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Muhammad Adeel
Muhammad Tayab
Muhammad Faizan Aziz
Zaheer Ahmad
Ijaz ur Rehman
Muhammad Iltaf
Zainab Fida


Anterior Cruciate Ligament, Titanium Screws, Graft Fixation, Bone Patellar Tendon Bone


Background: Anterior cruciate ligament (ACL) injuries are frequent and can cause instability and reduced knee joint functioning. Restoring knee stability and function is the goal of ACL reconstruction procedures, which include Bone Patellar Tendon Bone (BPTB) graft fixation with titanium screws. Despite the potential, this approach has demonstrated, a thorough assessment of its clinical results and consequences is necessary.

Objective: This study aimed to assess the clinical outcomes and complications related to ACL titanium screws in knee implants, with a specific focus on BPTB graft fixation.

Methodology: This prospective observational study conducted at Orthopaedic B Unit, Ayub Teaching Hospital, Abbottabad from January 2021 to December 2023 aimed to assess the clinical outcomes and complications following ACL reconstruction using BPTB graft fixation with titanium screws. To guarantee validity and relevance, strict inclusion and exclusion criteria were used to 216 individuals who were selected using systematic sampling. Preoperative evaluations, intraoperative observations, and postoperative follow-ups were all part of the data gathering process, which allowed for a thorough assessment of safety and effectiveness. The study used statistical analysis, including both descriptive and inferential techniques, to examine correlations between clinical outcomes and complications and demographic attributes.

Results: The results of ACL repair using titanium screw-based BPTB graft fixation were investigated in this prospective observational research. A demographic examination of 216 participants showed that 68.52% of them were male and that their average age was 31.5 years. Sixty-two percent had a normal BMI. Over time, clinical results improved: at 12 months after surgery, 94.37% of patients reported increased knee stability, and 95.83% reported improved functional capacity. ACL re-tear (3.24%), knee stiffness (5.56%), discomfort (4.63%), graft failure (2.78%), implant failure (1.85%), and infection (3.70%) were among the complications. Significant correlations between postoperative intervals and clinical outcomes were shown by regression analysis (p < 0.05).

Conclusion: ACL reconstruction with titanium screw-based BPTB graft fixation yields improved knee stability and function, with manageable complication rates, underscoring the need for personalized patient care and ongoing research for optimization.

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