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Artrotomia "versus" artroscopia: avaliação pós-operatória da reconstrução do ligamento cruzado anterior *

2002; Brazilian Society of Orthopedics and Traumatology; Volume: 37; Linguagem: Inglês

2255-4971

Leonardo Carbonera Boschin, Geraldo de Freitas Schuck, Gustavo Kaempf de Oliveira, Ivo Schmiedt, Carlos Roberto Schwartsmann,

Sports injuries and prevention

Arthrotomy versus arthroscopy: post-operative assessment of the anterior cruciate ligament reconstruction The purpose of this study was to determine in a prospective, randomized, and double-blind study whether arthroscopically-assisted anterior cruciate ligament reconstruction using bone-patellar and tendon-bone autograft offered any significant short-term advantages over traditional open reconstruction through arthrotomy. Twenty patients with clinical diagnosis of anterior cruciate ligament deficiency were randomly assigned to one of two treatment groups: open reconstruction and reconstruction by arthroscopy, each group with 10 patients. After surgery, all patients were treated identically. Pre- and intra-operative observations included age, sex, side, length of surgery, length of ischemia, blood loss, and time elapsed between lesion and surgery. Postoperative evaluation was performed at one, 15, 30, 60, 90, 120, and 180 days after the surgery, with the purpose of recording pain, muscular power, thigh atrophy, and range of motion. Lysholm score was obtained in the 180 th -day RESUMO O proposito deste trabalho foi determinar de forma prospectiva, randomizada e duplo-cega se a reconstrucao do ligamento cruzado anterior (LCA) com osso-tendao patelar-osso por via artroscopica oferece vantagem significativa a curto prazo sobre a reconstrucao aberta tradicional atraves de artrotomia. Foram randomicamente designados 20 pacientes com diagnostico clinico de ruptura de LCA para um dos dois grupos de tratamento: reconstrucao aberta e reconstrucao artroscopica, sendo cada grupo formado por 10 pacientes. No pos-operatorio, todos os pacientes foram orientados, conduzidos e tratados seguindo o mesmo protocolo, tanto no que tange a parte cirurgica quanto a parte fisioterapica. Observacoes pre e intra-operatorias incluiram idade, sexo, tempo decorrido do trauma a cirurgia, lado operado, tempo de isquemia e de cirurgia e perda sanguinea. Avaliacao pos-operatoria foi realizada em um, 15, 30, 60, 90, 120 e 180 dias para avaliar dor, atrofia muscular, amplitude de movimento e grau de forca