Short Term Clinical Outcomes of Fixed Length Loop Devices and Adjustable Length Loop Devices for Femoral Fixation of Hamstring Graft for Arthroscopic Anterior Cruciate Ligament Reconstruction: A Non-Randomized Comparative Trial

Volume 6 | Issue 2 | July-December 2021 | Page —– | Samir C. Dwidmuthe, Kaustubh Patil, Vikram Sapre, Sushil Mankar

DOI: 10.13107/aja.2021.v06i02.000


Author: Samir C. Dwidmuthe [1], Kaustubh Patil [2], Vikram Sapre [2], Sushil Mankar [2]

[1] Department of Orthopaedics, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
[2] Department Of Orthopaedics, NKPSIMS & RC, Nagpur, Maharashtra, India.

Address of Correspondence:
Dr. Samir C. Dwidmuthe
Associate professor, Department of Orthopaedics, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
E-mail: samirdwidmuthe@aiimsnagpur.edu.in


Abstract

Background: In anterior cruciate ligament (ACL) reconstruction, cortical suspension devices are used widely. The two most commonly used cortical suspension devices for ACL reconstruction are fixed fixed-length loop devices (FLDs) and adjustable length loop devices ALDs.
Aim: This study is aimed to compare the clinical outcomes between ALDs and FLDs in the femoral fixation component of ACL reconstruction using a hamstring graft. Methods: It was a non-randomized trial which that was conducted at department of orthopaedics tertiary care teaching hospital. The total sample size of the study was calculated as 34, in which 17 patients were placed in FLDs and the rest of 17 patients were placed in ALDs. Functional outcomes were measured by Lysholm score at preoperatively and then postoperatively at one month, two months, and six months. Knee laxity was tested were assessed by the Lachman test and Pivot shift test at preoperatively and postoperatively at 6 months.
Results: The mean Lysholm score increased from at preoperatively was 51.53±6.39 and postoperative score at last, at last, follow up was to 97.94±1.95 in FLD group and from 50.24.±12.36 to 98.29±1.86 in ALD group at 6-month follow-up. No significant difference was found in between the groups for Lysholm score at preoperatively and postoperative follow follow-ups(p>0.05). Lachman and Pivot shift test also showed no significant difference in between the groups (p>0.05).
Conclusion: The clinical effectiveness of FLDs and ALDs were found to be similar in ACL reconstruction.
Keywords: Anterior cruciate ligament reconstruction, Fixed length loop devices, Adjustable length loop devices, Lysholm score, Lachman test, Pivot shift test


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How to Cite this article: Dwidmuthe S C, Patil K, Sapre V, Mankar S | Short Term Clinical Outcomes of Fixed Length Loop Devices and Adjustable Length Loop Devices for Femoral Fixation of Hamstring Graft for Arthroscopic Anterior Cruciate Ligament Reconstruction: A Non-Randomized Comparative Trial | Asian Journal of Arthroscopy | July-December 2021; 6(2): —-.


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