Almeida Alexandre, Valin Múrcio Rangel, Ferreira Ramon, Roveda Gilberto, de Almeida Nayvaldo Couto, Agostini Ana Paula
Orthopedist at Hospital Saúde, Caxias do Sul, RS.
Resident physician in second year of Orthopedics at Santa Casa de Sao Paulo, Sao Paulo, SP.
Rev Bras Ortop. 2015 Nov 17;45(4):404-8. doi: 10.1016/S2255-4971(15)30388-8. eCollection 2010 Jul-Aug.
To evaluate the results from reconstruction of the anterior cruciate ligament (ACL) using with flexor tendon autografts from the thigh, with analysis on data relating to sex, body mass index (BMI) and associations with lower limb fracture.
A group of 265 patients who underwent knee arthroscopy for the purposes of ACL reconstruction using an ipsilateral graft from the flexor tendon of the thigh between July 6, 2000, and November 19, 2007, were evaluated.
One hundred and seventy-six patients were evaluated over a mean period of 34.95 ± 18.8 months (median: 31 months) (IQR: 20-48 months). The minimum evaluation period was 12 months and the maximum was 87 months. One hundred and thirty-eight patients (78.4%) had excellent results, 22 (12.5%) had good results, eight (4.5%) had fair results and eight (4.5%) had poor results. Higher incidence of good and excellent results for the following categories was not considered to be significant: males (p = 0.128), patients with BMI < 25 (p = 0.848), or patients with ACL injuries unrelated to an initial traumatic episode of lower-limb fracture (p = 0.656).
The ACL reconstruction technique using tendon autografts from the thigh showed good and excellent results for 91.4% of the sample. Male patients seemed to present a greater tendency towards good and excellent results. No statistically significant difference was found when the results were analyzed in relation to BMI or associations with initial traumatic fracture episodes in the lower limbs.
评估采用大腿屈肌腱自体移植重建前交叉韧带（ACL）的结果，并分析与性别、体重指数（BMI）以及下肢骨折相关性的数据。
对2000年7月6日至2007年11月19日期间，一组265例行膝关节镜检查并使用同侧大腿屈肌腱自体移植进行ACL重建的患者进行评估。
对176例患者进行了平均34.95±18.8个月（中位数：31个月）（四分位间距：20 - 48个月）的评估。最短评估期为12个月，最长为87个月。138例患者（78.4%）结果为优，22例（12.5%）为良，8例（4.5%）为可，8例（4.5%）为差。以下类别中优和良结果的较高发生率未被认为具有统计学意义：男性（p = 0.128）、BMI < 25的患者（p = 0.848）或ACL损伤与下肢初次创伤性骨折无关的患者（p = 0.656）。
采用大腿肌腱自体移植的ACL重建技术在91.4%的样本中显示出优和良的结果。男性患者似乎有更大的倾向获得优和良的结果。在分析结果与BMI或与下肢初次创伤性骨折事件的相关性时，未发现统计学上的显著差异。
