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 119
- Downloads 0
Percutaneous tenotomy of the Achilles tendon using a 16 gauge needle in the management of clubfoot
Objective: To clinically evaluate, the effectiveness of percutaneous tenotomy of Achilles tendon using a 16 gauge needle in clubfoot treatment by ponseti technique. Material and methods: Forty five affected foot were pro...
Cage vs autologous bone grafting in PLIF surgery for spine fusion- randomized control trial
Introduction: Posterior lumbar interbody fusion (PLIF) is been used increasingly for degenerative lumbar spine disease to achieve a 360 degree fusion. With the advent of newer techniques and instrumentations the results...
A cross sectional study of functional outcome of proximal humerus fractures treated with closed reduction and percutaneous pinning
The most common orthopaedic injuries related to falls and road traffic accidents are fractures. Mostly these are hip fractures, distal radial fractures and the fractures of humerus. Proximal humerus fractures represent a...
Analysis of proximal plating versus intramedullary nailing in the treatment of extra-articular proximal tibial fractures
Extraarticular fractures of proximal tibia has been a challenging situation to most of the surgeons today. Treatment of these injuries is extremely challenging because of the inherent unstable fracture region, difficult...
Arthroscopic double bundle, double branched tunnel anterior cruciate ligament reconstruction
Double bundle anterior cruciate ligament reconstruction is clinically better than single bundle reconstruction but it is more difficult, more complicated and less economic. This study presents a modified technique of dou...