Official publication of Rawalpindi Medical University
The Functional outcome of arthroscopic anterior cruciate ligament reconstruction with hamstring graft

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Keywords

Anterior Cruciate Ligament, Arthroscopy, Hamstring.

How to Cite

1.
Khan MS, Azzam W. The Functional outcome of arthroscopic anterior cruciate ligament reconstruction with hamstring graft. JRMC [Internet]. 2023 Jun. 24 [cited 2024 Apr. 16];27(2). Available from: http://www.journalrmc.com/index.php/JRMC/article/view/2145

Abstract

Introduction

Incidence of anterior cruciate ligament (ACL) injuries is increasing owing to increased participation in sports. We are presenting our case series in which we have done ACL reconstruction (ACLR) with autologous hamstring graft. Basic idea for this project was to increase the awareness regarding timely management of ACL injury and good to excellent outcome of this minimal invasive technique.

Materials and Methods

In this retrospective study, we included 10 patients who underwent arthroscopic transportal single bundle ACLR using hamstring autograft, between January 2019 to December 2021 in Isra university hospital Hyderabad. Patients were followed routinely and outcome was recorded with the help of Lysholm knee scoring questionnaire at 6 months and 12 months post procedure.

Results 

Mean age of the patients was 28.2 years (22 to 35 years) (Table-1). Average duration between injury to surgical intervention was 12.3 months (6 to 26 months). Final outcome was excellent in 3 patients (60%), good in 6 patients (30%) and fair in one patient (10%).

Conclusion

Injury to ACL is a critical event for any individual. Its timely management is important not only to return the patient back to pre-injury activity level but also to prevent delayed consequences of ACL tear. Our study and the literature review shows satisfactory results of arthroscopic ACLR. Finally, one should follow the basic principles of arthroscopic surgical technique of ACLR along with postoperative supervised physiotherapy rehabilitation protocol to get the desired results.

 

https://doi.org/10.37939/jrmc.v27i2.2145

References

Mader K, Pennig D, Dargel J et al. Biomechanics of the anterior cruciate ligament and implications for surgical reconstruction. Strateg Trauma Limb Reconstr. 2007; 2:1–12.

DOI:10.1007/s11751-007-0016-6.

Paschos NK, Howell SM. Anterior cruciate ligament reconstruction: principles of treatment. EFORT Open Rev 2016; 398-408.

DOI: 10.1302/2058-5241.1.160032.

3. Sudhakar T, Ramesh Raja C, Pst J, et al. Functional outcome of arthroscopic anterior cruciate ligament reconstruction with an autologous hamstring graft. Indian J orthop surg 2021; 7(2):113-117.

DOI:org/10.18231/j.ijos.2021.018.

Lohmander LS, Englund PM, Dahl LL, et al. (2007). The long-term consequence of anterior cruciate ligament and meniscus injuries: Osteoarthritis. Am. J. Sports Med. 35 (10), 1756–1769. DOI: 10.1177/0363546507307396.

Fithian DC, Paxton EW, Stone ML, et al. Prospective trial of a treatment algorithm for the management of the anterior cruciate ligament-injured knee. Am J Sports Med. 2005 Mar; 33(3):335-46.

DOI: 10.1177/0363546504269590.

Hawkins RJ, Misamore GW, Merritt TR. Followup of the acute nonoperated isolated anterior cruciate ligament tear. Am J Sports Med. 1986 May-Jun; 14(3):205-10.

DOI: 10.1177/036354658601400305.

Kannus P, Järvinen M. Conservatively treated tears of the anterior cruciate ligament. Long-term results. J Bone Joint Surg Am. 1987 Sep; 69(7):1007-12.

PMID: 3654691.

Samitier G, Marcano AI, Alentorn-Geli E, et al. Failure of Anterior Cruciate Ligament Reconstruction. Arch Bone Jt Surg. 2015 Oct; 3(4):220-40.

PMID: 26550585.

Graham SM, Parker RD. Anterior cruciate ligament reconstruction using hamstring tendon grafts. Clinical Orthopaedics and Related Research. 2002 Sep (402):64-75.

DOI: 10.1097/00003086-200209000-00007.

Chen H, Chen B, Tie K, Fu Z, Chen L. Single-bundle versus double-bundle autologous anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials at 5-year minimum follow-up. J Orthop Surg Res. 2018 Mar 10; 13(1):50.

DOI: 10.1186/s13018-018-0753-x.

Chuaychoosakoon C, Parinyakhup W, Wiwatboworn A, et al. Comparing post-operative pain between single bundle and double bundle anterior cruciate ligament reconstruction: a retrospective study. BMC Musculoskelet Disord. 2021 Sep 3; 22(1):753.

DOI: 10.1186/s12891-021-04635-5.

Muhammad Sufyan, Noman Khan, Syed Kamran Ali Shah, et al. Functional Outcome of Arthroscopic Single Bundle Anterior Cruciate Ligament Reconstruction (ACLR) using Hamstring Auto Graft. JPOA [Internet]. 2022 Jun. 10 [cited 2022 Nov. 14]; 34(02):47-51

Brown TN, Palmieri-Smith RM, Mclean SG. Sex and limb differences in hip and knee kinematics and kinetics during anticipated and unanticipated jump landings: implications for anterior cruciate ligament injury. Br J Sports Med. 2009 Dec; 43(13):1049-56.

DOI: 10.1136/bjsm.2008.055954.

Bourke HE, Gordon DJ, Salmon LJ, et al. The outcome at 15 years of endoscopic anterior cruciate ligament reconstruction using hamstring tendon autograft for 'isolated' anterior cruciate ligament rupture. J Bone Joint Surg Br. 2012 May; 94(5):630-7.

DOI: 10.1302/0301-620X.94B5.28675.

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Copyright (c) 2023 M Shahid Khan, Wael Azzam