Outcome Analysis of Arthroscopic Reconstruction of Anterior Cruciate Ligament in Adults

Manikandan, P (2017) Outcome Analysis of Arthroscopic Reconstruction of Anterior Cruciate Ligament in Adults. Masters thesis, Thanjavur Medical College, Thanjavur.


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BACKGROUND: Anterior cruciate ligament injury is the common knee injury consequent to contact sports. There are different techniques recommended for the ACL reconstruction, with different graft materials. The aim of this study is to evaluate the functional outcome of arthroscopic single bundle ACL reconstruction using hamstring tendon graft in ACL deficient knees in adults. METHODOLOGY: Between 2014 to 2017 a prospective study was conducted in Thanjavur Medical College on 21 ACL deficient patients (M =19, F = 2] .All patients were evaluated pre-operatively using the Lysholm & Gillquist score and IKDC – 2000 score. All patients underwent arthroscopic single bundle ACL reconstruction with hamstring tendon graft , which was fixed with an endo-button CL fixation system on the femoral side and an interference screw on tibial side. They were advised a regular rehabilitation protocol. All patients were evaluated post-operatively at 6 weeks, 3 months, 6 months and a year by same assessment scores. RESULTS: 20 patients were available for follow up for a period of 6 months to 2 years. The mean follow-up period was 10.5 months. When compared with their respective pre-operative knee assessment scores, it was found that a definite improvement was there in their knee function. The results were good to excellent in 80% patients, fair in 10 % and poor in 10 % cases. CONCLUSION: For young active adults, single bundle reconstruction by arthroscopic methods gives acceptable results. The problems which are faced post-operatively can be again settled arthroscopically. A long term follow-up of these cases is a must to analyze if there is degeneration that happened in the time between injury and ligament reconstruction.

Item Type: Thesis (Masters)
Additional Information: Reg.No.221412202
Uncontrolled Keywords: ACL tear, arthroscopic reconstruction, hamstring tendon graft, single bundle.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 07 Mar 2020 13:00
Last Modified: 07 Mar 2020 13:00
URI: http://repository-tnmgrmu.ac.in/id/eprint/12173

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