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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(01): 033-040
DOI: 10.1055/s-0041-1736514
Revisão Sistemática e Metanálise
Joelho

Resultado funcional do procedimento de tenodese extra-articular lateral (TEL) como complemento à reconstrução do ligamento cruzado anterior: Uma metanálise[*]

Article in several languages: português | English
I Gusti Ngurah Wien Aryana 
1   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina Udayana University, Sanglah General Hospital, Bali, Indonésia
,
I Wayan Subawa 
1   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina Udayana University, Sanglah General Hospital, Bali, Indonésia
,
I Wayan Suryanto Dusak 
1   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina Udayana University, Sanglah General Hospital, Bali, Indonésia
,
Cokorda Gde Oka Dharmayuda 
1   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina Udayana University, Sanglah General Hospital, Bali, Indonésia
,
Hans Kristian Nugraha 
1   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina Udayana University, Sanglah General Hospital, Bali, Indonésia
,
Maria Florencia Deslivia 
1   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina Udayana University, Sanglah General Hospital, Bali, Indonésia
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Resumo

Objetivos O objetivo deste estudo é revisar e analisar sistematicamente o desfecho funcional do procedimento de tenodese extra-articular lateral (TEL) em complemento à reconstrução do ligamento cruzado anterior (RLCA) em de estudos com alto nível de evidências.

Métodos Realizamos a pesquisa bibliográfica para estudos clínicos comparando o método TEL como complemento à RCLA com a RLCA isolada. Os resultados principais foram a pontuação no Comitê Internacional de Documentação de Joelho (IKDC, na sigla em inglês), pontuação de Lysholm, e falhas no enxerto. Variáveis contínuas foram relatadas, como médias e intervalos de confiança (ICs) de 95%.

Resultados Seis estudos clínicos com 1,049 pacientes foram incluídos na metanálise. O período de seguimento foi de, em média, 24 meses (intervalo de 6–63 meses). A adição do procedimento TEL à reconstrução do LCA resultou em melhor resultado funcional com base no escore IKDC (p < 0,05). A falha do enxerto foi menor no grupo RLCA mais TEL (16 dos 342 pacientes) em comparação com o grupo apenas RLCA (46 dos 341 pacientes) (p < 0,05).

Conclusão Há evidências de alto nível de que o procedimento TEL como complemento à RLCA é preferível em termos de resultado funcional e falha do enxerto.

Palavras-chave

reconstrução do ligamento cruzado anterior - lesões do ligamento cruzado anterior - instabilidade articular - tenodese

Divulgação financeira

Sem apoio financeiro.


* Trabalho desenvolvido no Departamento de Ortopedia e Traumatologia, Faculdade de Medicina Udayana University, Sanglah General Hospital, Bali, Indonésia.




Publication History

Received: 19 February 2021

Accepted: 15 June 2021

Article published online:
21 January 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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