Functional outcome of an arthroscopic anatomical single bundle anterior Cruciate Ligament (ACL) reconstruction using Semi-tendinosus graft with fixation using Endo-button on femoral side and Suture Disc on Tibial side- A prospective clinical study

Abstract

<p class="abstract"><strong>Background:</strong> Injury to the anterior cruciate ligament (ACL) is one of the most frequent injuries of the knee during different sports activities. Arthroscopic surgical reconstruction is the current standard of care for treatment of ACL injuries in young and active patients. The widespread adoption of ACL reconstruction over primary repair was based on early perception of the limited healing capacity of the ACL. Hamstring tendon is most favoured graft for ACL reconstruction. We wanted to study the outcomes particular method of fixation for fixing the hamstring tendon.</p><p class="abstract"><strong>Methods:</strong> In this study 30 patient with ACL injury were treated arthroscopically for the fixation of graft in bone tunnel we use endobutton for femur and suture disc for tibia as suspensor implant and prospective assessment of functional outcome using Tegner Lysholm knee scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> The preoperative activity level could be maintained in 70% of the patients. The Lysholm score showed very good and good results in 80%. Functional and stability results in about 70% of the patients.</p><strong>Conclusions:</strong>This surgical technique can be recommended for the active patient with ACL deficiency. The functional outcome of anterior cruciate ligament reconstruction with quadrupled semitendinosus tendon autograft using Endobutton and suture disc is good. This method of fixation will help the graft to facilitate graft tunnel healing and also maintain its strength until there is a good graft to bone healing occurs completely.

Transportal single bundle ACL reconstruction with quadruple hamstring graft using suspensory femoral and hybrid tibial fixation: A prospective study

“…Four patients had injury to both the medial and lateral meniscus. The most commonly injured was medial meniscus which was in accordance with other studies [14,15] . We also concluded that meniscal repair or resection did not alter the final outcome.…”

“…Maximum patients (33.3%) were in the age group of 20-25 years where as in a study by Chidanand et al mean age was 31.6 years and and maximum patients (30%) were in the age group of 31-35 years [14] . In another study by Jagtap [15] et al maximum patients (30%) were in the age group of 21-25 years which was similar as seen in our study.…”

“…In the study by Chidanand [14] et al, male patients accounted for 93.33% and females accounted for 6.67%. In another study conducted by Jagtap [15] et al, male patients accounted more than female as seen in our study. Male preponderance may be related to their frequent involvement in outdoor work and strenuous activities.…”

“…Many studies have demonstrated that hamstring grafts have fewer problems with anterior knee pain, quadriceps muscle deficits, loss of extension compared with BPTB autografts [14] . The choice of fixation in ACL reconstruction is still evolving and the current fixation device which has been widely used were the endo button and the Bioabsorbable interference screws which has helped to render an improved rehabilitation program post operatively [15] . Graft choice, surgeon experience, correct graft position, choice of graft fixation and postoperative rehabilitation confound the results of comparison of ACL reconstruction [16] .…”

Outcomes of Arthroscopic ACL Reconstruction Using Adjustable Loop Endobutton and Bioabsorbable Screw for Hamstring Autograft

“…Anterior cruciate ligament can be reconstructed through open and arthroscopic techniques. Arthroscopic ACL reconstruction is the standard technique to treat ACL tear [3,4]. This procedure has reduced postoperative morbidity and enables early active physiotherapy [5].…”