Surgical Management of Anterior Cruciate Ligament Injuries by Arthroscopic Reconstruction Using Semitendinosus and Gracilis Tendon
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 8
Abstract
The unprecedented growth and development in the past decade of our country saw rapid growth and urbanization resulted in change in life style of the people and also increases in the sports and other occupational related activities by the individuals. This has led to the increased accidental injuries to the knee joint, a major contributing factor to Anterior Cruciate Ligament (ACL) injury . This was a prospective study of consecutive patients with ACL injury who underwent Arthroscopic ACL reconstruction in our institution using quadrupled semitendinosus and gracilis tendon autograft. About 92% of the patients had a favorable outcome as per three scoring systems. All three scoring system had a very high correlation as evidenced by the Kendal-tau values ranging x from 0.464 to 0.923. Statistically, this was found to be highly significant (p value- 0.000 – 0.001). Using IKDC scoring, the results were normal in 14, nearly normal in 10 and abnormal 1. 4 patients (16%) presented with anterior knee pain. Sensory loss was xii noted in 3 patients (12%) at the end of 6 months following surgery. Swelling was present in 4 patients (16%).None were having any infection and FFD. Arthroscopic ACL reconstruction is performed to restore the functional stability in ACL deficient knees and restore the normal kinetics of the knee. Increasing number of ACL reconstruction surgeries have been performed and there is an increasing expectation of patients to speedy recovery and more rapid return to activities of daily living, work and study. We conclude that the functional outcome of arthroscopic anterior cruciate ligament reconstruction using quadrupled semitendinosus and gracilis tendon autograft is excellent to good (92%). With proper patient selection and physiotherapy regimen, full occupational and recreational activities can be expected for most of the patients within four to six months of the procedure. Keywords: Anterior Cruciate Ligament Injuries, Semitendinosus and Gracilis Tendon, Arthroscopic Repair.
Authors and Affiliations
Dr Deepak CD, Dr Manjappa CN, Dr Yogananda BL, Dr Mahesh DV, Dr. Lokesh Lokesh
Keywords
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