Assessment of outcome of arthroscopic assisted ACL reconstruction using bone patellar tendon bone auto-graft in Kashmiri population

Abstract

Introduction: The surgical reconstruction of the anterior cruciate ligament with Bone - Patellar tendon - Bone auto-graft represents an attempt to re-establish knee kinematics. It has the added advantage of bone to bone healing and it does not sacrifice the knee stabilizers. The present study was carried out to assess the outcome of arthroscopic assisted ACL reconstruction using Bone Patellar Tendon Bone auto-graft in Kashmiri population. Materials and Methods: This prospective study was carried on 30 patients with correlative findings of ACL injury on clinical examination and MRI analysis. All patients were managed with arthroscopic reconstruction using Bone Patellar Tendon Bone auto-graft. Postoperative evaluation was done on the basis of IKDC subjective score, Manual Lachman grading, Anterior Drawer value, Pivot Shifting grading and Lysholm scoring. Results: In our study median pre-operative and post-operative Lachman grading value was 3 (range 1-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative anterior drawer value was 3 (range 0-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative pivot shift grading value in our study was 2 (range 1-3) and 0 (range 0-2) respectively. The mean pre-operative IKDC subjective score was 49.86 (49.9-52.8) while the mean postoperative score was 89.48 (87.9-91.2). According to Lysholm knee score 15 (50%) patients had excellent functional outcome while 10 (33%) patients had good outcome and the remaining 5 (17%) patients had a fair outcome. Conclusion: Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft is an excellent treatment option for anterior cruciate ligament deficient knees and provides a stable knee with minimal complications.