Clinical Outcomes of Arthroscopically Assisted Anatomic ACL Reconstruction at Mahasarakham Hospital
Keywords:
anterior cruciate ligament injuries, anterior cruciate ligament reconstruction, single bundle hamstrings graft (SB), bone-patellar tendon-bone graft (BPTB)Abstract
Objectives : The aim of this study was to assess and pursue clinical results of arthroscopic assisted ACL reconstruction, using single bundle (SB) hamstrings graft and bone-patellar tendon-bone graft (BPTB) in term of post-operative knee stability and knee functional scale.
Methods : A descriptive study composed of ACL injuried patients who had been under ACL reconstruction operation at Mahasarakham Hospital from January 2019 until December 2020, and they had been, at least 6 months, followed-up at out-patient-clinic. Data were collected from medical records by researcher.
Results : There were 85 ACL injuries patients. An Isolated ACL injury was found in 79 patients, and 6 patients were multiple ligamentous injuries. For operation technique BPTB had performed in 4 patients (5.1%), and 75 patients (94.9%) in SB group. The average following-up time was 7 months. Mostly, an isolated ACL injury had combined meniscus injuries, 78 patients (98.8%). This study reviewed 79 patients with isolate ACL injuries, found that there was a significant difference in pre / post-operative knee stability tested by Lachman test, pre-operative resulted positive/negative were 100/ 0 % and post-operative resulted positive/negative were 2.4 / 97.6 % respectively. The mean pre and post-operative knee functional scores, Lysholm were 71.0 ± 7.5 and 91.2 ± 2.9 respectively which also improved significantly. Complications were found in 14 patients (16.5%) and a patient had been operated repeatedly.
Conclusion : Arthroscopic assisted anterior cruciate ligament reconstruction resulted in significantly improving knee stability and function. In the future further research should be studied to improve surgical technique, functional outcome and decrease complication.
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