Assuntos
Artralgia/diagnóstico , Articulação do Joelho/diagnóstico por imagem , Osteocondromatose/diagnóstico , Líquido Sinovial/fisiologia , Adulto , Artralgia/diagnóstico por imagem , Artralgia/cirurgia , Artroscopia , Feminino , Humanos , Articulação do Joelho/cirurgia , Osteocondromatose/diagnóstico por imagem , Osteocondromatose/cirurgia , RadiografiaAssuntos
Traumatismos em Atletas/cirurgia , Músculo Esquelético/lesões , Contenções , Traumatismos dos Tendões/cirurgia , Coxa da Perna/cirurgia , Adulto , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/reabilitação , Feminino , Humanos , Ísquio/lesões , Imageamento por Ressonância Magnética , Músculo Esquelético/cirurgia , Ruptura/cirurgia , Traumatismos dos Tendões/diagnóstico , Traumatismos dos Tendões/reabilitação , Coxa da Perna/lesõesRESUMO
PURPOSE: To investigate the outcome of arthroscopic anterior cruciate ligament (ACL) reconstruction with hamstring autograft using femoral cross-pin fixation compared with patellar tendon autografts. TYPE OF STUDY: Matched retrospective cohort. METHODS: Twenty-one patients who underwent ACL reconstruction with hamstring autograft and femoral cross-pin fixation were evaluated at an average of 16.4 months postoperatively. Subjective data were collected using the International Knee Documentation Committee (IKDC) and the Cincinnati Knee Scale. Objective data included a comprehensive knee examination, plain radiographs, and KT-1000 measurements. The results were compared with 19 matched patients who had previously undergone ACL reconstruction using patellar tendon autograft. RESULTS: The average KT-1000 maximal manual side-to-side difference was 1.63 +/- 0.68 mm. Eighty-six percent of IKDC scores were normal or nearly normal. The average overall Cincinnati Knee Scale subjective symptom rating was 8.7 +/- 1.2. There was no significant difference in subjective or objective data between the 2 groups. CONCLUSIONS: ACL reconstruction using femoral cross-pin fixation is a reliable technique showing outcomes comparable to other established methods of fixation. LEVEL OF EVIDENCE: Level IV, case series.