OUTCOME OF ALL-INSIDE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
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Keywords
ACL reconstruction, All-inside, Rupture.
Abstract
Introduction: The role of All-inside ACL reconstruction surgery in the treatment of ACL rupture has not been well defined and there is no comprehensive agreement on the various aspects of this surgery. In the present study, the outcomes and complications of ACL reconstruction surgery using the All-inside technique were investigated in a group of patients with ACL tears.
Materials and Methods: In a prospective study, 50 patients with ACL tears who underwent ACL reconstruction with the All-inside method were included in the study. The graft required for this operation was removed from the individual's own tendinosus muscle. The results of the Lachmant test, pivot shift test, were compared before and after the surgery. International Knee Documentation Committee (IKDC) and Lysholm score were employed to evaluate knee function 12 months after surgery. Quantitative comparison of side-to-side anterior tibial translation difference was done using KT-1000 arthromotor.
Results: The study population consisted of 43 men (86%) and 7 women (14%) with an average age of 28.9 ± 9.6 years. Lachmant test and Pivot shift test improved significantly after surgery (P<0.05. The average IKDC of the patients was 96.1±7.1, ranging from 70 to100. According to the Lysholm scale evaluated 88% patients (44 cases) as excellent, 6% (3 cases) as good, and 6% (3 cases) as fair. The mean difference of side-to-side anterior tibial translation was determined as 1.1±1 mm. A significant correlation was found between IKDC scores of patients and the number of physiotherapy sessions (r=0.504, P<0.001). No case of graft failure was found in this study.
Conclusion: All-inside ACL reconstruction surgery led to a significant improvement in the objective and subjective scales of patients with very few complications.
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Ali Torkaman
Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Omid Elahifar
Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Mohammadmahdi Omidian
Department of Orthopedics and Trauma Surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran Iran
Mohsen Fathi
Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Parsa Torkaman
Medical Student, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran Iran
Javad Ahmadloo
MD, 520 Regional Army Hospital, Kermanshah, Iran