Comparative outcome analysis of arthroscopic transportal and transtibial ACL reconstruction with quadrupled or tripled hamstring graft

Abstract

Background: Knee injuries are increasing and becoming more common due to exponential increase in road traffic accidents and more involvement in sports related activities by common people. In current scenario, knee injuries take orthopaedist to a plethora of diagnosis and management challenges which is not resolved even by modern understanding and technical improvements in science. Aim and objective: To compare the functional outcome analysis of arthroscopic transportal and transtibial ACL reconstruction with quadrupled or tripled hamstring graft done at Meenakshi Medical College, Enathur, Kanchipuram. Materials & Methods: A prospective study of 60 cases of arthroscopy assisted transportal and transtibial anterior cruciate ligament reconstruction with quadrupled hamstring tendon graft using endobutton as the femoral fixation device is followed for 6 months to 1.5 years. The mean follow up is 10.5 months. All patients are evaluated with Lysholm & Gillquist scoring. Result: Functional result according to Lysholm & Gillquist score in Tranportal was found to be good in 80%, fair in 13.3%, poor in 6.7% and in Transtibial was found to be good in 73.3%, fair in 16.7%, poor in 10%. Poor outcome occurs due to development of complications and old age & medical illness. Conclusion: The technique of trans portal quadrupled semi tendinosus autograft for ACL reconstruction using the Endobutton for femoral fixation and interference screws for tibial fixation has little morbidity, low reoperation rate and excellent clinical results. Lysholm & Gillquist score is good score to evaluate.