Ligamentoplastia do Cruzado Anterior: Fluxograma das Opções Técnicas e Relação com o Instrumental
Palavras-chave:
Lesões do Ligamento Cruzado Anterior/cirurgia, Ligamento Cruzado Anterior/cirurgia, Reconstrução do Ligamento Cruzado Anterior/métodosResumo
A reconstrução do ligamento cruzado anterior (LCA) é uma das cirurgias ortopédicas mais frequentemente realizadas. Apesar da extensa literatura disponível é difícil encontrar uma descrição pragmática das diferentes variantes técnicas que permita guiar as múltiplas decisões cirúrgicas. Neste artigo de revisão são descritas as variantes técnicas da ligamentoplastia do LCA de forma sistemática, nomeadamente na colheita e preparação do enxerto, na realização de túneis e na fixação do enxerto. É descrita a hipótese de suplementar a plastia com a reconstrução ou tenodese anterolateral. Nesta revisão inclui‐se uma dissertação sobre potenciais dificuldades intra‐operatórias e respetivas soluções, como a conspurcação da plastia, o posicionamento sub‐óptimo dos túneis e a fixação insuficiente da plastia. É opinião dos autores que a ligamentoplastia do LCA pode ser dificultada pela tentativa do cirurgião em adaptar o seu gesto ao instrumental disponível. Como tal é sugerida uma técnica cirúrgica simplificada com um algoritmo independente das especificidades de cada instrumental.Downloads
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Direitos de Autor (c) 2024 Francisco Guerra Pinto, Rita Alçada, Jácome Pacheco, Gonçalo Moraes Sarmento, Carlos Martinho, António Martins (Author)
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
