FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT

Objective: To evaluate arthroscopic assisted Anterior Cruciate Ligament (ACL) reconstruction using Bone-Patellar Tendon-Bone (BPTB) graft using anteromedial approach to drill the femoral tunnel followed by accelerated ACL rehabilitation protocol in terms of Lysholm score. Study Design: Prospectiv...

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Autores principales:	Syed Faraz Anwar, Ahmed Mushtaq Khan, Anas Bin Saif, Syed Shehreyar Faraz
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	anterior cruciate ligament reconstruction arthroscopic lysholm score Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/53c209828d774a27a78b501fb0fcef1d
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spelling	oai:doaj.org-article:53c209828d774a27a78b501fb0fcef1d2021-11-08T03:03:32ZFUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT0030-96482411-8842https://doaj.org/article/53c209828d774a27a78b501fb0fcef1d2019-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3649/2470https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate arthroscopic assisted Anterior Cruciate Ligament (ACL) reconstruction using Bone-Patellar Tendon-Bone (BPTB) graft using anteromedial approach to drill the femoral tunnel followed by accelerated ACL rehabilitation protocol in terms of Lysholm score. Study Design: Prospective comparative study. Place and Duration of Study: The study was conducted in Combined Military Hospital (CMH) Rawalpindi and Combined Military Hospital Malir, Pakistan, from Nov 2013 to Dec 2015. Methodology: This study was an analysis of prospectively collected data of patients who had undergone Anterior Cruciate Ligament reconstruction. All patients below the age of 35 years presenting with Anterior Cruciate Ligament Grade 3 tear were assessed objectively and subjectively using Lysholm score pre and post operatively. Manual laxity of knee was assessed with anterior drawer and Lachman test; and being compared with normal contralateral knee. Rotational instability was assessed by pivot shift test. Results: Nineteen patients, all males, were included in this study with the mean age of 26.7 ± 4.68 years. All patients underwent arthroscopic assisted Anterior Cruciate Ligament reconstruction with uneventful recovery. Every patient had his pre and post-operative Lysholm scoring done. Mean pre-operative Lysholm score was 53.89 ± 3.81. Patients were followed up at 5 months and at 9 months and their mean Lysholm scores were 84.74 ± 6.31and 92.47 ± 3.04 respectively with the p-value of <0.001. Only 2 patients had residual Grade I Lachman laxity and none of the patients had any rotational instability. Conclusion: Arthroscopic assisted Anterior Cruciate Ligament reconstruction using Bone-Patellar Tendon-Bone graft followed by accelerated Anterior Cruciate Ligament rehabilitation protocol led to significant improvement of Lysholm score.Syed Faraz AnwarAhmed Mushtaq KhanAnas Bin SaifSyed Shehreyar FarazArmy Medical College Rawalpindiarticleanterior cruciate ligament reconstructionarthroscopiclysholm scoreMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 6, Pp 1272-1277 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	anterior cruciate ligament reconstruction arthroscopic lysholm score Medicine R Medicine (General) R5-920
spellingShingle	anterior cruciate ligament reconstruction arthroscopic lysholm score Medicine R Medicine (General) R5-920 Syed Faraz Anwar Ahmed Mushtaq Khan Anas Bin Saif Syed Shehreyar Faraz FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT
description	Objective: To evaluate arthroscopic assisted Anterior Cruciate Ligament (ACL) reconstruction using Bone-Patellar Tendon-Bone (BPTB) graft using anteromedial approach to drill the femoral tunnel followed by accelerated ACL rehabilitation protocol in terms of Lysholm score. Study Design: Prospective comparative study. Place and Duration of Study: The study was conducted in Combined Military Hospital (CMH) Rawalpindi and Combined Military Hospital Malir, Pakistan, from Nov 2013 to Dec 2015. Methodology: This study was an analysis of prospectively collected data of patients who had undergone Anterior Cruciate Ligament reconstruction. All patients below the age of 35 years presenting with Anterior Cruciate Ligament Grade 3 tear were assessed objectively and subjectively using Lysholm score pre and post operatively. Manual laxity of knee was assessed with anterior drawer and Lachman test; and being compared with normal contralateral knee. Rotational instability was assessed by pivot shift test. Results: Nineteen patients, all males, were included in this study with the mean age of 26.7 ± 4.68 years. All patients underwent arthroscopic assisted Anterior Cruciate Ligament reconstruction with uneventful recovery. Every patient had his pre and post-operative Lysholm scoring done. Mean pre-operative Lysholm score was 53.89 ± 3.81. Patients were followed up at 5 months and at 9 months and their mean Lysholm scores were 84.74 ± 6.31and 92.47 ± 3.04 respectively with the p-value of <0.001. Only 2 patients had residual Grade I Lachman laxity and none of the patients had any rotational instability. Conclusion: Arthroscopic assisted Anterior Cruciate Ligament reconstruction using Bone-Patellar Tendon-Bone graft followed by accelerated Anterior Cruciate Ligament rehabilitation protocol led to significant improvement of Lysholm score.
format	article
author	Syed Faraz Anwar Ahmed Mushtaq Khan Anas Bin Saif Syed Shehreyar Faraz
author_facet	Syed Faraz Anwar Ahmed Mushtaq Khan Anas Bin Saif Syed Shehreyar Faraz
author_sort	Syed Faraz Anwar
title	FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT
title_short	FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT
title_full	FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT
title_fullStr	FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT
title_full_unstemmed	FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT
title_sort	functional outcome of arthroscope assisted reconstruction of anterior cruciate ligament using bone-patellar tendon-bone graft
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/53c209828d774a27a78b501fb0fcef1d
work_keys_str_mv	AT syedfarazanwar functionaloutcomeofarthroscopeassistedreconstructionofanteriorcruciateligamentusingbonepatellartendonbonegraft AT ahmedmushtaqkhan functionaloutcomeofarthroscopeassistedreconstructionofanteriorcruciateligamentusingbonepatellartendonbonegraft AT anasbinsaif functionaloutcomeofarthroscopeassistedreconstructionofanteriorcruciateligamentusingbonepatellartendonbonegraft AT syedshehreyarfaraz functionaloutcomeofarthroscopeassistedreconstructionofanteriorcruciateligamentusingbonepatellartendonbonegraft
_version_	1718443001248743424

FUNCTIONAL OUTCOME OF ARTHROSCOPE ASSISTED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING BONE-PATELLAR TENDON-BONE GRAFT

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