{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T13:57:51Z","timestamp":1702389471735},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T00:00:00Z","timestamp":1557446400000},"content-version":"vor","delay-in-days":39,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar a for\u00e7a de resist\u00eancia \u00e0 tra\u00e7\u00e3o de diferentes m\u00e9todos de fixa\u00e7\u00e3o tibial na reconstru\u00e7\u00e3o do ligamento anterolateral (LAL). Al\u00e9m disso, comparar os mecanismos de falha da fixa\u00e7\u00e3o tibial dessa reconstru\u00e7\u00e3o em joelhos su\u00ednos.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Foram usados 40 membros rec\u00e9m-congelados de su\u00ednos, divididos em quatro grupos de dez esp\u00e9cimes, conforme as t\u00e9cnicas de fixa\u00e7\u00e3o tibial usadas. No grupo A, a fixa\u00e7\u00e3o tibial do enxerto tend\u00edneo foi feita por meio de uma \u00e2ncora e seu fio transpassou o enxerto. No grupo B, a fixa\u00e7\u00e3o tibial foi feita por meio de parafuso de interfer\u00eancia met\u00e1lico em t\u00fanel \u00f3sseo \u00fanico. No grupo C, a fixa\u00e7\u00e3o tibial incluiu uma \u00e2ncora associada \u00e0 sutura de ponto sobre o tend\u00e3o (sem a presen\u00e7a de fio que transpassasse o tend\u00e3o) e, no grupo D, foram usados dois t\u00faneis \u00f3sseos confluentes associados a um parafuso de interfer\u00eancia em um dos t\u00faneis.<\/jats:p><jats:p>\n          Resultados\u2003A for\u00e7a m\u00e9dia menos elevada (70,56 N) ocorreu no grupo A e a mais elevada (244,85 N), no grupo B; as m\u00e9dias dos outros dois grupos variaram entre 171,68N (grupo C) e 149,43\u2009N (Grupo D). Considerando-se a margem de erro fixada (5%), foi observada diferen\u00e7a significativa entre os grupos (p\u2009&lt;\u20090,001).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A fixa\u00e7\u00e3o com parafuso de interfer\u00eancia em t\u00fanel \u00f3sseo \u00fanico apresentou a maior for\u00e7a de resist\u00eancia \u00e0 tra\u00e7\u00e3o dentre as t\u00e9cnicas avaliadas.<\/jats:p>","DOI":"10.1016\/j.rbo.2017.09.001","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T14:16:13Z","timestamp":1513865773000},"page":"183-189","source":"Crossref","is-referenced-by-count":2,"title":["Avalia\u00e7\u00e3o biomec\u00e2nica de diferentes m\u00e9todos de fixa\u00e7\u00e3o tibial na reconstru\u00e7\u00e3o do ligamento anterolateral em ossos su\u00ednos"],"prefix":"10.1055","volume":"54","author":[{"given":"Rog\u00e9rio Nascimento","family":"Costa","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia do Joelho, Hospital S\u00e3o Vicente 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