Single stage arthroscopic anterior cruciate and posterior cruciate ligament reconstruction using hamstring tendon autograft
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 3
Abstract
Aim: A prospective study of functional outcome of patients with single stage Arthroscopic Anterior and Posterior cruciate ligament reconstruction using hamstring tendon autograft with a minimum follow up of 2 years. Materials and Methods: There were 12 patients included in this prospective study of Arthroscopic ACL and PCL reconstruction using hamstring tendon autograft. The duration of injury to index procedure is from 6 weeks to 12 weeks. The semitendinosus tendon from the uninjured and injured leg was used for PCL reconstruction and Gracilis tendon was used for ACL reconstruction. Both the ACL and PCL grafts were fixed by Endobutton CL on femoral side and Bio absorbable HA interference screws were used for the tibial fixation. Patients were followed up for 2 years and evaluated according to IKDC grade. Results: All the patients in our study had a good knee extension. 3 patients had a grade I laxity on Anterior-Posterior movements. 4 patients had a flexion deficit of 50 and 2 patients with the flexion deformity of 200. The IKDC evaluation 8 patients were graded normal, 3 patients graded near normal and 1 patient with an abnormal grade. Conclusion: A single stage arthroscopic ACL and PCL reconstruction with hamstring tendon autograft will give an excellent result for the multi ligament injuries. A significant improvement in way of function and activity were noted by subjective clinical examination and scales with a minimum follow-up of 2 years. Careful clinical evaluation and good surgical technique will provide a better outcome of surgery for multi ligament injuries in knee.
Authors and Affiliations
P Saravanan, T Sundararajan
Keywords
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- EP ID EP465748
- DOI 10.26611/1020832
- Views 68
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