Functional outcome of arthroscopic reconstruction of anterior cruciate ligament injuries using quadrupled semitendinosus graft
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 3, Issue 2
Abstract
Background: A wide variety of techniques and graft types are now available for the reconstruction of ACL. Arthroscopic ACL reconstruction using quadrupled semitendinosus tendon autograft with fixation in the femoral tunnel using endobutton and in the tibial tunnel with hybrid fixation using suture disc and anchored with a cancellous screw and washer is a relatively new technique. We have undertaken this study to analyse the postoperative outcome in our experience with this procedure. Materials and Methods: This was a prospective study of 30 consecutive patients with ACL injury who underwent Arthroscopic ACL reconstruction using quadrupled semitendinosus tendon autograft. Postoperatively, all patients were initiated on the same rehabilitation protocol. All patients were followed up for four to six months period at regular intervals using a subjective questionnaire. and hop test. Results: 90% of the patients had a favorable outcome. The mean limb symmetry index of hop tests were 83.503 ± 3.65 [range: 66.36 to 93.33]. Conclusion: We conclude that the functional outcome of arthroscopic anterior cruciate ligament reconstruction using quadrupled semitendinosus tendon autograft is excellent to good (90%). With proper patient selection and physiotherapy regimen, full occupational and recreational activities can be expected for most of the patients within four to six months of the procedure.
Authors and Affiliations
Pradeep Gandharva Guttarlapalli, Supradeeptha Challa
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