“Comprehensive assessment of Anterior Cruciate Ligament (ACL) reconstruction outcomes: Insights from a tertiary sector hospital”

Abstract

Purpose

This study aims to evaluate the adherence of orthopedic surgeons towards the BOAST and Rehabilitation guidelines for the diagnostic, surgical, and rehabilitation in the management of ACL injury.

Methods

The clinical audit included 82 patients who had ACL reconstruction from August 1, 2018 to October 31, 2023. The retrospective data was collected for the clinical assessment, MRI timing, meniscus repair considerations, graft selection, and adherence to the rehabilitation guidelines to assess the adherence to the ACL reconstruction protocol provided by the BOAST and rehabilitation guidelines.

Results

Prompt clinical assessments were observed, however, variability in MRI timings indicates concerns in the standard protocol. Meniscal repair considerations were present in 70.73 % of cases. Patient involvement in graft selection discussions favored the quadruple hamstring graft. Positive early-phase outcomes in Rehabilitation Protocol were noted, but non-compliance in later stages poses a significant challenge.

Conclusion

The results showed adherence towards diagnostics methods, surgical interventions, and early rehabilitation, however, patient non-compliance after phase I was a major concern and requires special attention to addressing factors like patient education and socioeconomic barriers is crucial for comprehensive care.