Evaluation of 80 cases of anterior cruciate ligament arthroscopic reconstruction done in Al-Wasity Teaching Hospital, Baghdad

• Main Authors: Zaid Ali Jasim Shaban, Dhafer Fouad Al-Baher, Hadi Kareem Hadi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Medical Journal of Babylon
• Subjects: Anterior cruciate ligament; arthroscopic reconstruction; hospitals
• Online Access: http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2018;volume=15;issue=2;spage=160;epage=163;aulast=Shaban
• ISSN: 1812-156X; 2312-6760

Background: The objectives of anatomic anterior cruciate ligament (ACL) reconstruction is to reproduce the native anatomy of the ACL by restoring native insertion site, the tension pattern of the (ACL), the two functional bundles, and individualizing the surgery for each patient. This can be achieved using either the single-bundle or double-bundle technique depending on the patient condition. Objective: The goal of anatomic reconstruction in short term is to benefit clinical outcome and in long term is to reduce the prevalence of osteoarthritis. To review the results of patients who underwent arthroscopic reconstruction of the (ACL) using the semitendinosus and gracilis tendon double or triple stranded graft. Materials and Methods: Eighty cases (72 males, 8 females) who met the inclusion criteria of study that underwent arthroscopical reconstruction for (ACL) injury and followed up for 6 months in Al-Wasti Hospital between September 2012 and October 2014 were included in this study. Results: Excellent clinical outcome was reported with 92.5% of the patients, 2(2.5%) cases had delay flexion and extension, failure of surgery was reported with only one case and deep venous thrombosis, and infection were reported with two cases only. No significant difference regarding complications was reported according to the method of fixation or sex difference. Conclusion: Excellent functional outcome was obtained with all methods of fixation which confirm the reliability and safety of these techniques.