Functional outcome of arthroscopic anterior cruciate ligament reconstruction with hamstring graft

Muhammad Shahid Khan, W. Azzam
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Abstract

Introduction Incidence of anterior cruciate ligament (ACL) injuries is increasing owing to increased participation in sports. We are presenting our case series in which we have done ACL reconstruction (ACLR) with autologous hamstring graft. Basic idea for this project was to increase the awareness regarding timely management of ACL injury and good to excellent outcome of this minimal invasive technique. Materials and Methods In this retrospective study, we included 10 patients who underwent arthroscopic transportal single bundle ACLR using hamstring autograft, between January 2019 to December 2021 in Isra university hospital Hyderabad. Patients were followed routinely and outcome was recorded with the help of Lysholm knee scoring questionnaire at 6 months and 12 months post procedure. Results  Mean age of the patients was 28.2 years (22 to 35 years) (Table-1). Average duration between injury to surgical intervention was 12.3 months (6 to 26 months). Final outcome was excellent in 3 patients (60%), good in 6 patients (30%) and fair in one patient (10%). Conclusion Injury to ACL is a critical event for any individual. Its timely management is important not only to return the patient back to pre-injury activity level but also to prevent delayed consequences of ACL tear. Our study and the literature review shows satisfactory results of arthroscopic ACLR. Finally, one should follow the basic principles of arthroscopic surgical technique of ACLR along with postoperative supervised physiotherapy rehabilitation protocol to get the desired results.  
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关节镜下腘绳肌移植重建前交叉韧带的功能效果
引言由于参与体育运动的人数增加,前交叉韧带(ACL)损伤的发生率正在增加。我们介绍了我们的病例系列,其中我们用自体腘绳肌移植物进行了ACL重建(ACLR)。该项目的基本理念是提高人们对ACL损伤及时处理的认识,并提高这种微创技术的良好效果。材料和方法在这项回顾性研究中,我们纳入了10名患者,他们于2019年1月至2021年12月在海得拉巴伊斯拉大学医院接受了关节镜下使用自体腘绳肌移植的单束ACLR。对患者进行常规随访,并在术后6个月和12个月借助Lysholm膝关节评分问卷记录结果。结果患者平均年龄为28.2岁(22~35岁)(表1)。从受伤到手术干预的平均持续时间为12.3个月(6至26个月)。最终结果为优3例(60%),良6例(30%),尚可1例(10%)。它的及时管理不仅对使患者恢复到损伤前的活动水平很重要,而且对防止ACL撕裂的延迟后果也很重要。我们的研究和文献综述显示关节镜下ACLR的结果令人满意。最后,应遵循关节镜下ACLR手术技术的基本原则以及术后监督理疗康复方案,以获得预期效果。
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24 weeks
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