Functional outcome of anatomical reconstruction of anterior cruciate ligament with hamstring graft: A one year hospital based - observational study

Author(s): Dr. Praveen Manoharan, Dr. Ravi S Jatti, Dr. Puneet H Chamakeri and Dr. Sahil D Kale

Abstract: Background: Knee injuries are more common in the modern era due to increase in the road traffic accidents and more involvement in sports related activities by young people. Anterior cruciate ligament is the often injured ligament around knee joint. Anterior cruciate ligament has a pivot role in function and stability of the knee joint, being the primary stabilizer preventing the anterior translation of tibia over femur. Arthroscopic anterior cruciate ligament reconstruction has become the gold standard in the management of these injuries.
Objective of the study: To assess the functional outcome of anatomical reconstruction of ACL with quadrupled hamstring graft.
Materials and Methods: Patients with post traumatic anterior cruciate ligament injury admitted to the Department of Orthopaedics at the Kle's Dr. Prabhakar Kore Hospital and Medical Research Centre and Charitable Hospital, Belagavi in between 1st January 2019 to 31st December 2019, over a period of one year – hospital based observational study.
Results: The study group comprised of 30 patients. In our study the most common mode of injury was found to be Road traffic accident followed by sports. Abundant of the patients were in the age group of 18-25yrs. In our study 13 patients had isolated ACL injury, 11 pts had medial meniscus injury, 4 patients had lateral meniscus injury and 2 patients had both the meniscus injured. It is found that 57% of them associated meniscal injury. Functional outcome was assessed using LYSHOLM and GILLQUIST SCORE. At the end of 9th month follow up 80% of the patient had excellent score which were 57% at the 3rd month. 13% of patient had good score at the end of 9th month and 7% of patient had fair score. None of the patient had poor score.
Conclusion: Anatomical reconstruction of ACL with quadrupled hamstring graft gives better clinical outcomes. The advantage of using hamstring graft are reduced donor site morbidity and less anterior knee pain in long term follow up. It has better subjective and objective functional outcome with low graft rejection or failure rate.

DOI: https://doi.org/10.22271/ortho.2022.v8.i3a.3163