Arthroscopic staple fixation in the management of displaced anterior cruciate ligament avulsion fractures
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
Introduction Knee injuries are commonly associated with anterior cruciate ligament ACL avulsion fractures and its management is controversial ranging from conservative treatment to arthroscopic fixation The purpose of our study was to assess the clinical and radiological results of arthroscopic staple fixation in the management of ACL avulsion fracturesMaterials and Methods This study included twentytwo patients 17 males and 5 females who were analyzed after undergoing arthroscopic staple fixation for displaced ACL avulsion fractures The mean age was 322 years 1555 years The mean follow up was of 21 months 636 months The patients were assessed clinically by calculating their Lysholm and International Knee Documentation Committee IKDC scores Radiological union was assessed in the follow up radiographsResults The mean Lysholm score was 954 83100 and the mean IKDC score was 911 77100 at the final follow up Anterior drawers test was negative in 20 patients at the end of final follow up while two patients had grade I laxity Seven cases had associated knee injuries The final outcome was not greatly influenced by the presence of associated injuries when treated simultaneously It was found that all the patients when examined at their final follow up were able to return to their preinjury occupationConclusion The procedure of arthroscopic staple fixation in the management of displaced ACL avulsion fractures was found to be safe and reliable method for producing clinical and radiological outcomeKeywords ACL avulsion Arthroscopy Staple
Authors and Affiliations
Clevio Desouza, Vinod Nair, Amit Chaudhary, Nitin Wadhwa, Subhanshu Gupta
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