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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e868-e875
DOI: 10.1055/s-0044-1785663
Artigo Original
Joelho

Anterior Cruciate Ligament Reconstruction with Internal Brace Augmentation Results in Fewer Reruptures Compared to Reconstruction without Augmentation

Article in several languages: português | English
João Victor Novaretti 
1   Departamento de Ortopedia e Traumatologia, Centro de Ortopedia e Traumatologia do Esporte, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Claudio Paula Pessoa Dias Junior 
2   Instituto Cohen, São Paulo, Brasil
,
Lucas Santos Lima 
2   Instituto Cohen, São Paulo, Brasil
,
Joicemar Tarouco Amaro 
2   Instituto Cohen, São Paulo, Brasil
,
Daniel Esperante Gomes 
1   Departamento de Ortopedia e Traumatologia, Centro de Ortopedia e Traumatologia do Esporte, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Moises Cohen 
3   Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil
› Author Affiliations Financial Support The authors declare that they did not receive funding from agencies in the public, private, or not-for-profit sectors for the conduction of the present study.
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Abstract

Objective To compare the clinical outcomes of anterior cruciate ligament (ACL) reconstruction using autografts with and without internal brace augmentation.

Methods Data from patients who underwent ACL reconstruction with hamstring and quadriceps tendon autografts, with a minimum follow-up of one year, with or without internal brace augmentation were collected prospectively analyzed retrospectively. The Lysholm and Tegner functional scores were collected before and after surgery, as well as data on postoperative complications. For the comparison of means of the two groups, we used the Student t test or the Mann-Whitney non-parametric test, when the assumption of normality of the data was rejected.

Results In total, 55 patients underwent ACL reconstruction with internal brace augmentation and another 55 patients underwent ACL reconstruction without internal brace augmentation. The patients were aged between 16 and 63 years (mean of 32.7 ± 11.4 years). A total of 62 patients (56.4%) underwent ACL reconstruction with hamstring graft, and 19 patients (17.3%), with quadriceps tendon graft, with a diameter variation of 7 mm to 11 mm (mean of 8.95 ± 0.83 mm). The postoperative scores did not differ between the groups (p > 0.05). Regarding the group submitted to ACL reconstruction with internal brace augmentation, 4 patients had complications: @ cases of arthrofibrosis, 2 (3.7%); 1 case of rerupture (1.8%); and 1 case of thrombosis (1.8%). In the group submitted to ACL reconstruction without augmentation, 7 patients manifested complications: 2 cases of arthrofibrosis (3.9%); 4 cases of rerupture (7.3%); and 1 case of infection (2%).

Conclusion The results of the present study show that fewer cases of ACL rerupture were observed after reconstruction with internal brace augmentation when compared with ACL reconstruction without augmentation, although no differences in functional scores were found.

Keywords

anterior cruciate ligament - anterior cruciate ligament reconstruction - knee injuries - treatment outcome

Work carried out at the Sports Orthopedics and Traumatology Center, Departament of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.




Publication History

Received: 17 July 2023

Accepted: 06 November 2023

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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