Results with primary repair of the avulsed anterior cruciate ligament and internal fiber ligament augmentation
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Introduction: ACL repair was first performed over a century ago, but reconstruction has overwhelmingly been the surgery of choice for operative ACL ruptures since the 1970s. Modern arthroscopic surgical instrumentation has made repair of ACL tissue easier and advancements in functional tissue engineering and regenerative medicine have resulted in a renewed interest in ACL repair. This is an attractive option to restore normal patient anatomy, retaining proprioceptive fibers, and not causing donor site morbidity that can be associated with reconstructions. Material & Methods: The study included 10 consecutive patients who presented with traumatic ACL avulsions (including bony avulsions) in outpatient or emergency department in last 2 years. Our inclusion criteria were cases with primary ACL injury (avulsion / proximal or distal end) not exceeding 3 months. Patients with severe arthritis of knee, multiligamantous ligament injury, history of previous surgery, bleeding disorders, any comorbidility leading to a non operable condition were excluded from the study. Results: Out of 10 cases three cases had an avulsion from femoral end while seven had it from the tibial end. The injury surgey interval was in a range of six days to sixtythree days. Post operatively four patients had restriction of knee extension (5 degrees) at 4 weeks follow up. Rest of the cases had attained full range of motion at four weeks. All the cases had pain free gait pattern but needed aggressive physiotherapy to reinforce the normal gait pattern. There was no clinical ACL laxity in any of the cases, whenever seen at routine follow ups Conclusion: The internal brace acts as secondary pillar which supports the strength of the repaired ligament. Patients have a better proprioception, faster recovery to work & are safe guarded against an unpredictable outcome of ACL reconstruction.
Authors and Affiliations
Dr. Atul Agrawal, Dr. Faiz Akbar Siddiqui, Dr. Ruchit Khera, Dr. Amish Bhandari
Keywords
Related Articles
- EP ID EP481234
- DOI 10.22271/ortho.2017.v3.i4c.23
- Views 127
- Downloads 0
Effect of age, sex, co morbidities, delay in surgery and complications on outcome in elderly with proximal femur fractures
Introduction: Intertrochanteric and femoral neck fractures account for nearly 90% of proximal femur fractures. It is customary to use 65 years of age to define the elderly. One year mortality in these elderly patients ra...
Comparative analysis between dynamic hip screw and proximal femoral nail the management of intertrochanteric femoral fracture
Peritrochanteric fractures are common in the elderly people. The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urbanization. There are va...
Functional outcome of serial cast correction of congenital talipes equinovarus by ponseti method
Vast number of children are born with congenital clubfoot every year. Incidence of CTEV being one per 1000 live births. Most of these are kids born in countries where they remain untreated or poorly treated reducing thei...
Indications and postoperative complications of tibial Illizarov’s technique in a tertiary care center, Saudi Arabia
Background: Circular external fixation including Ilizarov method is a well-established technique often practiced in orthopedic surgery. The goal of this procedures is to lengthen extremity bones, reconstruct severely inj...
A prospective study on clinical outcome following surgically managed displaced clavicle fractures using pre-contoured locking plate and screws
Background: Most acute displaced clavicular fractures conventionally have been treated non-operatively with the expectation of a high probability of fracture union, good functional outcomes, and a high level of patient s...