Anterior Cruciate Ligament Injuries and Outcome of Arthroscopic Reconstruction Using Quadrupled Hamstrings: A Kenyan Experience

Byakika, TK

doi:10.4314/eaoj.v1i1.49451

Cited by 1 publication

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with less expected knee score can be treated with conservative treatment with intensive physiotherapy, bracing and lifestyle modification and in symptomatic young active individuals, ACL reconstruction is necessary. Without treatment, a complete ACL injury can result in progressively increasing symptomatic knee instability, which inflicts recurrent intraarticular damage and eventually early osteoarthritis [6][7][8][9][10][11] . The fundamental rationale for surgical reconstruction of the completely disrupted ACL is to stabilize the knee and prevent future meniscal tears and associated joint damage [12] .…”

Section: Introductionmentioning

confidence: 99%

Assessment of outcome of arthroscopic reconstruction of anterior cruciate ligament using quadriceps tendon graft in Kashmiri population

Shabir,

Khursheed,

Lone

2024

Nat. J. Clin. Orthop.

View full text Add to dashboard Cite

Introduction: Arthroscopic reconstruction of the injured anterior cruciate ligament (ACL) has become the gold standard. Open reconstruction of ACL which was done earlier is not practiced nowadays due to the complications associated such as increased post-operative pain, stiffness, and a lengthy rehabilitation phase. The "ideal graft" for ACL reconstruction is still a topic of debate. The most used grafts are bone patellar tendon bone graft, hamstring graft & quadriceps tendon graft. Many studies have demonstrated comparable functional outcomes for different grafts. The purpose of the study was to assess the outcome of arthroscopic reconstruction of anterior cruciate ligament using quadriceps tendon graft in Kashmiri population with complete ACL rupture injuries. Materials and Methods: This observational study was carried on 30 patients with correlative findings of ACL injury on clinical examination and MRI analysis. All patients were managed with arthroscopic reconstruction using quadriceps tendon graft. Postoperative evaluation was done on the basis of stability tests, knee scoring (Tegner activity level, IKDC subjective score and Lysholm scoring), subjective assessment of symptoms. Results: In this study 26 (87%) patients achieved full ROM at the end of final follow-up while 4 (13%) patients had some motion deficit. 15 (50%) patients had excellent functional outcome while 10 (33%) had good outcome. The mean IKDC (International Knee Documentation Committee) subjective score improved from 49.86 (pre-operative) to 89.48 (postoperative). Conclusion: Arthroscopic ACL reconstruction using quadriceps tendon provides a stable knee with minimal complications. Quadriceps tendon graft does not affect the patellar tendon and thus reduce the risk of intra-patellar scarring.

show abstract