Functional Results of Isolated Acl Injuries Treated With Endoscopic Hamstring Autograft : Our Experience

Abstract

BACKGROUND/AIM: ACL repair using Hamstring tendon autograft is very well known. Our study aims to find the outcome of ACL injuries treated in our unit arthroscopically with anatomic 4 strand hamstring autograft fixed with RCI screw. SETTINGS AND DESIGN: Prospective/case series. MATERIALS AND METHODS: First 20 patients out of 88 cases (operated between 2008 and 2010) were taken for the study. Patients with isolated ACL injuries were included. Patients with bony ACL avulsion/other associated fractures/ ligamentous / meniscal injuries were excluded from our study. The final outcome was done using IKDC subjective scoring and Lysholm knee scoring systems at the end of 24 months of follow up. The preferred method of fixation was RCI screw as it provides aperture fixation. STATISTICAL ANALYSIS: Kruskaal wall is test, linear regression. RESULTS: In our study groups of 20 cases of Arthroscopic ACL reconstruction, Majority of the patients (12 cases) were in the age group between 21-30 years-indicates that young and active people were most often involved. Males were injured more commonly than females. Sports injuries were the common cause of ACL injury closely followed by RTA. Right knee was found to be involved more than Left. CONCLUSION: ACL reconstruction by using four strand hamstring tendon autograft is highly successful with very few complications when proper graft, harvest preparation and anatomical tunnel placement and secure fixation are achieved.