POST-OPERATIVE COMPLICATIONS FOLLOWING ARTHROSCOPIC ACL RECONSTRUCTION USING VARIOUS GRAFTS; A PROSPECTIVE STUDY

Author:

Patel Himanshu1,Iqbal Kashif2,Chourey Deependra1,Kumar Manoj1,Pathak Abhishek3

Affiliation:

1. Orthopaedics Residents, Gandhi Medical College, Bhopal, M.P, India.

2. Orthopaedics Residents, Gandhi Medical College, Bhopal, M.P, India

3. Associate Professor, Orthopaedics, Gandhi Medical College, Bhopal, M.P, India

Abstract

Anterior cruciate ligament tear is a common occurrence and with advent of arthroscopic ligament reconstruction, the surgery is minimally invasive with good functional outcomes. The aim of this study is to evaluate the post-operative complications following arthroscopic ACLreconstruction. In this study we tried to analyse the post-operative complications in patients with arthroscopic ACL reconstructions using various autografts. The autografts used in this study were Bone patellar tendon bone graft, hamstring graft and peroneus graft. 26 patients were included in the study. 2 patients lost to follow up. The study result comprised of 24 patients. there were 45.8% of the patients who were below the age of 25 years whereas 54.2% patients were older than 25 years. Only 3 females were recruited in the present study, accounting for 12.5% of the total patients of the study. Majority 87.5% were males. Majority of the recruited patients were having right sided knee injury (54.2%) whereas remaining (45.8%) were having left sided injury. Majority of the patients were treated using hamstring and peroneus grafts (41.7%). 16.7% patients were treated with BPTB graft. There were 16.7% patients who developed deep infection after the surgery. Out of these, 30% were with hamstring grafts and 25% were with BPTB graft. 41.7% patients didn't develop any complications afterwards. 12.5% patients complained of post-operative knee pain. 16.7% patients reported occurrence of supercial infection. There are no signicant differences among complications for different grafts used in this study. The study concluded that arthroscopic ACL reconstruction is a safe surgical procedure with no signicant differences for various autograft options in terms of complications. The study is limited by small sample size and short follow up.

Publisher

World Wide Journals

Reference9 articles.

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2. Cerulli G, Placella G, Sebastiani E, Tei MM, Speziali A, Manfreda F. ACL Reconstruction: Choosing the Graft. Joints. 2013;1(1):18-24. Published 2013 Jun 12.

3. Corner EM. The exploration of the knee joint: with some illustrative cases. Br J Surg 1914;2:p.191–204.

4. Hey-Groves EW. The crucial ligaments of the knee joint: Their function, rupture and the operative treatment of the same. Br J surg 1920;7:505–15.

5. Strobel MJ, editor. Anterior cruciate ligament. In: Textbook of manual of arthroscopic surgery. 1st ed. Heidelberg Berlin; Springer-Verlag 1998:p.67-9.

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