Vol 35 | Issue 2 | May-Aug 2020 | page: 36-41 | Sunil Kumar¹, Harsh Singh¹, Prashant Pratap Singh¹, Yogesh Kumar¹, Satyendra Verma¹, Harish Kumar¹
Authors: Sunil Kumar¹, Harsh Singh¹, Prashant Pratap Singh¹, Yogesh Kumar¹, Satyendra Verma¹, Harish Kumar¹
¹Department of orthopaedics , U P University of Medical sciences Saifai, Etawah , India.
Address of Correspondence:
Dr. Harish Kumar,
Department of Orthopaedics, U P University of Medical Sciences Saifai, Etawah, UttarPradesh, India.
Introduction: Anterior cruciate ligament (ACL) tears mostly managed with arthroscopic reconstruction with auto tendons grafts. Interference screws are often used to secure the graft in bone tunnels in the tibia. Two types of interference screws are used to secure graft bioabsorbable screws and metallic screws mostly of titanium. Although bioabsrbable screws remain popular due to its bioabsorbabilty but in developing countries like india its cost always pose a difference compare to metallic screws. This study shows functional outcomes of arthroscopic ACL reconstruction with quadrupled hamstring graft fixation with metallic screw on tibial side and metallic endobutton on femoral side on short period of time 1 year
Method: This is a prospective outcome study conducted on 35 patients in the Department of Orthopaedics, UPUMS,
saifai between january 2017 to July 2018 .Patients with Chronic and Acute ACL tear of range 18 to 50 years of age were included in the study. Patients having ACL tear with other comobiditis, fractures, multiligaments injuries were excluded from this study. After proper consent all 35 cases were operated with arthroscopic ACL reconstruction with standard surgical procedure using quadruple hamstring grafts.Titanium metallic screws were used to secure graft on tibial side fixation. In post operative period and rehabilitation period standard protocol was followed. All patients were followed in OPD at every month upto 3 month, after 3 months patients followed every three months upto 1 years.
Results: Results of procedure was calculated using lysholm knee score. Lysholm knee score was signicantly improved
from pre op score, mean 72 to mean 82 at 6 months, at 9 months 89 and finally at one year mean score improved to
mean 93 . All these finding were statistically significant from 6 months and continuously improved significantly at 9 and 12 months. Functional results also improved significantly, at 6 months out of 35 patients, 18 patients (50%) showed good results and 16 patients (48%) showed fair results. At 9 months out of 35 patients 32 patients(90%) were presented with good results, in 3 patient(10.3%) presented fair resultS. At final outcome at 12 month out of 35 patients, 8 patients (29%) showed excellent results while 19 patients (68%) showed good results.
Conclusion: Metallic interference screw fixation on tibial side using hamstring tendon graft is viable option as compared to bioabsorbable interference screw fixation .in indian scenerio choice of procedure due to its cost effectiveness
Keywords: Anterior cruciate ligament (ACL), Hamstring tendon graft, Arthroscopy.
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|How to Cite this Article: Kumar S, Singh H, Singh PP, Kumar Y, Verma S, Kumar H | Functional outcome of arthroscopic ACL reconstruction with quadrupled hamstring
tendon graft and fixation with metallic screw | Journal of Bone and Joint Diseases | May-Aug 2020;35(2):36-41.