ABSTRACT
PURPOSE: To evaluate whether clinical factors enable prediction of the diameter of hamstring tendons harvested for anterior cruciate ligament (ACL) reconstruction. METHODS: Eighty patients were submitted for reconstruction of the ACL with hamstring tendons in a quadruple manner. During surgery the diameter of the graft was measured. The variables analyzed were: age, gender, weight, height, operated side, dominant side, leg length, thigh length, thigh diameter, body mass index (BMI), and sports activity. The data was collected pre-operatively and correlated with the diameter of the graft. RESULTS: The diameter of the graft was strongly related to gender, height, leg length, thigh length, weight, and thigh diameter. Women presented significantly smaller graft diameter than men; as well as weight, height, leg length, and thigh length. Men with height equal to or greater than 1.80 m showed average graft diameter greater than the total group, and greater percentage of 9 mm grafts. CONCLUSION: The diameter of the hamstring graft is significantly associated to weight, height, leg length, thigh length, thigh diameter, and gender. The variable that had most influence was height, followed by gender and leg length. The variables BMI, age, sports activity, and dominant side did not present correlation. Tendon diameter was larger in men than in women. Men with a height equal to or greater than 1.80 m had a higher prevalence of 9 mm grafts and had a larger average tendon diameter. LEVEL OF EVIDENCE: Prospective cross sectional collection of data, Level IV.
Subject(s)
Anterior Cruciate Ligament/surgery , Plastic Surgery Procedures/methods , Tendon Transfer/methods , Adolescent , Adult , Age Factors , Arthroscopy , Body Height , Body Mass Index , Body Weight , Chi-Square Distribution , Cross-Sectional Studies , Female , Humans , Intraoperative Period , Linear Models , Male , Middle Aged , Prospective Studies , Sex Factors , Thigh/anatomy & histology , Treatment OutcomeABSTRACT
Os autores apresentam as razoes que levaram à evoluçao da cirurgia de reparo do manguito rotador e o desenvolvimento da artroscopia cirúrgica do ombro, que culmina, no momento atual, com as técnicas de reparo completo por essa via. Fazem descriçao pormenorizada da técnica e apresentam a opçao intermediária mini-open incision como uma técnica com vantagens semelhantes sobre a cirurgia aberta. Embora nao se trate da apresentaçao de resultados, observaçoes feitas em dez pacientes tratados nos últimos cinco meses mostraram resultados surpreendentes quanto ao pós-operatório menos doloroso, com recuperaçao funcional extremamente rápida e sem complicaçoes.
Subject(s)
Humans , Arthroscopy , Rotator Cuff/surgery , Videotape Recording , Minimally Invasive Surgical ProceduresABSTRACT
Os autores apresentam análise das lesöes encontradas em joelhos de pacientes portadores de lesäo cística do menisco lateral, através de revisäo dos relatórios de achados cirúrgicos e dos tapes peroperatórios das cirurgias artroscópicas realizadas. Foram operados 38 pacientes, totalizando 40 joelhos, através de cirurgia artroscópica com meniscectomia parcial do menisco lateral e esvaziamento e desbridamento do cisto do menisco por via transmeniscal. Foi feita uma revisäo retrospectiva de 26 joelhos em 24 pacientes, avaliando-se os resultados obtidos. Discutiu-se a validade do método de tratamento das lesöes do menisco lateral por ressecçäo parcial e da lesäo cística por cistotomia transmeniscal, ambas por via artroscópica
