DIFFERENT METHODS OF FIXATION OF SEMITENDINOSUS GRAFTS IN ARTHROSCOPIC RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT

Abstract

BACKGROUND: The Anterior Cruciate Ligament (ACL) is the most commonly injured ligament in the human body. Earlier treatment of ACL injury was mainly restricted to sportsmen, but has increased over the years because of awareness and accessibility to treatment facilities. Arthroscopic reconstruction is now the gold-standard for the treatment of ACL tear.

MATERIALS AND METHODS: This study was conducted at IPGME & R, Kolkata in the department of Orthopaedics, where forty patients with single knee injury were taken into consideration, the injury being more than two months old, in the age group 20-50 years, with clinically significant knee instabilities and confirmed on MR imaging.

RESULTS: This was a prospective randomised study where 95% of the patients were male. The outcome was based on regaining pre-injury status and recovery was based on pre- and post-operative clinical and radiological findings and marked according to Tegner- Lysholm scale.

CONCLUSION: Clinical and radiological (MRI) proved knee instabilities due to standardised Anterior Cruciate Ligament injury were best treated by arthroscopic repair using semi-tendinosus graft, which provided to be the gold-standard treatment protocol.

Keywords: ACL Injury, Knee Instability, Arthroscopic Repair, Semitendinosus Graft.