Clinical Outcomes of Posterolateral Complex Reconstruction Performed with a Single Femoral Tunnel

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorHELITO, Camilo Partezani
dc.contributor.authorSOBRADO, Marcel Faraco
dc.contributor.authorGIGLIO, Pedro Nogueira
dc.contributor.authorBONADIO, Marcelo Batista
dc.contributor.authorPECORA, Jose Ricardo
dc.contributor.authorGOBBI, Riccardo Gomes
dc.contributor.authorCAMANHO, Gilberto Luis
dc.contributor.authorANGELINI, Fabio Janson
dc.date.accessioned2021-02-18T13:40:34Z
dc.date.available2021-02-18T13:40:34Z
dc.date.issued2021
dc.description.abstractThe objective of this study is to report the functional outcomes, complications, and reconstruction failure rate of patients undergoing posterolateral complex reconstruction with a single femoral tunnel technique. Patients with posterolateral complex injuries associated with injury of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), or both undergoing surgical treatment with the single femoral tunnel technique were included in the study. The International Knee Documentation Committee (IKDC) and Lysholm's scales were evaluated, in addition to age, gender, time between trauma and surgery, trauma type, range of motion (ROM) restrictions, peroneal nerve injury, and reconstruction failure. Sixty-six patients were included. Eighteen underwent ACL and posterolateral complex (PLC) reconstruction (group 1), 24 underwent ACL, PCL, and PLC reconstruction (group 2), and 24 underwent PCL and PLC reconstruction (group 3). The mean follow-up was 63 months. The subjective IKDC was 83.7 +/- 14.6 for group 1, 74.3 +/- 12.6 for group 2, and 66.3 +/- 16.0 for group 3 ( p <0.001). The Lysholm's score was 87.1<plus/minus>12.8 for group 1, 79.5 +/- 15.0 for group 2, and 77.7 +/- 15.2 for group 3 ( p =0.042). There were six reconstruction failures among the patients (9.1%) with no differences among the groups ( p =0.368). Female gender and reconstruction failure were associated with worse outcomes. Patients undergoing reconstruction of PLC structures with the single femoral tunnel technique achieved good functional outcomes and a failure rate similar to literature. Patients undergoing only combined ACL reconstruction showed better outcomes than patients undergoing combined PCL reconstruction. Female gender was associated with a worse functional outcome irrespective of the injury type.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF KNEE SURGERY, v.34, n.1, p.67-73, 2021
dc.identifier.doi10.1055/s-0039-1693003
dc.identifier.eissn1938-2480
dc.identifier.issn1538-8506
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/39291
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KGeng
dc.relation.ispartofJournal of Knee Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright GEORG THIEME VERLAG KGeng
dc.subjectposterolateral complexeng
dc.subjectposterolateral cornereng
dc.subjectfibular (lateral) collateral ligamenteng
dc.subjectmultiligamenteng
dc.subjectchronic knee injuryeng
dc.subject.otheranterior cruciate ligamenteng
dc.subject.otherfibular collateral ligamenteng
dc.subject.otherachilles-tendon allografteng
dc.subject.othercorner knee injurieseng
dc.subject.otherposterior cruciateeng
dc.subject.otheranatomical reconstructioneng
dc.subject.otherrotatory instabilityeng
dc.subject.othersurgical-treatmenteng
dc.subject.othermanagementeng
dc.subject.otherrepaireng
dc.subject.wosOrthopedicseng
dc.titleClinical Outcomes of Posterolateral Complex Reconstruction Performed with a Single Femoral Tunneleng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcCAMILO PARTEZANI HELITO
hcfmusp.contributor.author-fmusphcMARCEL FARACO SOBRADO
hcfmusp.contributor.author-fmusphcPEDRO NOGUEIRA GIGLIO
hcfmusp.contributor.author-fmusphcMARCELO BATISTA BONADIO
hcfmusp.contributor.author-fmusphcJOSE RICARDO PECORA
hcfmusp.contributor.author-fmusphcRICCARDO GOMES GOBBI
hcfmusp.contributor.author-fmusphcGILBERTO LUIS CAMANHO
hcfmusp.contributor.author-fmusphcFABIO JANSON ANGELINI
hcfmusp.description.beginpage67
hcfmusp.description.endpage73
hcfmusp.description.issue1
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.pubmed31288267
hcfmusp.origem.scopus2-s2.0-85099108832
hcfmusp.origem.wosWOS:000604270900009
hcfmusp.publisher.citySTUTTGARTeng
hcfmusp.publisher.countryGERMANYeng
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