Thigh Girth: A Predictor of Outcome in Arthroscopic Anterior Cruciate Ligament Reconstruction – A Retrospective Study
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Background: The Objective of this study was to evaluate the effect of thigh circumference on rehabilitation after arthroscopic anterior cruciate ligament reconstruction. This study was conducted in a tertiary care institute with high volume of such patients and limited resources. The choice of graft to be used in anterior cruciate ligament (ACL) reconstruction continues to be debated. The graft options for ACL reconstruction are autograft. At this time there is no synthetic graft that is acceptable. Autograft choices include patellar tendon, hamstring tendons, Achilles tendon and tibialis anterior/posterior. However, in our study we used bone patellar bone grafts and hamstring tendon grafts. Choosing a graft includes taking into account many variables. The anatomy of the native ligament that is being replaced, the biomechanics, biology, initial fixation strength, morbidity of harvest, ease of harvest, and return to play time all must be considered. Method: Patients with ACL-deficient knees who were symptomatic and wanted to maintain an active lifestyle or continue sporting activities were included. Our study included sixty patients out of which we used bone - patellar tendon - bone autograft in thirty patients and thirty patients were reconstructed using hamstring tendon autografts. These patients were followed at regular intervals of 10 days starting from day 15 to day 90. The mean age of patients reviewed was 31.96 years (range, 18–40 years). Out of total sixty patients there were 51 men and 9 women (ratio: 5.66:1) Results: We reviewed sixty knees at two weeks, six weeks and eight weeks out of which thirty-nine patients achieved 120-degree flexion in prone position and full extension at the end of four weeks. Most common complication observed in our study was anterior knee pain followed by divergence of femoral screw. Conclusion: This is a review of a summary of data of effect of thigh girth measured clinically on post-operative rehabilitation, despite the choice of donor tendon and mode of injury, in terms of full extension and prone flexion. This study concludes that patient’s thigh girth and postoperative rehabilitation period are directly proportional to each other.
Authors and Affiliations
Ashish J. Suthar, Vivek Laxmanbhai Patel, Jimmy J. Chokshi
Keywords
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- EP ID EP547833
- DOI 10.21276/ijmrp.2017.3.3.040
- Views 86
- Downloads 0
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