Vol. 6, Issue 1 (2020)
ACL reconstruction preserving the ACL remnant achieves good clinical outcomes: A case control study
Author(s):
Dr. Sunil S, Dr. Hiranya Kumar S, Dr. Muralidhar N and Dr. Bula Ratna Kumar
Abstract:
Introduction: Orthopaedic surgeons have been trying hard to optimize the technique of ACL reconstruction to have better functional outcome. In addition to stability a high quality of proprioception is also required. The presence of remnant containing mechanoreceptors and free neural endings, can help reinnervate the ACL autograft.
Aims & Objectives: To compare clinical outcomes in patients undergoing ACL reconstruction with or without remnant preservation.
Materials & Methods: 86 patients who underwent ACL reconstruction between September 2016 and March 2018. These patients were divided into 2 groups : those in whom the remnant was preserved (group 1 = 22) and those in whom the remnant was not preserved (group 2= 64). Patients were followed up for atleast 18 months.
Results: The Tegner Lysholm score was higher in group 1 than group 2 (p<0.05). Anterior stability of the knee as measured by Lachman test and Pivot shift test was significantly better in group 1. Post surgery rehabilitation and return to sports was faster in group 1 when compared to group 2. Graft rupture rates were also significantly lower in group 1.
Conclusion: Remnant preserving ACL reconstruction has higher potential for early healing, superior functional recovery, earlier return to sports and lower incidence of reinjury.
Pages: 1300-1304 | 1405 Views 277 Downloads
How to cite this article:
Dr. Sunil S, Dr. Hiranya Kumar S, Dr. Muralidhar N and Dr. Bula Ratna Kumar. ACL reconstruction preserving the ACL remnant achieves good clinical outcomes: A case control study. Int. J. Orthop. Sci. 2020;6(1):1300-1304. DOI: 10.22271/ortho.2020.v6.i1r.2001
