ACL Reconstruction with Quadrupled Hamstring Tendon Graft- A Prospective Outcome Study
Creators
- 1. Assistant Professor, Dept of Orthopaedics, Gayatri Vidya Parishad Institute of Health Care and Medical Technology, Visakhapatnam
- 2. Assistant Professor, Dept of Orthopaedics, R.V.M. Institute of Medical Sciences and Research Centre, Siddipet, Telangana
- 3. Junior Resident, Dept of Orthopaedics, Gayatri Vidya Parishad Institute of Health Care and Medical Technology, Visakhapatnam
- 4. Senior Consultant and HOD, Dept of Orthopaedics, Durgabai Deshmukh Hospital and Research Centre, Hyderabad
Description
Introduction: Anterior Cruciate Ligament (ACL) injury is one of the common sports injuries encountered. It is a very important ligament in knee which contributes to the stability of the knee joint. Reconstructing ACL is essential to prevent early onset osteoarthritis of the knee joint as well as to have better functional outcome. There are numerous autograft options like bone-patellar tendon-bone graft, Hamstring graft and peroneus longus graft with their own merits and demerits. The present study is intended to study the functional outcome following ACL reconstruction with quadrupled hamstring graft.Methods and Materials: Patients with ACL injury and those who have met inclusion and exclusion criteria are included in the study. After thorough pre-op evaluation, the patients are treated with reconstruction of ACL with quadrupled hamstring graft. They are assessed pre-operatively and post-operatively up to 9 months by doing Lachman test, Anterior Drawer test, Pivot shift test and few functional scores like Lysholm knee score and IKDC subjective knee evaluation score. Thus, the functional outcome of knee is assessed. Results: Among the 32 patients, who are included in the study, 28 are males. Right limbs are more commonly involved. In this study, RTA is the most common mechanism of injury. About 10 cases are also associated with meniscal injuries. The average IKDC score among the isolated ACL injury cases is 88.6 and in those associated with meniscal injuries is 86.3. About 75.4% of patients showed better outcome in the study. Conclusion: Anatomical reconstruction of ACL is key for better functional outcomes in knees with ACL injury. Better functional outcome is seen in isolated ACL injuries compared to ACL injuries with meniscal involvement. ACL reconstruction with quadrupled hamstring graft is one of the reliable methods which provides better results. It is not associated with much donor site morbidity.
Abstract (English)
Introduction: Anterior Cruciate Ligament (ACL) injury is one of the common sports injuries encountered. It is a very important ligament in knee which contributes to the stability of the knee joint. Reconstructing ACL is essential to prevent early onset osteoarthritis of the knee joint as well as to have better functional outcome. There are numerous autograft options like bone-patellar tendon-bone graft, Hamstring graft and peroneus longus graft with their own merits and demerits. The present study is intended to study the functional outcome following ACL reconstruction with quadrupled hamstring graft.Methods and Materials: Patients with ACL injury and those who have met inclusion and exclusion criteria are included in the study. After thorough pre-op evaluation, the patients are treated with reconstruction of ACL with quadrupled hamstring graft. They are assessed pre-operatively and post-operatively up to 9 months by doing Lachman test, Anterior Drawer test, Pivot shift test and few functional scores like Lysholm knee score and IKDC subjective knee evaluation score. Thus, the functional outcome of knee is assessed. Results: Among the 32 patients, who are included in the study, 28 are males. Right limbs are more commonly involved. In this study, RTA is the most common mechanism of injury. About 10 cases are also associated with meniscal injuries. The average IKDC score among the isolated ACL injury cases is 88.6 and in those associated with meniscal injuries is 86.3. About 75.4% of patients showed better outcome in the study. Conclusion: Anatomical reconstruction of ACL is key for better functional outcomes in knees with ACL injury. Better functional outcome is seen in isolated ACL injuries compared to ACL injuries with meniscal involvement. ACL reconstruction with quadrupled hamstring graft is one of the reliable methods which provides better results. It is not associated with much donor site morbidity.
Files
IJPCR,Vol16,Issue3,Article99.pdf
Files
(708.4 kB)
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Additional details
Dates
- Accepted
-
2024-02-26
Software
- Repository URL
- http://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue3,Article99.pdf
- Development Status
- Active
References
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