A STUDY OF THE OUTCOME OF “LIGAMENT CROISE ANTERIEUR" (ACL) RECONSTRUCTION USING AUTOLOGOUS HAMSTRING GRAFT

Abstract

ACL injury is a widely recognized injury affecting the Genu-Joint Male to female ratio of “L ” injuries are, igament Croise Anterieur (ACL) as high as 9 :1 igament Croise Anterieur (ACL) . “L ” reconstruction with Hamstring grafts, is currently one of the most commonly used method nowadays. This Prospective study of 30 subjects treated by surgicalarthroscopic technique, wherein, Quadrupled Graft of Hamstring was used,for the femoral xation, an endo-button was used, and for the tibial xation, screw of the interference variety was used. Patients were on routine follow up,for at least a period of one year. All the subjects were subjected to post-operative AP and LAT X-rays, to ear mark the placement of the tunnel and positioning of the endo-button in the femoral sector and the interference screw in the tibial sector. Subjects were,upon a follow-up program, at 1,2,3months and there again at the end of 6 months and later on twice in a year. All subjects were evaluated with Tegner and Lysholm Knee Scoring Scale. The major Goal of “L ” recon, is towards re-establishing the stability of the knee. Succe igament Croise Anterieur (ACL) ssful functional outcomes following “L ” reconstruction,with a Semi-tendinosus Gracilis Graft, ha igament Croise Anterieur (ACL) s been reported in the literature. The optimal xation methodology for “L ” reconstruction is still evolving and the e igament Croise Anterieur (ACL) xisting xation devices which has been extensively used are the Endo-button and the “Biological Interference Screws, which has led to a better rehabilitation program postoperatively. In our study, all subjects were ordained to a proper rehabilitation protocol. 10% (n=3) subjects in the present study, had excellent results, 80% (n=24) of the subjects had good results and 10% (n=3) of the subjects had fair results. No subjects were reported to be, in the poor outcome category. Treatment of “L ” njuries necessitates, cautious pre-operati igament Croise Anterieur (ACL) i ve planning, selection of patients, radiological evaluation, selection of graft thickness, planning of timing of surgery, careful intra-operative care, good technique and post-operative rehabilitation, including thorough counselling for a good functional outcome.