2. To Evaluate the Stability and Functional Outcome in ACL Reconstruction by Semitendenosis Graft in Low-Demanding Patients
Syed Ali Raza1, Haseeb Saqlain Bajwa2, Muhammad Kamran1, Muhammad Kashaf Naseer1, Naveed Ali Shair2 and Amir Sohail3
ABSTRACT
Objective: This study aimed to evaluate the stability and functional outcomes of ACL reconstruction using the semitendinosus graft.
Study Design: This was a prospective cohort study.
Place and Duration of Study: This study was conducted at the Mayo Hospital OPD in Lahore between April 2022 and April 2023.
Methods: A total of 15 patients with confirmed ACL ruptures, diagnosed clinically and through MRI, were recruited from the Mayo Hospital OPD in Lahore between April 2022 and April 2023. All surgeries were performed under a tourniquet, and the semitendinosus graft was used as the graft material. Functional outcomes were assessed using the Lysholm knee score.
Results: Among the 15 patients, 10 (66.66%) had twisting injuries, 3 (20%) were involved in car accidents, and 2 (20%) had previously experienced falls. Three patients (20%) exhibited positive grade I Lachman test results at the final follow-up, while 12 (80%) showed good outcomes with negative Lachman test results. The mean satisfaction rate was 7.1 ± 0.6 at three months and increased to 9.1 ± 0.1 at six months post-surgery. Before treatment, 6 (40%) patients had stability grade 3, and 9 (60%) had stability grade 2. The average Lysholm knee score before surgery was 66.1 ± 5.6; after surgery, it improved significantly to 92.3 ± 4.3. A paired t-test demonstrated a substantial improvement in the Lysholm knee score following surgery (p-value < 0.001).
Conclusion: In conclusion, using the semitendinosus graft in ACL reconstruction resulted in excellent outcomes, including improved stability, minimal intraoperative trauma, and high patient satisfaction.
Key Words: ACL, Lysholm Knee Score, semitendinosus graft
Citation of article: Raza SA, Bajwa HS, Kamran M, Naseer MK, Shair NA, Sohail A. To Evaluate the Stability and Functional Outcome in ACL Reconstruction by Semitendenosis Graft in Low-Demanding Patients. Med Forum 2024;35(2):7-10. doi:10.60110/medforum.350202.