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首页> 外文期刊>Revista Brasileira de Ortopedia >COMPARATIVE STUDY OF ACL RECONSTRUCTION WITH ANATOMICAL POSITIONING OF THE TUNNELS USING THE PATELLAR TENDON VERSUS HAMSTRING TENDON
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COMPARATIVE STUDY OF ACL RECONSTRUCTION WITH ANATOMICAL POSITIONING OF THE TUNNELS USING THE PATELLAR TENDON VERSUS HAMSTRING TENDON

机译：使用PAT骨腱 VERSUS HAMSTRING TENDON对隧道进行ACL重建与隧道解剖定位的比较研究

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ABSTRACT Objective: To compare ACL reconstruction with anatomical positioning of the tunnels using the hamstring or patellar tendons. Methods: We prospectively evaluated 52 patients who underwent ACL reconstruction using the Chambat's technique, with anatomical positioning of the tunnels drilled outside in. They were divided into group A, with 27 patients, using the patellar tendon as a graft, and group B, with 25 patients, using the hamstring. Results: In group A 26 patients were very satisfied or satisfied and 1 unhappy, in group B. 25 patients were very satisfied or satisfied with the procedure (p = 0.990). According to the Lysholm scale, group A had a mean score of 96.11 and group B, 95.32 (p=0.594). In relation to preoperative IKDC, 100% of the patients in group A and 92% of those in group B were IKDC C or D (p = 0.221); in the assessment with a minimum of two-year follow-up, 96% of group A and 92% of group B were IKDC A or B (p = 0.256). The Lachman test, pivot shift, return to sports activities, and the comparative difference in anterior translation (Rolimeter TM ) also showed no statistically significant difference. In group A, 5 patients (18.5%) were unable to kneel on a hard surface, whereas no patient in group B had this complaint. Conclusion: The anterior cruciate ligament reconstruction presents similar results using the hamstring or patellar tendon with anatomical positioning of the tunnels. Drilling the femoral tunnel outside in is a reproducible and accurate option in the correct placement the femoral tunnel.
机译：摘要目的：比较使用CL绳肌或pa肌腱将ACL重建与隧道的解剖学定位进行比较。方法：我们前瞻性评估了使用Chambat技术对52例接受ACL重建的患者进行了解剖学定位，并在外侧钻入了隧道。将他们分为A组，其中27例采用the腱作为移植物，B组，分别为25例患者，使用using绳肌。结果：A组26例患者非常满意或满意，1例不满意; B组25例患者对该手术非常满意或满意（p = 0.990）。根据Lysholm量表，A组的平均得分为96.11，B组的平均得分为95.32（p = 0.594）。就术前IKDC而言，A组100％的患者和B组92％的患者为IKDC C或D（p = 0.221）;在至少两年的随访评估中，A组的96％和B组的92％为IKDC A或B（p = 0.256）。 Lachman检验，枢轴移动，返回体育活动以及前移的比较差异（Rolimeter TM）也无统计学差异。在A组中，有5名患者（18.5％）无法跪在坚硬的表面上，而B组中没有患者有这种不适。结论：使用ham绳肌腱或tell骨肌腱在隧道的解剖学位置上重建前十字韧带，可得到相似的结果。在正确放置股骨隧道的过程中，在外部钻入股骨隧道是可重复且准确的选择。

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