Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

Background: Anterior cruciate ligament (ACL) injuries remain a common orthopaedic disease, particularly in young adults. The treatment of choice for ACL injuries is ACL reconstruction (ligamentoplasty). The present study was conducted to observe and evaluate the outcome results of arthroscopic ACL reconstruction by hamstring grafts using Endobutton-CL technique for femoral fixation and Bioabsorbable Intrafix Screw technique for tibial fixation in ACL injury.Methods: This prospective comparative observational study related data were captured between January 2014 to December 2015 in a tertiary care teaching hospital, Haldia. About 36 patients with arthroscopic anatomic ACL reconstruction using hamstring tendon graft were evaluated and followed up for functional outcome. Patients were evaluated for pain, functioning and stability of knee using validated knee scoring systems which included tegner activity scale and IKDC score.Results: Out of 36 patients 31 patients (86.11%) were male and 5 patients (13.88%) were females. About 25 patients (69.44%) had right sided ACL injury and remaining 11 patients (30.55%) had left sided ACL injury. The mean of the pre-op IKDC scoring was 42.45 with SD of 9.68 and the mean of the post-operative IKDC scoring was 81.87 with SD of 13.40, so improvement was statistically significant. Conclusions: The technique of arthroscopic ACL reconstruction offers an excellent knee function, knee stability and restoration of preoperative functional status with minimal complications.

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Assessment of foot print of femoral tunnel placement with commercially available off set guide in arthroscopic ACL reconstruction

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20164627 ◽

2016 ◽

Vol 3 (1) ◽

pp. 43

Author(s):

Vinay Tantuway ◽

S. A. Mustafa Johar ◽

Viral Patel ◽

Ashok Nagla ◽

Rishi Gupta ◽

...

Keyword(s):

Functional Outcome ◽

Acl Reconstruction ◽

Femoral Tunnel ◽

Clinical Success ◽

Cruciate Ligament ◽

Acl Injury ◽

Tunnel Placement ◽

Anatomic Acl Reconstruction ◽

The Mean ◽

Femoral Tunnel Placement

Background: Accurate placement of the femoral tunnel is critical for long-term clinical success following anterior cruciate ligament (ACL) reconstruction. Current trends in ACL reconstruction favor anatomic positioning of ACL attachment sites. Surgical inaccuracy in femoral tunnel positioning can lead to potential early graft failure and early-onset osteoarthritis. The purpose of this study was to evaluate the functional outcome in patients who underwent arthroscopic anatomic ACL reconstruction using hamstring tendon graft.Methods: The study was conducted in the Orthopedics Department of IIMCHRC, Indore the placement of femoral tunnel, using femoral off set guide with other techniques. All the patients who were diagnosed clinically and radiologically with ACL tear and all who gave the consent were included in the study. All patients were enrolled to undergo primary arthroscopically assisted ACL reconstruction.Results: In the present study out of 42 patients; 23 patients (55%) had right sided ACL injury and remaining 19 patients (45%) had left sided ACL injury. We assessed functional outcome of the patients through pre-operative and post-operative IKDC scoring. The mean of the pre-op IKDC scoring was 33.61 with SD of 9.67 and the mean of the post-operative IKDC scoring was 77.95 with SD of 15.15. Conclusions: The commercially available off set guide technique of the femoral tunnel placement in arthroscopic ACL reconstruction is easy, reliable and reproducible with the foot print at anatomical place on the femoral site.

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Treatment After Anterior Cruciate Ligament Injury: Panther Symposium ACL Treatment Consensus Group

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967120931097 ◽

2020 ◽

Vol 8 (6) ◽

pp. 232596712093109

Author(s):

Theresa Diermeier ◽

Benjamin B. Rothrauff ◽

Lars Engebretsen ◽

Andrew D. Lynch ◽

Olufemi R. Ayeni ◽

...

Keyword(s):

Anterior Cruciate Ligament ◽

Acl Reconstruction ◽

Cruciate Ligament ◽

Acl Injury ◽

Nonoperative Treatment ◽

Anatomic Acl Reconstruction ◽

Acl Injuries ◽

Consensus Group ◽

Consensus Statements ◽

Anterior Cruciate

Treatment strategies for anterior cruciate ligament (ACL) injuries continue to evolve. Evidence supporting best-practice guidelines for the management of ACL injury is to a large extent based on studies with low-level evidence. An international consensus group of experts was convened to collaboratively advance toward consensus opinions regarding the best available evidence on operative versus nonoperative treatment for ACL injury. The purpose of this study was to report the consensus statements on operative versus nonoperative treatment of ACL injuries developed at the ACL Consensus Meeting Panther Symposium 2019. There were 66 international experts on the management of ACL injuries, representing 18 countries, who were convened and participated in a process based on the Delphi method of achieving consensus. Proposed consensus statements were drafted by the scientific organizing committee and session chairs for the 3 working groups. Panel participants reviewed preliminary statements before the meeting and provided initial agreement and comments on the statement via online survey. During the meeting, discussion and debate occurred for each statement, after which a final vote was then held. Ultimately, 80% agreement was defined a priori as consensus. A total of 11 of 13 statements on operative versus nonoperative treatment of ACL injury reached consensus during the symposium. Overall, 9 statements achieved unanimous support, 2 reached strong consensus, 1 did not achieve consensus, and 1 was removed because of redundancy in the information provided. In highly active patients engaged in jumping, cutting, and pivoting sports, early anatomic ACL reconstruction is recommended because of the high risk of secondary meniscal and cartilage injuries with delayed surgery, although a period of progressive rehabilitation to resolve impairments and improve neuromuscular function is recommended. For patients who seek to return to straight-plane activities, nonoperative treatment with structured, progressive rehabilitation is an acceptable treatment option. However, with persistent functional instability, or when episodes of giving way occur, anatomic ACL reconstruction is indicated. The consensus statements derived from international leaders in the field will assist clinicians in deciding between operative and nonoperative treatment with patients after an ACL injury.

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A Tomahawk Shaped Femur is a Risk Factor for Anterior Cruciate Ligament Injury

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967118s00016 ◽

2018 ◽

Vol 6 (4_suppl2) ◽

pp. 2325967118S0001

Author(s):

Thomas Pfeiffer ◽

Jeremy Burnham ◽

Elmar Herbst ◽

Sven Shafizadeh ◽

Volker Musahl

Keyword(s):

Acl Reconstruction ◽

Roc Analysis ◽

Cruciate Ligament ◽

Acl Injury ◽

Control Group ◽

Acl Injuries ◽

Injury Group ◽

Increased Risk ◽

The Mean ◽

Anterior Cruciate

Bony morphologic characteristics have been demonstrated to increase the risk of anterior cruciate ligament (ACL) injury. The purpose of the study was to examine distal femoral morphology relative to ACL injury, reconstruction failure, and contralateral ACL injury. It was hypothesized that an increased posterior femoral condylar depth, quantified as the tomahawk ratio, would correlate with increased risk of primary ACL ruptures, ACL reconstruction failures, and contralateral ACL injuries. Consecutive patients undergoing arthroscopic knee surgery at an academic medical center from 2012-2016 with minimum 24-month follow-up were retrospectively reviewed. Subjects were stratified into four groups: a control group consisting of patients with no ACL injuries and three groups of patients with a primary ACL injury, failed ACL reconstruction, or previous ACL injury with subsequent contralateral ACL injury. Using lateral radiographs, the ratio of posterior condylar depth over total condylar distance was defined as the tomahawk ratio. Analysis-of-variance (ANOVA) and post-hoc testing were used to test for differences in the mean tomahawk ratio between study groups (p<0.05). Receiver Operating Characteristic (ROC) analysis was performed to determine the optimal tomahawk ratio cut-off for detecting increased risk for ACL injury 175 patients met inclusion criteria. The mean tomahawk ratios in the control group, primary ACL injury group, failed ACL reconstruction group, and contralateral ACL injury group were 61.1% (± 2.1), 64.2% (± 3.8), 64.4% (± 3.6), and 66.9% (± 4.0), respectively. Patients with a primary ACL injury, failed ACL reconstruction, or contralateral ACL injury had a significantly higher tomahawk ratio compared to the control group (p<0.008). ROC analysis demonstrated a tomahawk ratio of 63% or greater to be associated with an increased risk for ACL injury with a sensitivity of 83% and a specificity of 71%. The data from this study show that an increased posterior femoral condylar depth, or tomahawk ratio, is associated with increased risk of ACL injury, including primary ACL injury, failed ACL reconstruction, and contralateral ACL injury. Readily identifiable risk factors, such as an increased tomahawk ratio, could assist clinicians in identifying at-risk individuals who may experience greater benefit from targeted ACL injury prevention counseling and intervention. The presence of the tomahawk-shaped femur could also be used to guide treatment decisions and identify ACL reconstruction patients who may benefit from additional surgical procedures such as extra articular tenodesis.

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Treatment after anterior cruciate ligament injury: Panther Symposium ACL Treatment Consensus Group

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-020-06012-6 ◽

2020 ◽

Vol 28 (8) ◽

pp. 2390-2402 ◽

Cited By ~ 1

Author(s):

Theresa Diermeier ◽

◽

Benjamin B. Rothrauff ◽

Lars Engebretsen ◽

Andrew D. Lynch ◽

...

Keyword(s):

Anterior Cruciate Ligament ◽

Acl Reconstruction ◽

Operative Treatment ◽

Cruciate Ligament ◽

Acl Injury ◽

Anatomic Acl Reconstruction ◽

Acl Injuries ◽

Consensus Group ◽

Consensus Statements ◽

Anterior Cruciate

Abstract Treatment strategies for anterior cruciate ligament (ACL) injuries continue to evolve. Evidence supporting best practice guidelines for the management of ACL injury is to a large extent based on studies with low-level evidence. An international consensus group of experts was convened to collaboratively advance toward consensus opinions regarding the best available evidence on operative vs. non-operative treatment for ACL injury. The purpose of this study is to report the consensus statements on operative vs. non-operative treatment of ACL injuries developed at the ACL Consensus Meeting Panther Symposium 2019. Sixty-six international experts on the management of ACL injuries, representing 18 countries, were convened and participated in a process based on the Delphi method of achieving consensus. Proposed consensus statements were drafted by the Scientific Organizing Committee and Session Chairs for the three working groups. Panel participants reviewed preliminary statements prior to the meeting and provided the initial agreement and comments on the statement via an online survey. During the meeting, discussion and debate occurred for each statement, after which a final vote was then held. Eighty percent agreement was defined a-priori as consensus. A total of 11 of 13 statements on operative v. non-operative treatment of ACL injury reached the consensus during the Symposium. Nine statements achieved unanimous support, two reached strong consensus, one did not achieve consensus, and one was removed due to redundancy in the information provided. In highly active patients engaged in jumping, cutting, and pivoting sports, early anatomic ACL reconstruction is recommended due to the high risk of secondary meniscus and cartilage injuries with delayed surgery, although a period of progressive rehabilitation to resolve impairments and improve neuromuscular function is recommended. For patients who seek to return to straight plane activities, non-operative treatment with structured, progressive rehabilitation is an acceptable treatment option. However, with persistent functional instability, or when episodes of giving way occur, anatomic ACL reconstruction is indicated. The consensus statements derived from international leaders in the field will assist clinicians in deciding between operative and non-operative treatments with patients after an ACL injury. Level of evidence V.

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A Cam Shaped Femur Might Be A Risk Factor for ACL Injuries

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967118s00139 ◽

2018 ◽

Vol 6 (7_suppl4) ◽

pp. 2325967118S0013

Author(s):

Thomas Rudolf Pfeiffer ◽

Jeremy M. Burnham ◽

Ajay C. Kanakamedala ◽

Jonathan Daniel Hughes ◽

James J. Irrgang ◽

...

Keyword(s):

Acl Reconstruction ◽

Injury Risk ◽

Roc Analysis ◽

Femoral Condyle ◽

Academic Medical Center ◽

Acl Injury ◽

Control Group ◽

Acl Injuries ◽

Increased Risk ◽

The Mean

Objectives: Bony morphologic characteristics have been demonstrated to increase the risk of anterior cruciate ligament (ACL) injury. While posterior femoral condyle condylar offset is an aspect of distal femoral bony morphology that has been reported to influence range of motion and other aspects of knee joint kinematics, it remains unclear whether this characteristic influences the risk of ACL injury. The purpose of the study was to examine the relationship between distal femoral morphology and risks of ACL injury, reconstruction failure, and contralateral ACL injury. It was hypothesized that increased posterior femoral condylar depth, quantified as the cam ratio, would correlate with increased risk of primary ACL injuries, ACL reconstruction failures, and contralateral ACL injuries. Methods: Consecutive patients undergoing evaluation for knee complaints at an academic medical center from 2012-2016 with minimum 24-month follow-up were retrospectively reviewed. Subjects were stratified into four groups: a control group consisting of patients with no ACL injuries and three groups of patients with a primary ACL injury, failed ACL reconstruction, or previous ACL injury with subsequent contralateral ACL injury. Using lateral radiographs, the ratio of posterior condylar depth over total condylar distance was defined as the cam ratio. Analysis-of-variance (ANOVA) and post-hoc testing were used to test for differences in the mean tomahawk ratio between study groups (p<0.05). Receiver Operating Characteristic (ROC) analysis was performed to determine the optimal cam ratio cut-off for detecting increased risk for ACL injury. Results: One hundred and seventy-five patients met inclusion criteria. The mean cam ratios in the control, primary ACL injury, failed ACL reconstruction, and contralateral ACL injury groups were 61.1% (± 2.1), 64.2% (± 3.8), 64.4% (± 3.6), and 66.9% (± 4.0), respectively. Patients with a primary ACL injury, failed ACL reconstruction, or contralateral ACL injury had a significantly higher cam ratio compared to the control group (p<0.008). ROC analysis demonstrated a cam ratio of 63% or greater to be associated with an increased risk for ACL injury with a sensitivity of83% and a specificity of 71%. Conclusion: The data from this study show that an increased posterior femoral condylar depth, or cam ratio, might be associated with increased risk of ACL injury, including primary ACL injury, failed ACL reconstruction, and contralateral ACL injury. The data from this study may help clinicians identify patients at greater risk of ACL injury and re-injury. Future prospective studies will be helpful in investigating the mechanism by which an increased cam ratio increases ACL injury risk and potential strategies to mitigate the increased risk posed by this bony characteristic.

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Secondary Meniscal Tears in Patients With Anterior Cruciate Ligament Injury: Relationship Among Operative Management, Osteoarthritis, and Arthroplasty at 18-Year Mean Follow-up

The American Journal of Sports Medicine ◽

10.1177/0363546519844481 ◽

2019 ◽

Vol 47 (7) ◽

pp. 1583-1590 ◽

Cited By ~ 4

Author(s):

Michella H. Hagmeijer ◽

Mario Hevesi ◽

Vishal S. Desai ◽

Thomas L. Sanders ◽

Christopher L. Camp ◽

...

Keyword(s):

Anterior Cruciate Ligament ◽

Acl Reconstruction ◽

Cruciate Ligament ◽

Meniscal Tear ◽

Acl Injury ◽

Nonoperative Treatment ◽

Meniscal Tears ◽

Acl Injuries ◽

Anterior Cruciate

Background: Anterior cruciate ligament (ACL) injury is one of the most frequent orthopaedic injuries and reasons for time loss in sports and carries significant implications, including posttraumatic osteoarthritis (OA). Instability associated with ACL injury has been linked to the development of secondary meniscal tears (defined as tears that develop after the initial ACL injury). To date, no study has examined secondary meniscal tears after ACL injury and their effect on OA and arthroplasty risk. Purpose: To describe the rates and natural history of secondary meniscal tears after ACL injury and to determine the effect of meniscal tear treatment on the development of OA and conversion to total knee arthroplasty (TKA). Study Design: Cohort study; Level of evidence, 3. Methods: A geographic database of >500,000 patients was reviewed to identify patients with primary ACL injuries between January 1, 1990, and December 31, 2005. Information was collected with regard to ACL injury treatment, rates/characteristics of the secondary meniscal tears, and outcomes, including development of OA and conversion to TKA. Kaplan-Meier and adjusted multivariate survival analyses were performed to test for the effect of meniscal treatment on survivorship free of OA and TKA. Results: Of 1398 primary ACL injuries, the overall rate of secondary meniscal tears was 16%. Significantly lower rates of secondary meniscal tears were noted among patients undergoing acute ACL reconstruction within 6 months (7%) as compared with patients with delayed ACL reconstruction (33%, P < .01) and nonoperative ACL management (19%, P < .01). Of the 235 secondary meniscal tears identified (196 patients), 11.5% underwent repair, 73% partial meniscectomy, and 16% were treated nonoperatively. Tears were most often medial in location (77%) and complex in morphology (56% of medial tears, 54% of lateral tears). At the time of final follow-up, no patient undergoing repair of a secondary meniscal tear (0%) underwent TKA, as opposed to 10.9% undergoing meniscectomy and 6.1% receiving nonoperative treatment ( P = .28). Conclusion: Secondary meniscal tears after ACL injury are most common among patients undergoing delayed surgical or nonoperative treatment of their primary ACL injuries. Secondary tears often present as complex tears of the medial meniscus and result in high rates of partial meniscectomy.

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Tibiofemoral contact and alignment in patients with anterior cruciate ligament rupture treated nonoperatively versus reconstruction

The Bone & Joint Journal ◽

10.1302/0301-620x.103b9.bjj-2020-1955.r1 ◽

2021 ◽

Vol 103-B (9) ◽

pp. 1505-1513

Author(s):

David J. Stockton ◽

Andrew M. Schmidt ◽

Andrew Yung ◽

Jane Desrochers ◽

Honglin Zhang ◽

...

Keyword(s):

Acl Reconstruction ◽

Contact Area ◽

Cruciate Ligament ◽

Acl Injury ◽

Acl Rupture ◽

Healthy Controls ◽

The Mean ◽

Anterior Cruciate ◽

Time Since Injury ◽

Centroid Location

Aims Anterior cruciate ligament (ACL) rupture commonly leads to post-traumatic osteoarthritis, regardless of surgical reconstruction. This study uses standing MRI to investigate changes in contact area, contact centroid location, and tibiofemoral alignment between ACL-injured knees and healthy controls, to examine the effect of ACL reconstruction on these parameters. Methods An upright, open MRI was used to directly measure tibiofemoral contact area, centroid location, and alignment in 18 individuals with unilateral ACL rupture within the last five years. Eight participants had been treated nonoperatively and ten had ACL reconstruction performed within one year of injury. All participants were high-functioning and had returned to sport or recreational activities. Healthy contralateral knees served as controls. Participants were imaged in a standing posture with knees fully extended. Results Participants’ mean age was 28.4 years (SD 7.3), the mean time since injury was 2.7 years (SD 1.6), and the mean International Knee Documentation Subjective Knee Form score was 84.4 (SD 13.5). ACL injury was associated with a 10% increase (p = 0.001) in contact area, controlling for compartment, sex, posture, age, body mass, and time since injury. ACL injury was associated with a 5.2% more posteriorly translated medial centroid (p = 0.001), equivalent to a 2.6 mm posterior translation on a representative tibia with mean posteroanterior width of 49.4 mm. Relative to the femur, the tibiae of ACL ruptured knees were 2.3 mm more anteriorly translated (p = 0.003) and 2.6° less externally rotated (p = 0.010) than healthy controls. ACL reconstruction was not associated with an improvement in any measure. Conclusion ACL rupture was associated with an increased contact area, posteriorly translated medial centroid, anterior tibial translation, and reduced tibial external rotation in full extension. These changes were present 2.7 years post-injury regardless of ACL reconstruction status. Cite this article: Bone Joint J 2021;103-B(9):1505–1513.

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Conscious performance and arthroscopic findings in athletes with anterior cruciate ligament injuries treated via conservative therapy during the competitive season

Journal of Orthopaedic Surgery ◽

10.1177/2309499016684751 ◽

2017 ◽

Vol 25 (1) ◽

pp. 230949901668475

Author(s):

Yasushi Takata ◽

Junsuke Nakase ◽

Tatsuhiro Toratani ◽

Hitoaki Numata ◽

Takeshi Oshima ◽

...

Keyword(s):

Conservative Treatment ◽

Acl Reconstruction ◽

Conservative Therapy ◽

Cruciate Ligament ◽

Cartilage Damage ◽

Acl Injuries ◽

Arthroscopic Findings ◽

The Mean ◽

Anterior Cruciate ◽

Return To Competition

Purpose: Athletes often receive conservative treatment for injured anterior cruciate ligaments (ACLs) so that they can continue to play to the end of their season. The purpose of this study was to examine the conscious performance and arthroscopic findings of athletes who received conservative therapy for ACL injuries. Methods: Forty-two patients with ACL injuries underwent conservative treatment. After the season ended, ACL reconstruction was performed. We examined the following parameters: (1) time required for return to competition after injury, (2) conscious performance after return to competition, (3) whether the injured knee gave way during conservative therapy or after return to competition, and (4) cause of performance deterioration if applicable. To determine conscious performance, patients were asked to rate their performance after therapy relative to their performance before injury. Results: Thirty-eight of the 42 patients (90.5%) returned to competition after conservative treatment. The mean time to return was 13.8 ± 7.6 weeks, and the mean conscious performance score was 58.4 ± 16.5%. Thirty-eight patients (90.5%) experienced their knee giving way, of whom 36 (94.9%) stated that fear of their knee giving way hampered their performance. At the time of ACL reconstruction, 9 patients had chondral injuries and 22 patients had meniscus injuries. Conclusion: Most athletes with damaged ACLs returned to the field within the same season after conservative treatment. However, conscious performance was only about 60%. It is possible that knees giving way caused secondary meniscus and joint cartilage damage. Therefore, conservative treatment of individuals with ACL injuries should be considered carefully.

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An Anterior Cruciate Ligament In Vitro Rupture Model Based on Clinical Imaging

The American Journal of Sports Medicine ◽

10.1177/03635465211017145 ◽

2021 ◽

pp. 036354652110171

Author(s):

Lukas Willinger ◽

Kiron K. Athwal ◽

Andy Williams ◽

Andrew A. Amis

Keyword(s):

Anterior Cruciate Ligament ◽

Acl Reconstruction ◽

Pivot Shift ◽

Cruciate Ligament ◽

Acl Injury ◽

Bone Bruise ◽

Acl Injuries ◽

Anterior Cruciate ◽

Acl Transection

Background: Biomechanical studies on anterior cruciate ligament (ACL) injuries and reconstructions are based on ACL transection instead of realistic injury trauma. Purpose: To replicate an ACL injury in vitro and compare the laxity that occurs with that after an isolated ACL transection injury before and after ACL reconstruction. Study Design: Controlled laboratory study. Methods: Nine paired knees were ACL injured or ACL transected. For ACL injury, knees were mounted in a rig that imposed tibial anterior translation at 1000 mm/min to rupture the ACL at 22.5° of flexion, 5° of internal rotation, and 710 N of joint compressive force, replicating data published on clinical bone bruise locations. In contralateral knees, the ACL was transected arthroscopically at midsubstance. Both groups had ACL reconstruction with bone–patellar tendon–bone graft. Native, ACL-deficient, and reconstructed knee laxities were measured in a kinematics rig from 0° to 100° of flexion with optical tracking: anterior tibial translation (ATT), internal rotation (IR), anterolateral (ATT + IR), and pivot shift (IR + valgus). Results: The ACL ruptured at 26 ± 5 mm of ATT and 1550 ± 620 N of force (mean ± SD) with an audible spring-back tibiofemoral impact with 5o of valgus. ACL injury and transection increased ATT ( P < .001). ACL injury caused greater ATT than ACL transection by 1.4 mm (range, 0.4-2.2 mm; P = .033). IR increased significantly in ACL-injured knees between 0° and 30° of flexion and in ACL transection knees from 0° to 20° of flexion. ATT during the ATT + IR maneuver was increased by ACL injury between 0° and 80° and after ACL transection between 0° and 60°. Residual laxity persisted after ACL reconstruction from 0° to 40° after ACL injury and from 0° to 20° in the ACL transection knees. ACL deficiency increased ATT and IR in the pivot-shift test ( P < .001). The ATT in the pivot-shift increased significantly at 0° to 20° after ACL transection and 0° to 50° after ACL injury, and this persisted across 0° to 20° and 0° to 40° after ACL reconstruction. Conclusion: This study developed an ACL injury model in vitro that replicated clinical ACL injury as evidenced by bone bruise patterns. ACL injury caused larger increases of laxity than ACL transection, likely because of damage to adjacent tissues; these differences often persisted after ACL reconstruction. Clinical Relevance: This in vitro model created more realistic ACL injuries than surgical transection, facilitating future evaluation of ACL reconstruction techniques.

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Functional outcome of anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: a descriptive observational study from Telangana

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211442 ◽

2021 ◽

Author(s):

K. Jaya Krishna Singh ◽

V. K. V. Prasad ◽

T. Ashita Singh ◽

Anant A. Takalkar

Keyword(s):

Anterior Cruciate Ligament ◽

Observational Study ◽

Functional Outcome ◽

Acl Reconstruction ◽

Patellar Tendon ◽

Cruciate Ligament ◽

Simple Random Sampling ◽

Anterior Cruciate ◽

Bone Autograft ◽

Bone Patellar Tendon

Background: The knee joint is the most commonly injured of all joints and the anterior cruciate ligament is the most commonly injured ligament. The bone-patellar tendon-bone (BPTB) autograft is the most commonly used autograft for reconstruction. The bone-patellar tendon-bone autograft has been widely accepted as the gold standard for ACL reconstruction with a high success rate. Objectives of the study were to study the functional outcome of ACL reconstruction using BPTB graft.Methods: The present descriptive observational study was carried out at department of orthopedics, Mediciti institute of medical sciences, Hyderabad involving 30 patients of ACL tear by simple random sampling method. Patients were then evaluated by both subjectively and objectively. They were evaluated by using Lysholm and Gilquist knee scoring scale. Data was analyzed by using SPSS 24.0 version IBM USA.Results: Majority of the patients i.e., 13 (43.3%) were from 26-35 years age group with right sided involvement in 60%. The result was found to be good in 16 i.e., 53.3%, excellent in 10 i.e., 33.3% and fair in 4 i.e., 13.3% patients. Prevalence of complications was reported as 23.3% in our study.Conclusions: Our study of ACL repair using BPTP gives good to excellent results within a span of one year.

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