DOI: https://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20222703
Published: 2022-10-27

Comparative evaluation of pre and post operative functional outcomes determined by Lysholm knee score of patients undergoing arthroscopic anterior cruciate ligament reconstruction

Rajat Kapoor, Ashutosh Verma, Atul Kumar Saroj

Abstract


Background: The anterior cruciate ligament (ACL) is the primary stabilizer of the knee joint and prevents the knee against anterior translation. After ACL tears, most patients experience recurrent episodes of instability (give way), pain and decreased function. Purpose of our study was to comparative evaluation of functional outcomes of pre and post operative patients after arthroscopic ACL reconstruction by using Lysholm knee score and its complications.

Methods: This is a prospective interventional study which were included total 45 patients undergoing arthroscopic ACL reconstruction by using hamstring autograft. Postoperatively patients were followed up at 6, 9 and 12 months for functional assessment by using Lysholm knee score.

Results: After ACL reconstruction increment in mean Lysholm knee score during follow up from 69.33 to 96.03 at final followup (p<0.001) which indicate that significant improvement in functional status of patients.

Conclusions: Reconstruction of ACL leads the patient to return to a normal activity level and prevent the occurrence of associate meniscal injury and post-traumatic osteoarthritis. A regular followup based and well-organized rehabilitation program provide a key role in functional outcome of knee after ACL reconstruction.


Keywords


Arthroscopic ACL reconstruction, Lysholm knee score, Anterior cruciate ligament

Full Text:

PDF

References


Haimes JL, Wroble RR, Grood ES, Noyes FR. Role of the medial structures in the intact and anterior cruciate ligament-deficient knee: limits of motion in the human knee. Am Sports Med. 1994;22(3):402-9.

Woo SL, Hollis JM, Adams DJ, Lyon RM, Takai S. Tensile properties of the human femur-anterior cruciate ligament-tibia complex: the effects of specimen age and orientation. The Am Sports Med. 1991;19(3):217-25.

Yasuda K, van Eck CF, Hoshino Y, Fu FH, Tashman S. Anatomic single-and double-bundle anterior cruciate ligament reconstruction, part 1: basic science. Am Sports Med. 2011;39(8):1789-800.

Waldén M, Hägglund M, Werner J, Ekstrand J. The epidemiology of anterior cruciate ligament injury in football (soccer): a review of the literature from a gender-related perspective. Knee Surg Sports Traumatol Arthroscopy. 2011;19(1):3-10.

Satku K, Kumar VP, Ngoi SS. Anterior cruciate ligament injuries. To counsel or to operate?. J Bone Joint Surg. 1986;68(3):458-61.

Amis AA, Dawkins GP. Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. J Bone Joint Surg. 1991;73(2):260-7.

Noyes FR, Mooar PA, Matthews DS, Butler DL. The symptomatic anterior cruciate-deficient knee. Part I: the long-term functional disability in athletically active individuals. JBJS. 1983;65(2):154-62.

Johnson RJ, Eriksson E, Haggmark T, Pope MH. Five-to ten-year follow-up evaluation after reconstruction of the anterior cruciate ligament. Clin Orthopaed Related Res. 1984;1(183):122-40.

Li GX, Li Q, Li ZY. Double-bundle reconstruction of anterior cruciate ligament using hamstring auto graft under arthroscopy. China J Orthopaed Traumatol. 2012;25(11):923-7.

VSM VP, Gupta S, Joshi GR. Anterior cruciate ligament reconstruction with bone patellar tendon bone graft through a mini arthrotomy. Med J Armed Forces India. 2004;60(1):15-9.

Krüger-Franke M, Reinmuth S, Kugler A, Rosemeyer B. Concomitant injuries with anterior cruciate ligament rupture. A retrospective study. Der Unfallchirurg. 1995;98(6):328-32.

Nellaiyappan B, Karthik K. Role of Scaffolds in the Reconstruction of Anterior Cruciate Ligament of Knee-Systematic Review. Int J Orthopaed. 2016;3(3):564-70.

Ibrahim SA, Al-Kussary IM, Al-Misfer AR, Al-Mutairi HQ, Ghafar SA, El Noor TA. Clinical evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: patellar tendon versus gracilis and semitendinosus autograft. J Arthroscop Related Surg. 2005;21(4):412-7.

Marder RA, Raskind JR, Carroll M. Prospective evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: patellar tendon versus semitendinosus and gracilis tendons. Am J Sports Med. 1991;19(5):478-84.