Garms Emerson, Carvalho Rogerio Teixeira de, Janovsky César, Nicolini Alexandre Pedro, Salviani Rafael Salmeron, Liggieri Andre Cicone
Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE), São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 Apr;54(2):178-182. doi: 10.1016/j.rbo.2017.10.004. Epub 2019 May 10.
The aim of the present study was to evaluate the clinical results, functional outcomes, and risk factors after anatomic reconstructions using knee flexor grafts in athletes. The authors followed-up 32 patients and 34 knees for 1 year in a prospective design case series evaluating pre- and postoperative functional scores (Kujala and Lysholm) and associated risk factors. All of the 32 patients had a significant increase of the Lysholm and Kujala scores. Patients with < 5 preoperative dislocations had a better score on the Lysholm and Kujala scales. The mean preoperative Lysholm score was 62.8, and the mean postoperative score was 94.3. The mean preoperative Kujala score was 63.0, and the mean postoperative score was 94.0. Medial patellofemoral ligament reconstruction with hamstring graft in athletes with patellar instability improved clinical and functional scores. The bone drilling through the patella and the positioning of the femoral tunnel should be judiciously performed.
本研究的目的是评估在运动员中使用膝屈肌移植物进行解剖重建后的临床结果、功能结局和危险因素。作者采用前瞻性设计病例系列，对32例患者和34个膝关节进行了为期1年的随访，评估术前和术后的功能评分（库贾拉和利霍尔姆评分）及相关危险因素。32例患者的利霍尔姆和库贾拉评分均显著提高。术前脱位次数<5次的患者在利霍尔姆和库贾拉量表上的评分更高。术前利霍尔姆评分的平均值为62.8，术后评分的平均值为94.3。术前库贾拉评分的平均值为63.0，术后评分的平均值为94.0。对髌骨不稳定的运动员采用腘绳肌移植物重建髌股内侧韧带可改善临床和功能评分。经髌骨的骨钻孔和股骨隧道的定位应谨慎操作。
