Anterior cruciate ligament reconstruction with use of hamstring autograft in patients with generalized ligamentous laxity

Abstract

Background: Patients with generalized ligamentous laxity has greater risk of instability compared with a conventionally reconstructed anterior cruciate ligament injury. The purpose of this study was to evaluate the outcome of Anterior Cruciate Ligament (ACL) Reconstruction in Patients with Generalized Ligamentous Laxity.Methods: The records of 40 patients who underwent anterior cruciate ligament reconstruction between January 2018 and June 2020 were evaluated. The patients underwent quadruple hamstring autograft reconstruction of ACL. Clinical outcomes were determined from data obtained before surgery and at the twenty-four-month follow-up visit.Results: Postoperatively, the mean of anterior tibial translation was measured by physical examination and was found that 4 patients had grade 1 plus lachman test (p value=0.032), while no patient had grade 1 plus pivot shift test (p value=0.091). The mean score on the hospital for special surgery knee ligament questionnaire was 90.8 and mean lysholm score was 84.1.Conclusions: On the basis of the evaluation of ligamentous laxity measured with the physical examination, anterior cruciate ligament reconstruction with use of hamstring autograft provided some anterior translation.