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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(02): 178-182
DOI: 10.1016/j.rbo.2017.10.004
Original Article | Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Functional Evaluation after Medial Patellofemoral Ligament Reconstruction in Athletes[*]

Article in several languages: português | English
Emerson Garms
1   Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE), São Paulo, SP, Brasil
,
Rogerio Teixeira de Carvalho
1   Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE), São Paulo, SP, Brasil
,
César Janovsky
1   Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE), São Paulo, SP, Brasil
,
Alexandre Pedro Nicolini
1   Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE), São Paulo, SP, Brasil
,
Rafael Salmeron Salviani
1   Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE), São Paulo, SP, Brasil
,
Andre Cicone Liggieri
1   Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE), São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

21 August 2017

19 October 2017

Publication Date:
10 May 2019 (online)

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Abstract

Objective 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.

Methods 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.

Results 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.

Conclusion 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.

Keywords

joint instability - ligaments articular - patellar dislocation - patellofemoral joint - athletes

* Work developed at the Centro de Traumatologia do Esporte (CETE), Universidade Federal de São Paulo, São Paulo , SP, Brazil.


 

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