Keywords : Arthroscopic reconstruction
To distinguish between the results of early and delayed arthroscopic reconstruction of anterior cruciate ligament tears
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 3156-3169
Objective of the Study: This study's main goal is to evaluate the functionality of early and delayed arthroscopically reconstructed ACLs using the IKDC score, Lysholm-Tegner score, KOOS scoring, as well as clinical testing such as the pivot shift test, anterior drawer test, Lachmann test, and range of motion both before and after surgery.
Need for the Study: Reconstructing the anterior cruciate ligament (ACLR) increases the stability and functionality of the knee. Numerous contentious concerns, including graft selection, surgical technique, and scheduling of operation, are present and the surgical approach is still evolving. The best moment for reconstructive surgery following injuries is a topic of debate. Few authors have advocated for reconstruction within 12 weeks. Early surgical intervention may reduce the likelihood of meniscal and chondral damage and prevent the knee from becoming more unstable. Other studies concluded that early repair would have unexpected results because of discomfort, arthrofibrosis, and patellar contracture syndrome and advised waiting until 12 weeks had passed before having surgery. This research will assist the surgeon in arthroscopically reconstructing the anterior cruciate ligament at the ideal time.
Methods: After receiving informed consent, 60 patients with ACL injuries who were admitted to Govt. Medical College & Hospital were enrolled in this study. There was a thorough clinical examination and history taken. Magnetic Resonance Imaging (MRI) and routine clinical tests were used to confirm the diagnosis (Sigma HDxT-GE 1.5 Tesla). Depending on the time of hospital presentation, patients with total or partial ACL Tears having ACL reconstruction were randomly assigned to early 12-week groups x. These patients had arthroscopic ACL reconstruction using semitendinosis and gracilis triple grafts in order to repair their established ACL tears, either partial or total. IKDC score, Lysholm-tegner score, and KOOS scoring were used to evaluate the functional performance of the rebuilt ACL over a period of 6 to 1 year.
Results: Clinical and functional scores post-operatively improved statistically significantly in both the Early and Delayed groups. In both groups, the score improvement was comparable. The improvement in pain ratings, range of motion, anteroposterior stability, and functional scores between the early and delayed groups did not vary statistically. There were no notable variations between the two groups' improvements.