A Comparative Study of the Results of the Anatomic Medial Portal and All-inside Arthroscopic Acl Reconstruction
Introduction: Many techniques of graft placement in Arthroscopic Anterior Cruciate Ligament (ACL) reconstruction is available nowa-days, like trans-tibial, anatomical accessory medial portal and anatomical all-inside technique. Aim: To compare the improvement in clinical status of patients treat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8812/23696_CE[Ra1]_F(RK)_PF1(PI_RK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: Many techniques of graft placement in Arthroscopic
Anterior Cruciate Ligament (ACL) reconstruction is available nowa-days, like trans-tibial, anatomical accessory medial portal and
anatomical all-inside technique.
Aim: To compare the improvement in clinical status of patients
treated by anatomic accessory medial portal and all-inside
arthroscopic ACL reconstruction technique pre-operatively postoperatively using International Knee Documentation Comittee
(IKDC) Subjective Knee Scores, Lysholm Knee Score, Knee
Society Score, Lachman test, Visual Analog Score (VAS) in both
the groups.
Materials and Methods: After informed consent from patients
and clearance from Ethical Committee, we included patients
aged 18 to 50 years with ACL injury and clinical laxity admitted
in Department of Orthopaedics, King George Medical University,
Lucknow. We included 100 patients in the study, which were
divided into two groups, Group1 comprised of patients treated
by Anatomic accessory medial portal technique and group 2
comprised of patients treated by All-Inside technique. Then the
patients were followed up post-operatively at 6 weeks, 12 weeks
and 6 months, clinically for functional status using Lysholm Knee
Score, IKDC Subjective Knee Score, Knee Society Score and VAS
score. Grading of laxity was evaluated by Lachman test at preoperative stage and 6 months follow-up.
After collection of the data, analysis was carried out on SPSS
software version 16.0 (Chicago, inc. USA) and the statistical test
that was used was 2-Way Analysis of Variance (ANOVA).
Results: IKDC Subjective Knee Score, Lysholm Knee Score, Knee
Society Score, Lachman Test and VAS Score was better in group
2 treated by All-inside technique as compared to group1 and the
difference was significant (p<0.005).
Conclusion: All- Inside arthroscopic ACL reconstruction technique
(group2) is a better technique than arthroscopic Anatomic
accessory medial portal technique (group1). |
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| ISSN: | 2249-782X 0973-709X |