A descriptive study of arthroscopy assisted anterior cruciate ligament reconstruction and evaluation of its functional outcome using Lysholm score

Author(s): Dr. Srikanth Madilattu, Dr. Ranjit Modak, Dr. Mahesh Kulkarni, Dr. Nilesh Kamat, Dr. Suyog Chavhan and Dr. Amrut Swami

Abstract: With the new advancements in the technology being used in orthopedic surgeries like arthroscopic reconstruction of joint injuries, the surgical outcome has improved a lot over the period of time. Arthroscopic reconstruction of the ACL ligament is one of the most commonly performed knee surgeries nowadays. The first arthroscopically assisted ACL reconstruction was performed in 1980 using an artificial ligament made out of carbon fiber supplemented with an extra-articular lateral substitution. Later in the first decade of twenty first century, anterior cruciate ligament reconstruction using Hamstring tendon autograft showed excellent self-reported and objective results. It was proved further that the outcome measures which favored Semitendinosus and Gracilis autografts included anterior knee pain, kneeling pain and extension loss. Long term studies have shown to have equal success rates with quadrupled Hamstring tendon graft or bone patellar tendon bone graft. We conducted this study to evaluate the anterior cruciate ligament injuries, their arthroscopic surgical reconstruction and their functional outcome using Lysholm score over a period of 6 months follow up. 52 Patients admitted in the Orthopedic department of the hospital with ACL injuries were included in the study. 36% of the population had ACL injury due to RTA, 33% of the population had ACL injury due to fall and 31% of the population had ACL injury due to sports injury. 55.8% of the patients underwent surgery within 4 months of the injury. 29% of the patients had associated injuries, while 6% had complications post-op. Mean Lysholm score showed significant improvement post-operatively on evaluation at 6 weeks, 3 months and 6 months. 73.1% patients underwent ACL reconstruction, 15.4% had ACL reconstruction with Meniscal Debridement while rest 11.5% underwent ACL reconstruction with Meniscal Repair.

DOI: https://doi.org/10.22271/ortho.2018.v4.i1e.49