Title: Arthroscopic Reconstruction of Anterior Cruciate Ligament Using Semitendinous & Gracilis Tendon Autograft
Authors: Dr Sanjiv Kumar, Dr Ajay Kumar Mahto
DOI: https://dx.doi.org/10.18535/jmscr/v8i7.10
Abstract
Introduction: The Anterior Cruciate Ligament is the weaker of the two cruciate ligaments and therefore may be it torns easier than the Posterior Cruciate Ligament.1Anterior knee instability associated with rupture of the ACL is a disabling clinical problem. The ACL has a poor capacity for intrinsic repair. Thus patients who have knee symptoms related to ACL deficiency, may consider ligament reconstruction as a means of stabilizing the tibio-femoral joint and restoring high level function of the knee joint.
Method: The study will be a prospective study of 30 consecutive patients who underwent arthroscopic ACL reconstruction using semitendinosus tendon & gracilis tendon autograft, skeletally mature patients with ACL tear confirmed by Lachman test with concomitant meniscal injury that required repair included in the study,. the study done at Department of Orthopaedics Katihar Medical College, Katihar.
Result: The mean age in our study was 29 years. The maximum number of patients were in the age group of 41-50yrs (36.67%) with male predominance. Most of the ACL tears were caused by road traffic accidents (44%). All patients presented with complaints of giving way of the knee. 83.33% of the patients were able to appreciate the clicking of knee. Lachman test and Anterior drawer test was found to be 90% positive. The single Hoop test preoperative index ranges from 22.72 to 57.14 with a mean of 44.355. Post operatively the index improved to a mean 0f 83.503 ranging from 66.36 to 93.33. 87% of the patients were able to return to their pre injury activity including farming and to competitive sports.
Conclusion: The functional outcome of anterior cruciate ligament reconstruction with quadrupled semitendinosus tendon autograft is excellent to good (90%) with mild laxity at the end of 6 months
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