A COMPARATIVE STUDY BETWEEN SUSPENSORY AND APERATURE FIXATION METHOD IN ARTHROSCOPIC SINGLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

Abstract

Purpose: To compare the functional outcome of suspensory and aperture fixation method in arthoscopic single bundle anterior cruciate ligament. Method: 30 patient (mean age grp ,35yr)underwent arthroscopic ACL repair with 15 got suspensory and another 15 got aperture fixation in random selection. Similar implant were use to nullify the error.We taken patient with MRI finding of isolated ACL (23)and ACL with medial meniscus tear(7) in our study. No multiligamentous injury were taken.The functional outcome measure with lachman test,Lysholm score ,IKDC score.Post op rehabilitation of early mobilization was done. Inclusion Criteria: Patient given their consent , Age 20-60 years ,Confirmed Complete ACL Tear in MRI Exclusion Criteria: Patients refusing for consent,Patient not ambulatory ,Multiligament knee injury ,Chronic ACL insufficiency with osteoarthritis ,Contradiction to Arthroscopy Result: Patient were followed up in 3week,6week,3month,6month and 1 year.Lysholm score of suspensory were 65.3%, 81.6%,84.5%, 85.1%,97.2%.Aperture fixation scores were 63.7%,76.8%,80.6%,82.13%,95.9%. The IKDC score is 57%, 62.1%,65%,66.6%,77.7% in suspensory fixation and 58.6%,61.6%,63.8%,65.4%,75.1% in aperture fixation. Conclusion: Lysholm score ad IKDC score show no much difference between these two after 3 week,6 week,3 months,6 months of post operation.But after 1 year somehow suspensory had a better result than aperture fixation method.