A clinical study to determine the early functional outcome of ACL injuries managed by arthroscopic reconstruction using four strand hamstring graft with interferrence screw

Author(s): Dr. Venkatesh Mulimani, Dr. Sandeep I and Dr. Gautham Mariswamy

Abstract: Anterior cruciate ligament is the most commonly injured ligament. Arthroscopic reconstruction of anterior cruciate ligament with aperture fixation of graft using the interference screw on the tibial side allows for early Firm fixation and healing with tight bone-tendon interface.Even after better surgical techniques and fixation devices many athletes retire early due to residual knee instability. Hence in this study, I am making an effort to assess the early clinical outcome of anterior Cruciate Ligament injuries managed with arthroscopic reconstruction using hamstring graft with Interference screw. Due to rise of RTAs need for study of function outcome of ACL injuries treated by arthroscopic reconstruction in non sports individuals. This prospective comparative observational study related data were captured between october 2020 to april 2022 in a Karnataka institute of medical sciences. About 35 patients with arthroscopic anatomic ACL reconstruction using hamstring tendon graft with interference screw were evaluated and followed up for functional outcome. Patients were evaluated for functional outcome and stability of knee using International knee documentation committee subjective score and Lysholm score over a period of 18 months. This prospective comparative observational study related data were captured between october 2020 to april 2022 in a Karnataka institute of medical sciences. About 35 patients with arthroscopic anatomic ACL reconstruction using hamstring tendon graft with interference screw were evaluated and followed up for functional outcome. Patients were evaluated for functional outcome and stability of knee using International knee documentation committee subjective score and Lysholm score over a period of 6 months.The larger percentage of cases was operated less than 6 months from the date of injury. On evaluation of the patients during the follow up by IKDC and LGS, 100% of the patients had excellent to good results, and were able to return to pre injury level of activity.The technique of arthroscopic ACL reconstruction offers an excellent knee function, knee stability and restoration of preoperative functional status with minimal complications.

DOI: https://doi.org/10.22271/ortho.2023.v9.i1f.3323