Functional outcomes of ACL reconstruction using quadruple hamstring gra
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Modern high speed road traffic accidents and sporting lifestyle has led to an increase in the cases of ligaments injury of the knee. Anterior cruciate ligament (ACL) is the most common ligament to be injured in knee joint injuries. ACL forms pivot in the functional congruence and stability of knee joint. Reconstruction of ACL is required in most of these cases especially in younger age group. As the demand for quality of life is increasing, arthroscopic ACL reconstruction has become the most commonly performed arthroscopic procedure. At our center, we studied the outcomes of 42 patients of ACL reconstruction using quadruple hamstrings autogra. We used Endobuon for femoral end and Bioabsorbable interference screw for tibial end xation.We measured the outcome using lysholm scale for upto 12 months. Methods: Arthroscopic single bundle ACL reconstruction using quadruple hamstring autogra performed in total 42 knees in 42 patients those having symptomatic ACL decient knee from feb 2016 to july 2017. 33 patients completed the follow up period of 1 year. Patients were evaluated clinically and with lysholm knee scoring at 6, 9 and 12 months after the procedure. patients showed significant improvement in knee laxity and stability. Mean Lysholm knee score was 71.78 (+/- 4.92) preoperatively. ere was significant improvement in score [82.1(+/-4.68) ]at 6 months, 88.81(+/- 4.59) at 9 months, and 93.9 (+/- 4.20) at 12 months of post op. At 12 months of post op 97 % patients showed excellent to good results (>83 score). Only one patient in post op at one year age present with instability , residual knee pain in 8 patients and in one patient develop stiffness of knee. Conclusions: in this prospective study results of ACL Reconstruction with quadruple hamstrings gra are rewarding and comparable to other methods reconstructions with other gra and fixation devices in one year of follow up.
Authors and Affiliations
Sunil Kumar, Harish Kumar, Laxminath Mishra, Harsh Singh, Narendra kumar Choudhary, Rajkumar bharti
Keywords
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