This study evaluates the outcome of anterior cruciate ligament (ACL) reconstruction with arthroscopy using the bone-patella tendon-bone method. We performed this procedure in 24 patients with the average age of 33.1 years (range: 17-51 years) between 2017 and 2019. Sixteen of the 24 patients were available for evaluation using the Lysholm Knee Score and International Knee Documentation Committee (IKDC) system. Based on the Lysholm score, there was a statistically significant improvement in knee function when comparing pre-and post-surgical scores (p< 0.001). Using IKDC guidelines, a majority of the patients have regained near normal to normal knee function. We conclude that ACL reconstruction using the bone-patella tendon-bone method can provide good functional outcome based on objective and subjective assessments.
Introduction: Anterior Cruciate Ligament (ACL) reconstruction with hamstring graft is usually done for the surgical management of ACL tear. The post-operative outcome of ACLR is mainly dependant on graft healing its integration into the femoral and tibia tunnels. For the tendon to bone integration it can take up to several months post-surgery. Incorporation of graft into the bony tunnels plays an important role in post-operative outcome after ACL reconstruction surgery. In our study we have aimed to compare hamstring graft healing time post ACL reconstruction when graft was enveloped with periosteum as envelope.
Aim: To Compare hamstring graft healing time after anterior cruciate ligament (ACL) reconstruction with the use of augmentation of platelet-rich plasma.Methods: 30 patients between age group of 18 to 40 years with complete ACL tear were randomly divided into two groups the control group in which only ACL reconstruction was done and second group in which acl reconstruction was performed along with augmentation with Platelet rich plasma. For the PRP group, 3 ml of PRP was obtained in the operation room and was injected into femoral tunnel just before after portal suture. MRI was obtained post operatively 3 month, 6 month and 9th month for both the groups. Graft healing time was defined as the time taken for the graft to reach ligamentization phase when the graft became hyperintense or was visualised similar to PCL or the remnant which was preserved during reconstruction.Results: Patients in PRP augmented group achieved ligamentization phase significantly earlier as compared to those in the control group, with mean time of 3.4 months as compared to 8.1 months in the control group.
Conclusion:PRP helps in faster healing of the Hamstring graft. However further studies are required to correlate graft healing time with return to previous activity.
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