Online ISSN: 2515-8260

Keywords : ACL reconstruction

Assessment of femoral tunnel after arthroscopic anterior cruciate ligament reconstruction

Dr. Mihir Patel, Dr. Mahesh Shinde, Dr. Ushma Butala, Dr. Lakshya Bhardwaj, Dr. Karthik HK, Dr. Saif Ansari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 5, Pages 272-280

Background: The knee joint is the most commonly injured of all joints and the anterior cruciate ligament (ACL) is the most commonly injured ligament. Anatomical graft placement is one of the major challenges in ACL reconstruction. Three-dimensional (3D) reconstruction of computed tomography (CT) images is currently the best method to determine whether the ACL tunnel and graft is positioned correctly. This study was done to calculate parameters of femoral tunnel in terms of femoral tunnel diameter, femoral tunnel length, femoral tunnel position based on Bernard and Hertel grid (Quadrant method) and the angle between a line drawn along the femur diaphysis and the femoral tunnel (femoral tunnel-femur diaphyseal angle/coronal angle/coronal obliquity) and to compare the results of femoral tunnel parameters measured with current literature.
Aims and Objectives: To Evaluate the Femoral Tunnel After Arthroscopic Anterior Cruciate Ligament Reconstruction.
Materials and Methods: This is an observational cross-sectional study conducted in the Department of Orthopaedics, H.B.T. medical college and Dr. R.N. Cooper municipal general hospital, Mumbai, on 39 patients of age group of 19-52 year who underwent arthroscopic ACL reconstruction over a period of 1 year.
Results: Most of patients had femoral tunnel diameter between 7.5-8.5 mm and length of 3-4 cm and femoral tunnel-femur diaphyseal angle of 30-40 degree. Most patients had position of femoral tunnel along high to low axis of 28-34% and position of femoral tunnel along deep to shallow axis of >27%. Femoral tunnel position along high to low axis and deep to shallow axis warren anatomical.
Conclusion: Low percent of ACL reconstruction were in recommended anatomical position. CT scan is a very good tool to analyse tunnel position after ACL reconstruction.


Biju Raveendran, Dr. Anvesh Gattu, Dheepak Kumar.A

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2621-2631

Background: Every year, over 1 lakh ACL reconstructions are performed in the United States, and the number of surgical operations ranging from open to minimally invasive arthroscopic procedures is increasing globally. The present study's objective was to evaluate outcomes after anterior cruciate ligament surgery and structured rehabilitation with the IKDC, KOOS, and TAL scores.
Materials and Methods: This study objective   to assess outcomes following anterior cruciate ligament restoration and structured rehabilitation utilizing the IKDC, KOOS, and TAL scores. Materials and methods: The current investigation was carried out in Narayana Medical College & Hospital and involved 30 surgical patients (Arthroscopic Anterior Cruciate Ligament reconstruction using hamstring graft and structural rehabilitation). For six months, structural rehabilitation was pursued. All cases were followed for two weeks, six weeks, ten weeks, sixteen weeks, and six months. The outcome was evaluated using the IKDC score, the KOOS score, and the Tegner activity level scale.
Results: The 30 individuals included 24 men and 6 women, according to the study. Subjects averaged 30. BMI averaged 25.04 kg/m2. 17 patients (Group A) underwent preoperative ACL exercises, while 13 did not (Group B) 14 patients had twisting injuries, 10 had sports injuries, and 6 underwent RTAs .At 2 weeks, 6 weeks, 10 weeks, 16 weeks, and 6 months, IKDC is statistically significant (p 0.001). At 2 weeks, 6 weeks, 10 weeks, 16 weeks, and 6 months, KOOS is statistically significant (p 0.001). At 10 weeks, 16 weeks, and 6 months, TAL is statistically significant (p 0.001).
Conclusion: There is a need for numerous studies that use patient- reported outcomes that reflect patients' most critical concerns, as well as more prospective longitudinal related research.