Outcome analysis of arthroscopic single bundle anterior cruciate ligament reconstruction through an accessory antero medial portal technique

Abstract

Introduction: Anterior Cruciate Ligament (ACL) injuries are quite common among young sportspersons and those leading an active life, thereby stressing on the need to provide a rehabilitation that provides full functionality and can cut-back the duration of hospital stay in order to enable these persons to contribute actively to the society. As far as the incidence of ACL injuries in general population is concerned, it is one of the most common ligament injuries in sports traumatology.Materials and Methods: This is a comparative prospective study comprising of two groups each having 30 patients with complete ACL tear. In one group Accessory Antero medial portal technique was used and in the other group antero medial portal technique was used. The follow period was 1 year. Patients were assessed clinically and by lysholm knee score.Result: On the basis of this study it was found that patients in short term there is no significant difference between two techniques. However, in mid-term (6 months and 12 months) functional results are better in AAM as compared to AM. Femoral tunnel angles are smaller in AAM as compared to AM.Conclusion: For single bundle ACL reconstruction Accessory antero medial portal technique is a better procedure.