Anterior Cruciate Ligament Reconstruction: Analysis of Grafts, Associated Injuries, And Anesthetic Strategies

Abstract

João Francisco Rodrigues Nascimbeni, Leonardo Goya Machado, Marcos Vinicius Rodrigues Moura Santos, Yuri Dovorake Lourenço, Tiago Barcelos Sanches, Pedro Mariano Coelho Neto and Fernanda Grazielle da Silva Azevedo Nora

Objective: This study analyzed the clinical and surgical outcomes of patients undergoing anterior cruciate ligament (ACL) reconstruction, evaluating associated injuries, graft types, anesthetic strategies, and tourniquet time.

Methods: Sixteen patients with ACL injuries were included, and their medical records were reviewed to collect data on the variables. Associated injuries were categorized, the types of grafts used were recorded, and anesthetic practices and tourniquet times were analyzed.

Results: Associated injuries were identified in 60% of patients, with meniscal injuries being the most common (40% with sutures). The patellar tendon was the most used graft (80%), while anesthetic methods such as spinal anesthesia combined with continuous additional block (BCA) were applied in 40% of cases. The average tourniquet time was 68 minutes, remaining within safe limits according to the literature.

Conclusion: ACL reconstruction requires meticulous surgical planning, considering clinical and technical variables. Graft selection and anesthetic strategies, combined with the preservation of joint structures, are essential for favorable functional outcomes and the prevention of complications.

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