Functional outcome of arthroscopic anterior cruciate ligament reconstruction with autologous hamstring graft


Article PDF :

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Article type :

Original Article

Author :

Sudhakar T, Ramesh Raja C, Jambukeswaran Jambukeswaran PST, Ugeneshwaran M, Madhan Jeyaraman

Volume :

7

Issue :

2

Abstract :

Introduction: The ligamentous injuries of the knee are increasing owing to the increasing participation in the sports activities. Anterior cruciate ligament is the most commonly injured ligament in the knee joint. A number of procedures have been recounted for reconstruction of a broken ACL ranging from open to arthroscopic technique. In this study, we have used hamstring autograft for ACL reconstruction and fixed it with endobutton on the femoral end and with interference screw at the tibial end and in addition to this, cancellous screws or suture wheel was used if required. Materials and Methods: A total of 15 cases of complete ACL tear were taken for the study. All patients underwent arthroscopic ACL reconstruction with hamstring graft. All operated patients took Lysholm knee scoring questionnaire and were reviewed at 6 weeks, 3 months, 6 months and 1 year for assessment. Results: At the end of 1 year by Lysholm knee scoring, a total of 27% cases reported excellent results, 53% were good, 13% were fair and 7% obtained poor results. The functional restoration to pre-injury level was seen in 67% of patients. Conclusion: We conclude that the usage of hamstring graft for reconstruction of a torn ACL gives an excellent to good outcome, keeping in mind proper patient selection and an immense role of the physiotherapy.

Keyword :

 Anterior cruciate ligament, Hamstring, Endobutton, Arthroscopy.
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