Pawan Kamal, Shekhar Singhal, Akshdeep Bawa, Rajnish Garg
Volume 3 | Issue 1 | Jan – Apr 2018 | Page 47-51
Author: Pawan Kamal [1], Shekhar Singhal [2], Akshdeep Bawa [3], Rajnish Garg [2]
[1] Navnoor Hospital and trauma centre, Balachaur, Punjab
[2] Dept of Orthoapedics, Dayanand Medical College, Ludhiana, Punjab
[3] King’s College Hospital, London.
Address of Correspondence
Dr Akshdeep Bawa, Fellow Trauma and Orthopaedics,King’s College Hospital,London.
Email: bawa.akshdeep@gmail.com
Abstract
Rupture of the ACL is one of the most common sports injuries in active young people. The exact incidence of anterior cruciate ligament injuries is unknown. Other than sports injuries, road side accidents are the second most common cause of ACL injury. There are no studies where the results after ACL reconstruction done for an acutely injured knee as a result of road side accident have been documented. Our study aimed to determine if the functional outcome was satisfactory if it was done in a patient of road side accident irrespective of any associated meniscal injuries and to evaluate the complications.
Methods: This prospective study was conducted in the Department of Orthopaedics of Dayanand Medical College and Hospital, Ludhiana, Punjab. The patients presenting with knee injury at indoor/ outdoor patient Department of Orthopaedics for period starting from Jan 2007 to Dec 2011 were taken up for study. The diagnosis was confirmed clinically as well as radiographically. Patients with multiligamentous injuries were excluded from the study.Reconstruction was done arthroscopically using ipsilateral Quadrupled hamstring or patellar tendon autograft. Standard operative technique of transtibial ACL reconstruction was followed. The patients were followed at 6 months and one year postoperatively from 2007 to 2011 for assessment of functional results. A total of 107 patient met the inclusion criteria out of which 102 patient could be examined clinically while 5 patients were lost to follow up and one patient died due to some natural cause. After completion of study observations were tabulated & were analyzed qualitatively as well as quantitatively using proper statistical methods.
Results: Post operatively, instability disappeared in 100(98.04%) patients post ACL reconstruction. Only 2(1.96%) patients had occasional episode of instability the operated knee. One patient had instability due to missed postero-medial instability. The mean preoperative subjective IKDC score was 37.9513.88 and post-operative subjective IKDC score changed to 87.9010.07 after ACL reconstruction. After comparing the two scores the P value came out to be <0.001 which was highly significant.
Conclusion: Road traffic accidents and Sports injuries are the commonest cause for anterior cruciate ligament injuries in our country. Arthroscopic ACL reconstruction provides a stable knee with minimal complications. Arthroscopic anterior cruciate ligament reconstruction with BPTB and ST/G grafts is an excellent treatment option for anterior cruciate ligament deficient knees after road side accidents.
Keywords: ACL injury, road side accident, non athletes, functional outcome.
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| How to Cite this article:. Kamal P, Singhal S, Bawa A, Garg R. Functional Outcome after Reconstruction in Patients with Anterior Cruciate Ligament Injuries after Roadside Accident in Non-athlete Population. Asian Journal of Arthroscopy Jan – April 2018;3(1):47-51. |
