Functional outcome following open reconstruction of anterior cruciate ligament using bone patellar tendon bone graft and interference screws

Abstract

Background: Various surgical methods have been described for the anterior cruciate ligament (ACL)tear with its own merits and demerits. Though arthroscopic reconstruction is the commonly done surgery, open reconstruction is still a good alternative in hospitals where scopy instruments/facilities are not available. This studies aim was to analyse the functional outcome following open ACL reconstruction using Bone- patellar tendon -bone graft (BPTB) Materials and methods: This is a prospective study of 30 patients aged between 18 to 50years with complete ACL tear with or without meniscal injury. Patients were treated by open reconstruction using bone- patellar tendon- bone graft and interference screws. Appropriate post-operative care was given. ACL rehabilitation protocol was followed for all patients. The functional evaluation of the patients was done at 1year follow up. We used IKDC-2000, Lysholm & Gillquist scoring system for the evaluation of the results. Results: 90% of patients had normal or near normal knee, 10% of the patients had abnormal knee as per IKDC 2000 scoring system. excellent-good results were seen in 83% of the cases, while 14% had intermediate grade. The complications observed were anterior knee pain (26%), mildnumbness over donor site (13%), patella fracture (n=1). Conclusion: Open ACL reconstruction is still a good alternative to arthroscopic reconstruction in hospitals where scopy instruments/facilities are not available.