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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | HELITO, Camilo Partezani | |
dc.contributor.author | SOBRADO, Marcel Faraco | |
dc.contributor.author | GIGLIO, Pedro Nogueira | |
dc.contributor.author | BONADIO, Marcelo Batista | |
dc.contributor.author | PECORA, Jose Ricardo | |
dc.contributor.author | CAMANHO, Gilberto Luis | |
dc.contributor.author | DEMANGE, Marco Kawamura | |
dc.date.accessioned | 2019-11-06T18:49:17Z | - |
dc.date.available | 2019-11-06T18:49:17Z | - |
dc.date.issued | 2019 | |
dc.identifier.citation | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, v.35, n.9, p.2648-2654, 2019 | |
dc.identifier.issn | 0749-8063 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/34063 | - |
dc.description.abstract | Purpose: To compare functional outcomes, residual instability, and rupture rates in patients with ligamentous hyperlaxity undergoing isolated anterior cruciate ligament (ACL) reconstruction or combined ACL and anterolateral ligament (ALL) reconstruction. Methods: Two groups of patients were evaluated and compared retrospectively. Both groups consisted of patients with ACL injuries and associated ligamentous hyperlaxity, defined based on the modified Beighton scale with a minimum score of 5. Group 1 patients underwent anatomical ACL reconstruction, and group 2 patients underwent anatomical ACL reconstruction combined with ALL reconstruction. Group 1 consisted of historical controls. The presence of associated meniscal injury, subjective International Knee Documentation Committee and Lysholm functional scores, KT-1000 measurements, the presence of a residual pivot-shift, and the graft rupture rate were evaluated. The study was performed at University of Sao Paulo in Brazil. Results: Ninety patients undergoing ACL reconstruction with ligamentous hyperlaxity were evaluated. The mean follow up was 29.6 +/- 6.2 months for group 1 and 28.1 +/- 4.2 months for group 2 (P = .51). No significant differences were found between the groups regarding Beighton scale, gender, the duration of injury before reconstruction, follow-up time, preoperative instability, or associated meniscal injuries. The mean age was 29.9 +/- 8.1 years in group 1 and 27.0 +/- 9.1 years in group 2 (P = .017). In the final evaluation, group 2 patients showed better anteroposterior clinical stability as evaluated by KT-1000 arthrometry (P = .02), better rotational stability as evaluated by the pivot-shift test (P = .03) and a lower reconstruction failure rate (21.7% [group 1] vs 3.3% [group 2]; P = .03). Clinical evaluations of postoperative functional scales showed no differences between the 2 groups (P = .27 for International Knee Documentation Committee; P = .41 for Lysholm). Conclusions: Combined ACL and ALL reconstruction in patients with ligamentous hyperlaxity resulted in a lower failure rate and improved knee stability parameters compared to isolated ACL reconstruction. No differences were found in the functional scales. | eng |
dc.language.iso | eng | |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | eng |
dc.relation.ispartof | Arthroscopy-The Journal of Arthroscopic and Related Surgery | |
dc.rights | restrictedAccess | eng |
dc.subject.other | acl reconstruction | eng |
dc.subject.other | graft | eng |
dc.subject.other | knee | eng |
dc.subject.other | hypermobility | eng |
dc.title | Combined Reconstruction of the Anterolateral Ligament in Patients With Anterior Cruciate Ligament Injury and Ligamentous Hyperlaxity Leads to Better Clinical Stability and a Lower Failure Rate Than Isolated Anterior Cruciate Ligament Reconstruction | eng |
dc.type | article | eng |
dc.rights.holder | Copyright W B SAUNDERS CO-ELSEVIER INC | eng |
dc.identifier.doi | 10.1016/j.arthro.2019.03.059 | |
dc.identifier.pmid | 31421960 | |
dc.subject.wos | Orthopedics | eng |
dc.subject.wos | Sport Sciences | eng |
dc.subject.wos | Surgery | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.description.beginpage | 2648 | |
hcfmusp.description.endpage | 2654 | |
hcfmusp.description.issue | 9 | |
hcfmusp.description.volume | 35 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000484660500023 | |
hcfmusp.origem.id | 2-s2.0-85070539719 | |
hcfmusp.publisher.city | PHILADELPHIA | eng |
hcfmusp.publisher.country | USA | eng |
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dc.description.index | MEDLINE | eng |
dc.identifier.eissn | 1526-3231 | |
hcfmusp.citation.scopus | 87 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOT Artigos e Materiais de Revistas Científicas - HC/IOT Artigos e Materiais de Revistas Científicas - LIM/41 |
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