Publication: Successful Outcome of Anterior Cruciate Ligament (ACL) Reconstruction by Hamstring Tendon for Anterior Cruciate Ligament Deficit Knee at a University Hospital: A Descriptive Cross-sectional Study Authors
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Introduction: Anterior cruciate ligament is a commonly injured and reconstructed ligament in the knee. Unlike in urban areas where sports activities and road accidents are common mechanisms of injuries, the semi-urban and rural population has a different mode of injuries, needs, and expectations. This study explores the prevalence of successful outcome of anterior cruciate ligament reconstruction in by hamstring tendon for anterior cruciate ligament deficit knee at a university hospital.
Methods: A descriptive cross-sectional study was conducted at Dhulikhel Hospital, Kathmandu University Hospital from 2018 February to 2020 January among patients having anterior cruciate ligament injuries after ethical approval. Whole sampling technique was used. Functional outcome was assessed with Lysholm scale at the end of at least one year. Data was analysed using Statistical Package for Social Sciences version 11. Point estimate at 95% Confidence Interval was calculated, with frequency and percentage.
Results: Out of 66 anterior cruciate ligament reconstruction, 35 (59%) cases had successful outcomes. Excellent outcomes were seen in 9 (15%) cases and 26 (44%) had good outcomes. The mean Lysholm score was 84.
Conclusions: Anterior cruciate ligament injuries were seen in heterogeneous populations during their activities of daily living or recreational sports activities. Anatomic anterior cruciate ligamentreconstruction with hamstring grafts provided good functional outcomes, especially among the young population. Our findings are similar to current studies on anterior cruciate ligament-reconstruction.
Description
Rohit Shrestha
Department of Orthopedics, Dhulikhel Hospital, Dhulikhel, Nepal
https://orcid.org/0000-0003-0525-319X
Sushant Kumar Khadka
Department of Orthopedics, Dhulikhel Hospital, Dhulikhel, Nepal
Sangharsha Thapa
Kathmandu University School of Medical Sciences, Dhullikhel, Nepal
https://orcid.org/0000-0002-3391-762X
Manasil Malla
Kathmandu University School of Medical Sciences, Dhullikhel, Nepal
https://orcid.org/0000-0003-4605-1500
Ashkal Basi
Kathmandu University School of Medical Sciences, Dhullikhel, Nepal
https://orcid.org/0000-0003-4684-1780
Prabha Bhandari
Kathmandu University School of Medical Sciences, Dhullikhel, Nepal
https://orcid.org/0000-0002-1601-5579
Laxman Aryal
Kathmandu University School of Medical Sciences, Dhullikhel, Nepal
https://orcid.org/0000-0001-8790-7438
Binay Kandel
Department of Physiotherapy, Dhulikhel Hospital, Dhulikhel, Nepal
https://orcid.org/0000-0003-2059-3029
Umesh Adhikari
Department of Physiotherapy, Dhulikhel Hospital, Dhulikhel, Nepal
https://orcid.org/0000-0002-8255-9742
Keywords
anterior cruciate ligament, arthroscopy, knee