Functional Outcome of Transtibial ACL Reconstruction: A Prospective study

Senthil Sailesh, S (2006) Functional Outcome of Transtibial ACL Reconstruction: A Prospective study. Masters thesis, Kilpauk Medical College, Chennai.


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INTRODUCTION: ACL injuries have now become very common, following sports activities, RTA, fall etc. People are more aware about ACL injuries and the problems following it. ACL injuries usually occurs to the young, dynamic, bread winners, of our society. It becomes a road block to their development, sometimes can lead to a career change, in sports person such is the impact of ACL injury. Anterior cruciate ligament rupture is the beginning of the end of the knee. Daniel et al proposed the “ACL injury cascade” a series of events that may follow an ACL injury. ACL deficiency leads to instability, instability leads to secondary meniscal injury, which may result in degeneration of the joint. Thus, it is a dictum that “If you believe you can do something to make ACL survive, by all means do it”. Based on modern medicine we can by all means reconstruct the ACL. ACL reconstruction has evolved over the years. Many extraarticular and intraarticular ACL reconstruction procedures were put forth by many renowned surgeons. It has been proved by studies that the intraarticular ACL reconstruction procedures gives near normal joint stability as compared to extraarticular ACL reconstruction. The popular “ gold standard” bone patella tendon bone graft is being widely used as the graft for ACL reconstruction. AIM: The aim of our study is to assess the functional outcome of 18 cases of transtibial ACL reconstruction done over a period of 18months. (February 2004 - September 2005) in the Department of Orthopaedics, Government Royapettah Hospital, Kilpauk Medical College, Chennai. MATERIALS AND METHODS: Our study is a prospective study of 18 cases of transtibial ACL reconstruction done, in the Department of Orthopaedics, Government Royapettah Hospital, Kilpauk Medical College, Chennai – 14. Our study was done over a period of 18 months, between February 2004 to September 2005. RESULTS: In our study group of 18 cases of transtibial ACL reconstruction. We were fortunate to have follow-up of all the 18 cases, with irregularity in 2 cases. The patients were followed up once fortnightly for 2 months, then once a month for 6 months, post operatively and once every three month thereafter. The maximum follow-up period in our study was 24 months and minimum follow up period was 6 months. Full range of movements was achieved in14 cases. Two cases had fixed flexion deformity of the knee. One case had traumatic rupture of reconstructed ACL. We had two cases of wound infection, which settled with wound wash and sensitive antibiotics. All our patient were assessed with the lysholm knee scoring scale. CONCLUSION: We conclude that our short term results of open transtibial ACL reconstruction in terms of function based on the Lysholm knee scoring system are as good as arthroscopic ACL reconstruction except for the early morbidity.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Functional Outcome ; Transtibial ACL Reconstruction: Prospective Study
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 16 Sep 2017 17:32
Last Modified: 17 Sep 2017 13:50

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