamies R, 2008, KNEE SURG SPORT TR A, V16, P1009, DOI 10.1007/s00167-008-0598-7
  25. Leiter JRS, 2011, KNEE SURG SPORT TR A, V19, P1258, DOI 10.1007/s00167-011-1397-0
  26. Metsavaht L, 2010, AM J SPORT MED, V38, P1894, DOI 10.1177/0363546510365314
  27. Misonoo G, 2012, KNEE, V19, P87, DOI 10.1016/j.knee.2011.01.003
  28. Moisala AS, 2007, KNEE SURG SPORT TR A, V15, P879, DOI 10.1007/s00167-007-0295-y
  29. Peccin Maria Stella, 2006, Acta ortop. bras., V14, P268, DOI 10.1590/S1413-78522006000500008
  30. Pinczewski LA, 2008, J BONE JOINT SURG BR, V90B, P172, DOI 10.1302/0301-620X.90B2.20104
  31. Silva A, 2010, KNEE SURG SPORT TR A, V18, P1245, DOI 10.1007/s00167-010-1132-2
  32. Sommer C, 2000, KNEE SURG SPORT TR A, V8, P207, DOI 10.1007/s001670000125
  33. TEGNER Y, 1985, CLIN ORTHOP RELAT R, P43
  34. Topliss C, 2001, KNEE, V8, P59, DOI 10.1016/S0968-0160(01)00067-9
  35. World Medical Association, 2001, B WORLD HEALTH ORGAN, V79, P373

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOT
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41