Alteraciones de la marcha en pacientes con reconstrucción del ligamento cruzado anterior por autoinjerto: revisión sistemática

Luis Fernando  Villacis Olivo; Español Español

doi:10.59169/pentaciencias.v5i7.908

Authors

Luis Fernando Villacis Olivo Universidad Técnica de Ambato https://orcid.org/0009-0000-4145-025X
Español Español Español https://orcid.org/0000-0001-8712-1857

DOI:

https://doi.org/10.59169/pentaciencias.v5i7.908

Keywords:

anterior cruciate ligament; reconstruction; autograft; gait alterations; biomechanics

Abstract

Anterior Cruciate Ligament (ACL) rupture is one of the most common injuries in the current context, and reconstruction by autograft is the most used rehabilitation method along with physiotherapy for physical rehabilitation; However, certain biomechanical alterations have been detected in the gait pattern of these patients due to the effects that the injury produces on the surrounding structures and this has resulted in the development of degenerative pathologies secondary to the reconstruction of the ligament. The objective of the present investigation is to analyze the alterations in gait biomechanics present in patients with anterior cruciate ligament reconstruction through different autograft techniques. A systematic review was carried out based on the PRISMA method guidelines in the Google Scholar, PubMed, Scopus and Springerlink databases, including a total of 11 articles. Several gait alterations were detected in the patients analyzed in parameters such as angles of movement, joint range, tibial translation, moments of force and vertical ground reaction; being the knee flexion angle the most evaluated. However, the studies show discrepancies in several of the results found and, in addition, there is little or no information on the biomechanics of the hip and ankle; Therefore, it is difficult to reach a conclusion about a specific gait pattern for these patients.

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