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All Journal Indian Journal of Forensic Medicine & Toxicology
Ahmed Mahmoud Gad1 , Mohamed Kamal Ismail2 , Ramy Salah Morsy3
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Outcome of Anterior Cruciate Ligament Reconstruction using Femoral Intrafix for a Single Tunnel Double Bundle Anterior Cruciate Ligament Reconstruction Ahmed Mahmoud Gad1 , Mohamed Kamal Ismail2 , Ramy Salah Morsy3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.11573

Abstract

Background: Single-tunnel double-bundle anterior cruciate ligament reconstruction (ACLR) withanatomical placement of hamstring tendon graft can closely restore the anterior knee instability whencompared with single bundle reconstruction.Aim: Evaluation of the clinical and functional outcomes of ACLR using femoral intra-fix and tibialinterference screw.Methods: This is a prospective study held on 40 patients who underwent autologous hamstring graft ACLRusing femoral intra-fix and tibial interference screw. After a median follow up of one year the clinical(Lysholm score), functional outcome (International Knee Documentation Committee, IKDC) and Jointlaxity (assessed with KT-1000 arthrometer - MEDmetric, San Diego, CA) were evaluated.Results: As regard IKDC 36 patients (90%) had normal or nearly normal knees postoperatively incomparison to 100% had abnormal and severely abnormal knees pre-operatively (P value < 0.001). Themean Lysholm score was higher in the postoperative follow up than preoperative (91.40±7.3 Vs 53.35±13.55) with statistically significant (P value < 0.001). The mean anterior translation of tibia improved from7.55 mm preoperatively to 2.1 mm after one year of ACLR.Conclusion: ACLR using femoral intra-fix and tibial interference screw provide secure graft fixation andallow early rehabilitation. The clinical and functional outcome of this fixation technique is rewarding.
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