Title: A Comparative Analysis of Results of Suspensory Femoral Fixation and Interference Screw Femoral Fixation in Arthroscopic Anatomical Anterior Cruciate Ligament Reconstruction with Quadruple Hamstring Graft

Authors: Dr Rahul Mandal, Dr Atul Uttamrao Tat

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.57

Abstract

Background: Arthroscopic anterior cruciate ligament reconstruction is the most commonly performed arthroscopic procedure performed worldwide.

Material and Methods: Patients operated between January 2013 to February 2014were included in study.

Result: Out of 44 patients 4 were lost to follow up. Eventually our sample size became 40 out of which Interference Screw group comprised of 20 patients and Suspensory Fixation group comprised of 20 patients.

Conclusion: All of our patients reported satisfactory outcomes regardless the procedure adopted. Younger age group and non-meniscal injury group shows better outcome.

Keywords: Arthroscopy, ACL.

References

  1. Campbell’s operative orthopaedics, 12th edition ,vol 3, page 2137-2138.
  2. Insall And Scott: surgery of knee, 4th edition , vol-1, page-228.
  3. Insall and scott: surgery of knee, 4th edition , vol-1, page633.
  4. Shelbourne KD, Patel DV. Timing of surgery in anterior Cruciate ligament injured knees. Knee surgtraumatol arthrosc3:148, 1995.
  5. Campbell’s operative orthopaedics, 12th edition ,vol 3, page 2142.
  6. Galeazzi R. La recostituzioned-eiligamenticrociati del ginocchio. Atti e Memorie della Societalombarda di Chirurgica 1934;13:302–317.
  7. Macey HB. A new operative procedure for the repair of ruptured cruciate ligament of the knee joint. Surg Gynecol Obstet. 1939;69:108–109.
  8. Cho KO. Reconstruction of the anterior cruciate ligament by semitendinosus tenodesis. J Bone Joint Surg Br. 1975;57-A:608–612.
  9. Puddu JC. Method for reconstruction of the anterior cruciate ligament using semitendinosus tendon.Am J Sports Med. 1980;8(6):402–404. doi: 10.1177/036354658000800603.
  10. O’Donoghue DH. Reconstruction for medial instability of the knee: techniques and results in sixty cases.J Bone Joint Surg Br. 1973;55-A:941–954.
  11. Nicholas JA. The five one reconstruction for antero medial instability of the knee. J Bone Joint Surg Br.1973;55-A:899–922
  12. Hughston JC, Eilers AF. The role of the posterior oblique ligament in repairs of acute medial ligament tear of the knee. J Bone Joint Surg Br. 1973;55(5):923–940. 
  13. Torg JS, Conrad W, Kalen V. Clinical diagnosis of anterior cruciate ligament instability in athlete. Am J Sports Med. 1976;4:84–93. doi: 10.1177/036354657600400206. 
  14. Galway R, Beaupré A, mac Intosh DL. A clinical sign of symptomatic cruciate insufficiency. J Bone Joint Surg Br. 1973;54-B:763–764.
  15. Good L, Odensten M, Gillquist J. Intercondylar notch measurements with special reference to anterior Cruciate ligament surgery .clin orthop263:185, 1991.
  16. Munetat, Takakuda K, yamamoto H: Intercondylar notch width and its relation to the configuration and cross sectional area of the anterior Cruciate ligament. Am J Sports Med25: 69, 1997.
  17. Duthon VB, Barea C, Abrassart S, Fasel JH, Fritschy D, Menetrey J. Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14:204–213. doi: 10.1007/s00167-005-0679-9.
  18. Beynnon BB, Fleming BC, Johnson RJ et al. Anterior Cruciate ligament strain behaviour during rehabilitation exercises in vivo. Am J Sports Med 1995; 23:24.
  19. Beynnon BB, Fleming BC, Johnson RJ et al. The strain behaviour of anterior Cruciate ligament : a comparison of open and closed chain kinetic exercise. Am J Sports Med 1997;25:823.
  20. Beynnon BD, Pope MH, Wertheimer CM, et al:  The effect of functional knee-braces on strain on the anterior cruciate ligament in vivo.   J Bone Joint Surg  1992; 74A:1298.

Corresponding Author

Dr Rahul Mandal

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.