Online ISSN: 2515-8260

Keywords : anatomic reconstruction

Arthroscopic Anatomic Single Bundle Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon

Riad Mansour Megahed, Hosam Fathi Mahmoud, Ahmed Hatem Farhan Imam, Abdulmunem Amhimmid Ighleeleeb

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3215-3224

Background: Anatomical single bundle arthroscopic Anterior cruciate ligament
(ACL) reconstruction has been the standard treatment for ACL injured patients. It
is a minimally invasive procedure that allows the surgeon tounderstand the internal
derangements of the knee joint. The purpose of Arthroscopic ACL reconstruction is
to restore the normal kinematics of knee joint. The aim of the current study was
evaluation of the results of anatomic single bundle anterior cruciate ligament
reconstruction using hamstring tendon. Patients and methods: prospective clinical
study was conducted in Orthopedic Department, Faculty of Medicine, Zagazig
University, on 24 patients (18 males and 6 females with mean age 30.16±5.9) with
chronic ACL tear treated with the hamstring tendon for reconstruction of the
anterior cruciate ligament in all patients during the period from April 2020 to April
2021. Results: Grade of Lysholm score improved significantly postoperatively,
where 17 patients were excellent, 5 patients were good, and 2 patients were fair.
IKDC SCORE was improved from 45.83±7.46 preoperatively to 78.12±6.04
postoperatively. There were 19 patients without complication, 4 patients had
superficial infection and 1 patient had deep infection. Conclusion: The anatomic
anterior cruciate ligament reconstitution using hamstring tendon is more effective
for reproducing the anatomy of the ACL and obtaining good clinical results, when
it is done by accessory medial portal because the technique enables for a better view
inside the knee and more obliquity of the reconstructed ACL when compared to the
transtibial technique.