Abstract

SALGADO, João  and  CASTRO, José. Ligamentoplastia do ligamento cruzado anterior com enxerto Osso-Tendão-Osso VS Enxerto de Tendões isquiotibiais VS Enxerto Osso-Tendão. Rev. Port. Ortop. Traum. [online]. 2014, vol.22, n.3, pp.265-283. ISSN 1646-2122.

Aim: The goal of this review is to compare, in both a functional and clinical level, the three autologous grafts currently used in the reconstruction of the anterior cruciate ligament, in order to contribute to the perception of what is the best type of graft to use. Sources of data: A research was conducted in the online database MEDLINE-PubMed combining the following keywords: "injury", "anterior cruciate ligament", "rupture", "reconstruction", "quadriceps tendon graft", "bone-patellar-tendon-bone", "hamstring tendon graft", "autograft". There was no restriction to any range of dates due to the existence of an historical introduction. All articles written in ??other languages than English or Portuguese were excluded and textbooks were also consulted. After selection, 83 articles and 15 textbooks were used. Summary of data: The injury of the anterior cruciate ligament of the knee is one of the most common ligament injuries of this joint, and the integrity of this ligament is of an indisputable importance. In this review the differences encountered in terms of anterior-posterior stability and in terms of the Lysholm scale results are not statistically significant between the three types of graft. However the differences in terms of donor site morbidity favour the quadriceps tendon-patellar bone grafts and hamstrings graft at the expense of bone-patellar-tendon-bone graft. Conclusions: With this work it can be concluded that the hamstrings and quadriceps tendon-patellar bone grafts are also an excellent first-line option and that the bone-patellar-tendon-bone graft is undoubtedly the one that has a higher rate of donor site morbidity.

Keywords : Ligament; cruciate; anterior; rupture; lesion; autograft; bone-patellar-tendon-bone; quadriceps; hamstrings; reconstruction.

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