Study of clinical outcome following arthroscopic anterior Crucitate ligament reconstruction using autologous quadruple hamstrings graft

Introduction: The Anterior Cruciate ligament (ACL) is the primary stabilizer of the knee and prevents the knee against anterior translation. Arthroscopic reconstruction of torn ACL has become the gold standard in treating ACL tears. The surgical reconstruction of the anterior cruciate ligament with auto graft represents an attempt to reestablish knee kinematics. Materials and Methods: This is a prospective type of study conducted at NRI Medical College & General Hospital, Chinna Kakani, Guntur, Andhra Pradesh. During the period of December 2015 to November 2017 in ACL injuries, reconstruction of ACL using autologous quadruple hamstrings graft. All the cases were operated electivley on regular operation theatre days. Results: The present study consists of 30 cases of complete ACL tear treated surgically with arthroscopic ACL reconstruction. In age distribution, 10 (33.3%) patients were between 18-24 years, 13(43.3%) were between 25-31 years and 7(23.3%) were between 32-38 years. In sex distribution, there were 27 (90%) males and 3(10%) females. Left lower limb was involved in 12 (40%) cases and right lower limb in 18 (60%) cases. All the cases were operated electivley on regular operation theatre days. ACL associated with medial meniscus injury in 8(26.6%) and ACL associated with lateal meniscus injury in 2(7.2%). Chronic ACL injury in 22(73.33%) and acute ACL injury in 8(26.6%). Post operative complications like Anterior knee pain in three patients(10%) treated with analgesics, Infection (Superficial)in one (3.3%) treated with intravenous antibiotics, deep Infection in one (3.3%) treated with intravenous antibiotics+ debridement finally hardware removal and extensor lag in one (3.3%) treated with rehabilitation. Conclusion: Clinical outcome after arthroscopic anterior cruciate ligament reconstruction using autologous quadrupled hamstrings graft with post operative rehabilitation is excellent to good and patients will have near normal pre injury activity level.