Background:Arthroscopic anterior cruciate reconstruction has become one of the most successful surgical techniques in sports medicine however initial secure graft xation is essential for the success of any ACL reconstruction. Objective: The study was done to evaluate the functional outcome of arthroscopic ACLreconstruction using hamstring graft xed with suspension button for femur and interference screw for tibial xation. Material And Methods: From 2017 to 2018 January in Sree Gokulam Medical College Venjaramoodu, Trivandrum, 48 patients underwent ACL reconstruction using semitendinous graft xed with suspension button at femur and interference screw at tibial site. 8 patients were excluded from the study. The age group in our study was between 20-50 years of age. We assessed the patients preoperatively and postoperatively with 6 and 24 months interval by IKDC knee score 2000. Results: Our study showed that Arthroscopically assisted ACL reconstruction could effectively improve stability and function of knee joint. In our study IKDC score was done at pre op and post-op with 6 and 24 months interval. Mean average IKDC score was 38.995 during the preoperative period, at 6 months was 55.253 and 24 months was 88.111. On comparison of the mean values for IKDC scoring for (a) preoperative period to 6 months was 16.258, (b) preoperative period to 24months was 49.116 and (c) 6 months to 24 months postoperative period was 32.858. The P values for all these comparisons were <0.001, hence signicant. There were eleven Isolated ACL injuries who had pre-op , six and twenty forth month post-op functional score of 44.04,63.35 and 90.259 respectively. Ten ACL with lateral meniscus injuries had pre-op , six and twenty forth month post-op functional score of 35.62, 53.85 and 88.348 recpectively. Nineteen ACL with medial meniscal injuries had pre-op , six and twenty forth month post-op functional score of 37.85, 51.30 and 86.74 respectively. Conclusion: Isolated ACL had better functional score. The improvement in the IKDC score was during the 6-24 month range. When ACL with meniscal injuries were compared, the one with ACLreconstruction and lateral meniscetomy showed better outcome.
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