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A prospective evaluation of clinical and functional outcome of single bundle anatomic anterior cruciate ligament reconstruction with hamstrings autograft
Author(s):
1. Saeed Ahmed Shaikh: Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
2. Naveed Ahmed: Aga Khan University Hospital, Karachi, Pakistan
3. Salman Adil: Baqai Medical University, Karachi, Pakistan
4. Allah Rakhio Jamali: Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Abstract:
A case series was conducted at the Department of Orthopaedic surgery, Jinnah Postgraduate Medical Centre, Karachi, from July 2016 to June 2018, to evaluate the functional and clinical outcome of arthroscopic anatomic anterior cruciate ligament (ACL) reconstruction with hamstrings autograft. Patients aged 17 years and above with anterior cruciate ligament (ACL) injuries of duration three months or older, diagnosed on history and clinical examination and confi rmed on Magnetic Resonance Imaging were prospectively recruited from outpatient department. Patients with multiligamentous injury were excluded. Information on patient's demographics such as age, duration of injury and mechanism of injury were recorded. In addition, graft length and diameter, associated injuries of lateral or medical menisci were noted peroperatively. Patients were followed for a minimum of 12 months. The functional outcomes were assessed through lysholm knee score, and Tegner activity scale. Clinical outcome was assessed with loss of motion in fl exion and extension and residual laxity using Lachman test. Paired sample t-test was applied to compare mean scores pre and post-operatively. The study fi ndings reveal that arthroscopic anatomic Anterior Cruciate Ligament reconstruction using quadruple strand hamstring tendon autograft was an effective method of treatment for the ACL-defi cient knee with improved clinical and functional status.
Page(s): 2476-2480
DOI: DOI not available
Published: Journal: Journal of Pakistan Medical Association, Volume: 70, Issue: 12B, Year: 2020
Keywords:
Arthroscopic , Anterior cruciate ligament reconstruction , Hamstring tendon autograft
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