Abstract: Background: Anterior cruciate ligament (ACL) tear is the most common serious ligamentous injury to the knee joint. The ACL is the primary stabilizer against anterior translation of the tibia on the femur and is important in counteracting rotation and valgus stress. Anterior cruciate ligament deficiency leads to knee instability. This results in recurrent injuries and increased risk of intra articular damage, especially the meniscus. The goals of the ACL reconstruction are to restore stability to the knee, allow the patient to return to normal activities, including sports and to delay the onset of osteoarthritis. The bone patellar tendon bone graft is one of the most commonly used autograft for reconstruction and this study evaluates the functional outcome in a prospective study.
Materials and Methods: This was a prospective study comprised of 30 diagnosed cases of ACL tear confirmed by clinical evaluation, MRI scanning and diagnostic arthroscopy in patients who have come with complains of knee instability/pain to KIMS hospital and research centre from February 2018 to February 2019. Patients between the age groups 18 years to 40 years were taken as test subjects and were managed by arthroscopic ACL reconstruction with BPTB graft and interferential screw and were followed for an average period of 8 months and the findings were recorded and compared pre op and post op using IKDC and Lysholm scoring scales.
Results: There were significant improvements in IKDC and LYSHM scores and functional outcome of patients before and after the operation. During the average follow-up period, 100% of patients had varying degrees of symptomatic relief. No patient needed any additional modality of treatment or reoperation for recurrence of symptoms.
