Results of anatomical ACL Reconstruction (original) (raw)
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National journal of clinical orthopaedics, 2024
Introduction: The surgical reconstruction of the anterior cruciate ligament with Bone-Patellar tendon-Bone auto-graft represents an attempt to re-establish knee kinematics. It has the added advantage of bone to bone healing and it does not sacrifice the knee stabilizers. The present study was carried out to assess the outcome of arthroscopic assisted ACL reconstruction using Bone Patellar Tendon Bone auto-graft in Kashmiri population. Materials and Methods: This prospective study was carried on 30 patients with correlative findings of ACL injury on clinical examination and MRI analysis. All patients were managed with arthroscopic reconstruction using Bone Patellar Tendon Bone auto-graft. Postoperative evaluation was done on the basis of IKDC subjective score, Manual Lachman grading, Anterior Drawer value, Pivot Shifting grading and Lysholm scoring. Results: In our study median pre-operative and post-operative Lachman grading value was 3 (range 1-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative anterior drawer value was 3 (range 0-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative pivot shift grading value in our study was 2 (range 1-3) and 0 (range 0-2) respectively. The mean pre-operative IKDC subjective score was 49.86 (49.9-52.8) while the mean postoperative score was 89.48 (87.9-91.2). According to Lysholm knee score 15 (50%) patients had excellent functional outcome while 10 (33%) patients had good outcome and the remaining 5 (17%) patients had a fair outcome. Conclusion: Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft is an excellent treatment option for anterior cruciate ligament deficient knees and provides a stable knee with minimal complications.
International Journal of Orthopedics Sciences, 2020
Background: Our study aim is to assess the functional outcome of arthroscopy assisted anatomical reconstruction of ACL with autologous hamstring graft using IKDC score. Methodology: Our study is a prospective observational study conducted in 40 patients, all patients between age group of 20-40 yrs, both male and females with ACL injury, admitted to Yashoda Superspeciality hospital, between April 2016 and May 2017 (14 months) and fulfilling inclusion and exclusion criteria, treated surgically with Arthroscopic anatomic ACL reconstruction using autologous hamstring graft were included as the subjects for study. Case selection was done according to. Results: A total of 40 patients, 32 male and 8 female with 26 right knee and 14 left knee involvement with ACL tear were operated. The IKDC score reflected highly significant improvement in the stability, mainly rotational and anterior stability when preoperative score were compared with the score of most recent follow up i.e. 6 months. Pre-operative mean of 44.43+3.630 SD and Post-operative mean was 88.53+3.994 SD. The average Pre-operative mean was 44.525 and average Post-operative mean was 88.525, with an average mean increase in score was 44, with significant P value < 0.01 using IKDC score. Interpretation and conclusion: Anatomical ACL reconstruction is excellent technique for treating patients with ACL tear who are especially involved in the activities which involve pivoting most of the times in their life time for e.g. Athletes.
Functional outcomes of ACL reconstruction using hamstring auto graft
The Professional Medical Journal, 2019
Objectives: The knee joint is made of two cruciate ligaments. One is anterior cruciate ligament (ACL) which is weaker when it comes to comparison with the other cruciate ligament known as posterior cruciate ligament (PCL). ACL tears are most common and frequently neglected. ACL tear is affecting 70% of the population and this high incidence reflects the significance of the problem. Reason of restoration of a torn ACL is to provide knee stability, knee motion in a safe wide range and to prevent osetoarthritis OA. The gold standard for ACL auto-graft reconstruction is bone patella-tendon bone (BTB) which is still questioned by many researchers as this technique followed subjects suffered from knee pain. So aim is to use and to access outcomes of hamstring auto-graft for reconstruction ACL by using Tegner’s score. Study Design: Cross sectional study. Setting: Private based hospital, Faisalabad. Period: January 2017 to January 2019. Material and Methods: It was comprised of in comprised...
International Journal of Research in Orthopaedics, 2017
Background: The most common current graft choices in ACL reconstruction are the bone-patellar tendon–bone (BPTB) graft and the quadrupled Hamstring graft. Though BPTB is considered to be the gold standard; hamstring tendon (HT) grafts have increased in popularity over last decade. Our aim in this study is to assess the complications, comorbidities, difficulties and final outcome between BPTB and Hamstring grafts in ACL reconstruction.Methods: 71 male patients with isolated tear of ACL between age group of 18-45 years were included in the study. 35 patients in group A underwent ACL reconstruction using bone patellar tendon bone autograft and 35 patients in group B were managed by reconstructing ACL using quadrupled Hamstring autograft. All the patients in both the groups were followed up at 08 weeks,06 months and 01 year post surgery and evaluated by Lysholm knee scoring system.Results: The Lysholm scoring scale scores in anterior cruciate ligament reconstruction showed that BPTB gro...
International Journal of Orthopaedics Sciences, 2021
Anterior Cruciate Ligament rupture is a common sports injury. The present treatment protocol is to reconstruct the ligament using autografts like bone-patellar tendon-bone, hamstring tendons, quadriceps tendon, peroneus longus tendon etc. Out of all these, the patellar tendon autograft and the quadrupled hamstring autograft are most commonly used. We have conducted a prospective randomised study comparing the outcome of anterior cruciate ligament reconstruction using these two autografts. A total of 40 patients were randomised into two groups with 20 patients each in the patellar tendon and hamstring group. Similar postoperative rehabilitation protocol was followed for each group and the final outcome was measured at the end of 6 months using Tegner and Lysholm score. The functional outcome of both the groups was statistically compared to find any significant advantage of one group over the other. The results we found were equivocal for both the groups. The return to preinjury statu...
Results of the surgical reconstruction of the anterior cruciate ligament
Collegium Antropologicum, 2012
Results of the surgical reconstruction of the anterior cruciate ligament (ACL), using as a graft fourfold hamstring tendons (gracilis and semitendinosus) and middle third of the patellar ligament, were compared. In all patients that were participating in this study clinical examination and magnetic resonance showed ACL rupture, and apart from the choice of the graft, surgical technique was identical. We evaluated 112 patients with implemented patellar ligament graft and fourfold hamstring tendons graft six months after the procedure. Both groups were similar according to age, sex, activity level, knee instability level and rehabilitation program. The results showed that there was no significant difference between groups regarding Lysholm Knee score, IKDC 2000 score, activity level, musculature hypotrophy, and knee joint stability 6 months after the surgery. Anterior knee pain incidence is significantly higher in the group with patellar ligament graft (44% vs. 21%). Both groups had a...
Functional Outcome of Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction
Abstract: Anterior cruciate ligament (ACL) tear is the most common ligamentous tear of knee joint. The goal of reconstruction of ACL is to restore the stability of knee joint. This study is to evaluate the functional outcome of Arthroscopically assisted ACL reconstruction using Bone patellar tendon bone graft and quadrupled hamstring graft. Our study of 30 cases of arthroscopic ACL reconstruction(21 Bone patellar tendon bone graft, 9 Quadrupled Hamstrig Graft). We have evaluated th knee function pre and post operatively using international knee documentation committee(IKDC) and Lysholm score. Our study showed that Arthroscopically assisted ACL reconstruction could effectively improve stability and function of knee joint. Our results were almost similar to the results obtained in the standard published literature. Key Words: Anterior cruciate ligament, Bone patellar tendon bone graft, I nternational knee documentation committee, Quadrupled hamstring graft, Lysholm score
BAC K G R O U N D Anterior cruciate ligament (ACL) inj ur ies are successfully r econstructed arthroscopically especially in young and active patients. The main purposes of these reconstructions are to achieve a stable and functional knee joint. Recently most frequently used autogenous graft types are mainly bone- patellar tendon- bone and quadruple hamstring tendon. The various advantages and disadvantages and their superiorities to each other are still debated. For this purpose we have compared the general symptomatology, stability, proprioception and functional results of ACL reconstruction operations that we used these graft types. M ET H O D S Twenty ACL reconstructed patients in two groups with 10 subjects each were included in our study. In one group ACL reconstruct ions were made with bone - patellar tendon one and in the other group with quadruple hamstring tendon. Anterior knee pain, thigh atrophy, stability, proprioception, Lysholm and Tegner activity level scores were ev...
Journal of International Medical Research
Objective This prospective randomized study was performed to compare the outcomes of two operative methods of anterior cruciate ligament (ACL) reconstruction based on either bone–patellar tendon–bone (BTB) grafts or hamstring tendon (HT) grafts. Methods Among 100 patients, 96 completed the full follow-up period and were included in the final analysis (48 in the BTB group and 48 in the HT group). The patients were evaluated preoperatively and 1, 3, 6, and 12 months after ACL reconstruction. The Kujala score, Tegner score, and Knee injury and Osteoarthritis Outcome Score (KOOS) were among the parameters used to evaluate the patients. Results Both groups were comparable in terms of sex, age, and body mass index. None of the analyzed scores were significantly different between the BTB and HT groups at either the initial or last visit. Both groups demonstrated improvement at the 12-year follow-up according to the Kujala score and most categories of the KOOS. The Tegner activity level sco...
The American Journal of Sports Medicine, 2007
Anterior cruciate ligament (ACL) reconstructive surgery is a common elective orthopaedic procedure. In the United States, over 102 000 ACL reconstructions were performed in 1996. Despite the frequency of ACL reconstructions performed, there remain significant discrepancies in surgeon preference regarding ligament graft choice. Common sources include bone-patellar tendon-bone (PT) autografts, 4-strand semitendinosus and gracilis hamstring (HT) autografts, quadriceps tendon autografts with or without bone plug, and allografts from a variety of sources. The differences of opinion regarding graft sources indicate the lack of prospective, long-term studies comparing outcomes of different grafts. In this study, we have prospectively compared the long-term (10-year) outcomes of the 2 most commonly used autograft sources-PT autografts and HT autografts.