COMPARATIVE ANALYSIS OF THE FUNCTIONAL OUTCOME OF ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING QUADRUPLED HAMSTRING GRAFT FIXED WITH BIOABSORBABLE INTERFERENCE SCREW AGAINST TITANIUM INTERFERENCE SCREW- A PROSPECTIVE SHORT TERM STUDY

Dr. Vinoth K R, Dr. V. Vijay Narasimman Reddy

Abstract


Knee injuries are more common in the modern era due to increase in road traffic accidents and more youth getting involvement in sports related activities. Anterior cruciate ligament is the most commonly injured ligament around the knee joint. Anterior cruciate ligament has a pivotal role in function and stability of the knee joint, being the primary stabilizer preventing the anterior translation of tibia over femur. Arthroscopic anterior cruciate ligament reconstruction has become the gold standard in the management of these injuries. This study is a prospective study of 30 patients treated with arthroscopic anterior cruciate ligament reconstruction with quadrupled hamstring graft with endobutton as the femoral fixation device and titanium interference screw (n=15) and bioabsorbable interference screw (n=15) as tibial fixation device respectively between Jan 2016 and Dec 2018 at Sree Balaji Medical College and Hospital, Chennai. Minimum age of the patient was 21 years and maximum age was 55 years. All patients were evaluated with Lysholm and Gillquist scoring.  The clinical results associated with titanium interference screw and bioabsorbable interference screw were found to be statistically similar. The results of this comparative analysis support the hypothesis that there are no significant differences in the outcomes associated with titanium screws compared with bioabsorbable screws for ACL reconstruction

Keywords


Anterior cruciate ligament, quadrupled hamstring graft, titanium, bioabsorbable, interference screw, endobutton, arthroscopy.

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References


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