Evaluation of the results of arthroscopic anterior cruciate ligament reconstruction with quadruple strand hamstring autograft fixed by biodegradable screws

Abstract

Introduction: Worldwide arthroscopic surgeons commonly used hamstring tendons as the favorable graft and biodegradable screws for fixation of the graft for Anterior Cruciate Ligament reconstruction (ACLR). The present research was undertaken to evaluate the results of arthroscopic ACL reconstruction with quadruple strand Semitendinosus and Gracilis (STG) autograft and fixed by biodegradable interference screws in both tibia and femur. Materials and Methods: This quasi-experimental research was included thirty (30) patients with ACL injuries and were treated in the form of arthroscopic reconstruction of ACL by quadruple strand hamstring autograft fixed by biodegradable screws in both tibia and femur. Preoperative and postoperative evaluations were performed according to the Lysholm Knee Scoring Scale and rehabilitation protocol was followed accordingly. Final outcome was evaluated at 24 weeks post-operatively. Results: In pre-operative evaluation, Lysholm Knee Score was poor in 93% cases and fair in 7% cases. Post operatively significant improvement was found. According to postoperative Lysholm knee score, an excellent result was obtained in 73% cases, good in 20% cases and fair in 7% cases which showed significant improvement. Conclusion: For arthroscopic ACL reconstruction, quadrupled hamstring autograft fixed with biodegradable screws in both tibia and femur brings an excellent and acceptable result.