CLINICAL OUTCOMES OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING HAMSTRINGS TENDON AUTOGRAFT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 9
Abstract
BACKGROUND Anterior cruciate ligament is most commonly injured ligament in the knee. The first description of the true nature of ACL that it is a joint stabilizer, which restricts abnormal motion, was given by Galen1 (Circa 170 AD) The first prosthetic ACL made of Dacron was developed by Rubin, Marshall and Wary in 1975.2,3 D.L McIntosh did extra-articular reconstruction using fascia lata in 1972. 4 The first use of semitendinosus and gracilis for ACL reconstruction in 1982, was done by Lipscom.5 M.J. Fredman in 19886 and was the first person who did the arthroscopic reconstruction of ACL using four-strand hamstring graft. Functional outcome of arthroscopic ACL reconstruction was better compared to open repair in short term but in long-term follow-up, the results were similar, concluded by Cyril B. Frank et al, 7 in their study. MATERIALS AND METHODS The study was conducted among 25 patients with signs and symptoms of ACL tear who got admitted from OPD and casualty of government general hospital between September 2016 to August 2018. Patients underwent anterior cruciate ligament reconstruction using hamstring autograft for ACL injury and followed for 7 to 24 months of follow-up. RESULTS Post-op mean IKDC score is 87.54%. 84% of patients with Lysholm Knee Score had an excellent to good outcome. Complications- 4% (n=1) had a superficial infection, 4% (n=1) had extensor lag, 4% (n=1) had deep infection. CONCLUSION Clinical outcome after arthroscopic anterior cruciate ligament reconstruction with hamstring graft is an excellent treatment option for anterior cruciate ligament-deficient knees with less post-operative complications.
Authors and Affiliations
Akshith Mondem, Dileep Kumar Reddy Bekkam Siddigari, Iliyas Basha A. M
Keywords
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- EP ID EP611549
- DOI 10.18410/jebmh/2019/133
- Views 73
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