Online ISSN: 2515-8260

Keywords : anterior cruciate ligament


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.

Anterior cruciate ligament reconstruction: single-bundle hamstring versus double-bundle reconstruction with lavsan (polyethylene terephtalate)

Murodjon Ergashevich IRISMETOV; Farrukh Makhamadjonovich USMONOV; Alisher Mukhammadjonovich KHOLIKOV; Kurbon Nurmamatovich RAJABOV; Murodjon Bakhodirovich TADJINAZAROV

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 951-959

Anterior cruciate ligament is one of the main stabilizateur of the knee joint. Many methods were suggested for its reconstruction with different allo- and autografts, as well as synthetic materials. The aim of study is to compare of two methods of ACL reconstruction. Material and metods. The study included 110 patients who underwent ACL reconstruction. I group (54 patients) underwent single-bundle ACL reconstruction with hamstring tendons, II group (56 patients) underwent double-bundle reconstruction with lavsan (polyethylene terephtalate) tape. Patients were evaluated with Lachman, anterior drawer and pivot-shift tests and Lysholm score. Results. Our results showed better results in double-bundle group, especially rotational stability was significant better. Conclusion. Independing of the method of ACL reconstructions these surgeries must be perform taking into account anatomic features and changes of the knee. Double-bundle technique of ACL reconstruction with lavsan provides better stability than single-bundle technique with hamstring tendons.

MRI EVALUATION OF PATTERN OF ANTEROLATERAL LIGAMENT AND POSTEROLATERAL CORNER INJURY ASSOCIATED WITH ANTERIOR CRUCIATE LIGAMENT TEAR WITH IT’S CLINICAL CORRELATION.

Dr. Amruta Dinesh Varma; Rajasbala Dhande

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1977-1982

Abstract: Background: Understanding the RELATION between anterior cruciate ligament
and postero lateral corner TRAUMA with antero-lateral ligament of knee with it’s clinical
diagnosis would help us better understand the pattern of injury and to take proper
treatment action .Objectives :To find the correlation between pattern of injury of
anterolateralligament , anterior cruciate ligament and posterolateral corner injury on MRI
with it’s clinical correlation and associated findings. Methodology: A cross-sectional study
will be done at Acharya Vinoba Bhave Rural Hospital, Sawangi, involving52 patients who
present with knee trauma for MRI. The sample will be selected and involvement of
Anterior cruciate ligament ,postero lateral corner injury and antero-lateral ligament with
associated findings will be evaluated using T1, T2 and PD MRI sequences. These will be
compared and there association will be calculated which can be used for better planning of
treatment. Results: After appropriate statistical analysis, we expect to find association
between anterolateral ligament and anterior cruciate ligament tear with posterolateral
corner injury and this will be considered for reconstruction. Conclusion: In this
observational study, we expect associations between injured ligaments with aid of clinical
findings . We also expect to find a positive association between anterolateral ligament with
posterolateral corner injury and anterior cruciate ligament tear.