Analysis of Functional Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction using Quadrupled Semitendinosus and Gracilis Autograft - A Two Year Prospective study
Background: The knee joint is frequently involved in sports injuries, road traffic accidents and during daily living activities. Anterior cruciate ligament is a very commonly involved ligament in these injuries. More and more cases of ACL tear are being diagnosed nowadays due to the increasing awareness among orthopaedic surgeon about importance of knee ligament injuries and also increasing availability of MRI as diagnostic tool.
Materials & Methods: The prospective study is conducted in Department of Orthopaedics, J.LN. Medical College and Attached Group of Hospitals, Ajmer from November 2014 to November 2016. All young and middle-aged patients presenting with unilateral knee complaints and history of trauma to the knee were evaluated by a thorough general and local clinical examination of the knee. In a relaxed patient and in supine position, the uninjured knee is examined first to establish reference values after which the affected knee is examined.
Results: The age of the patients ranged from 15-45 years with the mean age of 27.51 years. 37.1% of the patients in our study were in the age group of 20-25 years. The total of 20 cases (57.1%) of the right knees were involved and 15 cases (42.9%) of the left knee were involved in the study. The ratio of right knee to left knee involved in ACL injury was 1.33:1. After clinical, radiological and Arthroscopic examination we found that 51.4% (18 cases) patients had no associated injuries. Whereas rest 49.6% cases have associated meniscal injury (MM and LM or both).
Conclusion: ACL reconstruction using single stranded quadrupled semitendinosus and gracilis tendon autograft provide an intrinsically stable knee with full range of motion without any pain and with restoration of power.
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