Evaluation of the results of Arthroscopic Anterior cruciate ligament reconstruction using Hamstring tendon graft

Dr.Mahesh Bhati; Dr. Nitin Goyal; Dr. Abhinav bharadwaj; Dr. Deepesh kumar ameriya; Dr.Madhu sudan Sharma

Volume : VI, Issue : X, October - 2017

Evaluation of the results of Arthroscopic Anterior cruciate ligament reconstruction using Hamstring tendon graft

Dr. Mahesh Bhati, Dr. Nitin Goyal, Dr. Abhinav Bharadwaj, Dr. Deepesh Kumar Ameriya, Dr. Madhu Sudan Sharma

Abstract :

This study was conducted to evalvate the Functional Outcome Of Arthroscopic Reconstruction using fourfold hamstring autograft in persons with ACLtear.

METHOD:–This study is a prospective study conducted in our hospital. Total 27 patients with clinical/radiological/arthroscopic evidence of ACL deficiency were treated with fourfold hamstring graft and evaluated immediate postop with clinical test & compared with preop clinical test grading. The postop results at 6 month follow up evaluated with using IKDC & LYSHOLM score.

RESULTS;– The results for manual knee laxity test were evaluated statistically before & after ACL reconstruction , using the paired T test at 5% level of significance, the results were found to be significant. The results of the mean of pre operative Lachman test was 2.86 + 0.36 SD and post operative lachman test has mean 0.55 + 0.75 SD with significant p value 0.001,similarly the mean preoperative Pivot Shift Test(PST) was 2.03 + 0.70 SD and post operative was 0.22 + 0.50 with significant p value < 0.001 . Results of ACL reconstruction after 6 months of follow up were evaluated and showed excellent results in 7(25.9%) cases, good results in 15(55.5%) cases, fair results in 4(14.8%) cases and poor results in 1(3.7%) cases, according to Lysholm score. Mean Lysholm score postoperatively was 88.37. The mean subjective IKDC after 6 month follow up was 82.16. 85.5% (23) cases of isolated ACL tear had normal and near normal knee, according to IKDC scoring system..only 1 case had graft failure due to migration of endobutton in femoral tunnel.

CONCLUSION;– This subjective study suggesting that ACL reconstruction with quadrupled hamstring graft fixed with endobutton in the femoral tunnel and bio– interference screw in the tibia is a reliable, effective and reproducible technique but more quantitative and long term studies are required.