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• W3048379917 abstract "Anterior cruciate ligament injury (ACL) of the knee is a severe traumatic injury that greatly decreases the function and sometimes leaves very important sequelae for the young patient so surgery for ligament reconstruction is the suitable treatment, there are several techniques for the elaboration of tunnels with difference in the portals, the methods of fixation and the different grafts used and each one of the authors defend their techniques giving their advantages and disadvantages and possible complications associated. The objective of this study was to assess the advantages or not of two approaches to the femoral side for the passage of the graft or implants. Material and methods: Two similar groups in this observational, transversal, retrospective and analytical study in patients operated by the same surgeon and assistants. In a period of time of three year, 80 patients were operated, 42 of them by medial portal and 38 of them via trans tibial. Results: The male sex in both groups was the predominant one, the parameters of ease were assessed to observe the passage of the tendon or graft, the passage of the femoral implant, the ease of the implant grip, the tension of the same and the operative time in both groups. The result was conclusive being an p 0.06 contemplating the best result in patients operated by medial portal.La lesión del ligamento cruzado anterior (LCA) de la rodilla es una lesión traumática severa que disminuye enormemente la función y en ocasiones deja secuelas muy importantes para el paciente joven, por lo que la cirugía para la reconstrucción del ligamento es el tratamiento idóneo. Existen varias técnicas para la elaboración de túneles con diferencia en los portales, los métodos de fijación y los diferentes injertos que se usan; cada uno de los autores defiende sus técnicas señalando sus ventajas y desventajas y posibles complicaciones. El objetivo de este estudio fue valorar las ventajas de dos métodos de abordaje a nivel femoral para el paso del injerto o implantes. Material y métodos: Estudio de dos grupos similares, observacional, transversal, retrospectivo y analítico en pacientes operados por el mismo grupo quirúrgico. Durante tres años se operaron 80 pacientes, 42 de ellos por portal medial y 38 por vía transtibial. Resultados: El sexo masculino predominó en ambos grupos, se valoraron los parámetros de facilidad para observar el paso del tendón o injerto, el paso del implante femoral, la facilidad del agarre del implante, la tensión del mismo y el tiempo quirúrgico en ambos grupos. El resultado fue concluyente siendo un p 0.06 contemplando el mejor resultado en los pacientes operados por portal medial." @default.
• W3048379917 created "2020-08-18" @default.
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• W3048379917 date "2020-08-09" @default.
• W3048379917 modified "2023-09-27" @default.
• W3048379917 title "[Anterior cruciate ligament reconstruction with femoral tunnel via medial portal vs trans-tibial]." @default.
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