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Wagh, Nitin

To Study the Functional Outcome of Primary Cemented Bipolar Hemiarthroplasty in the Management of Unstable Inter-Trochanteric Fracture of Femur among Elderly

Abstract Views :270 | PDF Views:93

Authors

Parth Vinod Agrawal ¹, Nitin Wagh ¹, Sandeep Pangavane ¹

Affiliations
1 Department of Orthopaedics, Nashik, Maharshtra − 400610, IN

Source

MVP Journal of Medical Sciences, Vol 4, No 1 (2017), Pagination: 78-83

Abstract

Aims and Objectives: To evaluate the results with regard to function, to restoring proper limb length after surgery and to study the associated complications in intertrochanteric fractures treated by cemented bipolar hemiarthroplasty in elderly. Methodology: This is a prospective study of 25 cases of Intertrochanteric fractures admitted to a tertiary care center between August 2013 and November 2015 treated with Cemented Bipolar Hemiarthroplasty for intertrochanteric fractures. Cases were taken according to inclusion and exclusion criteria. Results: In our study of 25 cases, there were 14 male and 11 female patients with mean age of 72.8 years. 80% of the cases admitted were due to trivial trauma, 20% due to RTA with left side being more common side affected. According to OTA classification Type 31A2.2 fractures accounted for 60% of cases & Type 31A2.3 accounted for 40 %.. Mean duration of hospital stay was 13.2 days and mean time of full weight bearing was 4.7days in our patients. Excellent was seen in 24% cases Fair to Good results were seen in 72% of cases in our study according to Harris Hip Score. Conclusion: From our study we conclude that Cemented Bipolar Hemiarthroplasty for intertrochanteric fractures in elderly reduced the complications of prolonged immobilisation, prolonged rehabilitation, marked residual deformities and need for revision surgeries. The procedure offered, faster mobilization, rapid return to pre injury level, improved the quality of life.

Keywords

Hemiarthroplasty, Harris Hip Scor, Intertrochanteric Fractures.

Full Text

References

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Green S, Moore T, Prano F: Bipolar prosthetic replacement for the management of unstable Inter trochanteric hip fractures in the elderly, ClinOrthop 1987, Nov:224:169-177.

Haentjens P, Castelyn PP, De Boeck H, et al: treatment of unstable inter trochanteric and subtrochanteric fracture’s in elderly patients, JBJS 1989 Sept; 71(A): 1214-1225.

Robert T, Rosenfeld, Donald R Schwartz, Antony H Alter: Prosthetic replacement of trochanteric fractures of femur. JBJS. 1973; 55(A):420

Casey Chan K, Gurdev S Gill: Cemented Hemi arthroplasties for Elderly patients with Inter trochanteric hip fractures. ClinOrthop. 2000 Feb; 371:206-215.

A C Vahl, P B DunkiJacobs,PPatka,H J Th M Haarman:Hemiarthroplasty in elderly, debilitated patients with an unstable femoral fracture in the trochanteric region.ActaorthopaedicaBelgica 1994;60(3):274-9.

Chris Grimsrud,RaulJ.Monzon,Jonathan Richman and Michael D.Ries:Cemented Hip Arthroplasty With a Novel Cerclage Cable Technique for Unstable Intertrochanteric Hip Fractures.J Arthroplasty 2005 Apr;337-343.

KH Sancheti, PK Sancheti, AK Shyam, S Patil, Q Dhariwal, R Joshi Primary hemiarthroplasty for unstable osteoporotic intertrochanteric fractures in the elderly: A retrospective case series

Kenneth J. Koval and Joseph D. Zuckerman: “rockwood and green’s fracture in adults” Chapter 45, 6th edition, 2001-edited by Robert W. Bucholz and James D.Heckman, J.B. Lippincott Company, Vol. 2, 1794-1825.

Functional Outcome in Patients Undergoing Arthroscopic Single Row Repair of Rotator Cuff Tears

Abstract Views :217 | PDF Views:69

Authors

Nitin Wagh ¹, Adit Maniar ¹, Akshay Fuse ¹, Aditya Apte ¹, Shantanu Bharadwaj ¹

Affiliations
1 Department of Orthopaedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 7, No 1 (2020), Pagination: 60-66

Abstract

Introduction: Rotator cuff tears is a severely debilitating condition widely prevelant amongst the elderly age group. Timely adequate repair is of utmost importance. Aims and Objectives: To study the functional outcome of arthroscopic single row repair for rotator cuff tears. Materials and Methodology: We enrolled 30 patients of rotator cuff tears. Each patient underwent arthrosocpic single row repair in the lateral position with concomitant sub acromial decompression. Post operative protocol included immobilisation for 6 weeks followed by active assisted range of motion at 6 weeks and strengthening exercises at 3 months. We assessed the patient pre operatively and post operatively at 6 weeks, 3 months and 6 months using Constant Score and Visual analog scale for pain. Results: There was significant improvement at every follow up with mean Constant Score increasing from pre operative to post operative stage at 6 months. According to individual relative Constant Score patients went from a mean of poor to good outcome. Visual analog scale for pain changed from a meanscore of severe to mild at 6 months post operatively. Conclusion: Arthroscopic single row repair is a simple, minimally invasive, cost effective procedure with good functional outcomes and pain relief.

Keywords

Arthroscopic, Outcome, Rotator Cuff, Single Row

Full Text

References

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Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999 Jul-Aug; 8(4):296–9. https://doi.org/10.1016/S1058-2746(99)90148-9

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Dahm DL. Controversy remains regarding the optimal technique for arthroscopic rotator cuff repair: Commentary on an article by Peter L.C. Lapner, MD, FRCSC, et al.: "A multicenter randomized controlled trial comparing single row with double-row fixation in arthroscopic rotator cuff repair". J Bone Joint Surg Am. 2012 Jul 18; 94(14):e106. PMid: 22810413. https://doi.org/10.2106/JBJS.L.00525

Yian EH, et al. The Constant Score in normal shoulders. J Shoulder Elbow surg. 2005 Mar-Apr; 14(2):128–33. PMid: 15789004. https://doi.org/10.1016/j.jse.2004.07.003

Fialka C, Oberleitner G, Stampfl P, Brannath W, Hexel M, Vécsei V. Modification of the Constant-Murley shoulder score-introduction of the individual relative. Constant Score Individual shoulder assessment. Injury. 2005 Oct; 36(10):1159–65. PMid: 16214462. https://doi.org/10.1016/j.injury.2004.12.023

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Sauerbrey AM, Getz CL, Piancastelli M, Iannotti JP, Ramsey ML, Williams GR Jr. Arthroscopic versus mini-open rotator cuff repair: A comparison of clinical outcome. Arthroscopy. 2005 Dec; 21(12):1415–20. PMid: 16376228. https://doi.org/10.1016/j.arthro.2005.09.008

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Gazielly DF, Gleyze P, Montagnon C. Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res. 1994 Jul; (304):43–53. https://doi.org/10.1097/00003086-199407000-00009

Jost B, Pfirrmann CW, Gerber C, Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000 Mar; 82(3):304–14. PMid: 10724223. https://doi.org/10.2106/00004623-20000300000002

Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994 Jul; (304):78–83. https://doi.org/10.1097/00003086199407000-00014

Lorbach O, Bachelier F, Vees J, Kohn D, Pape D. Cyclic loading of rotator cuff reconstructions: Single-row repair with modified suture configurations versus double-row repair. Am J Sports Med. 2008 Aug; 36(8):1504–10. PMid: 18296541. https://doi.org/10.1177/0363546508314424

Xu C, Zhao J, Li D. Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears. J Shoulder Elbow Surg. 2014 Feb; 23(2):182–8. PMid: 24183478. https://doi.org/10.1016/j.jse.2013.08.005

Dahm DL. Controversy remains regarding the optimal technique for arthroscopic rotator cuff repair: Commentary on an article by Peter L.C. Lapner, MD, FRCSC, et al. "A multicenter randomized controlled trial comparing singlerow with double-row fixation in arthroscopic rotator cuff repair". J Bone Joint Surg Am. 2012 Jul 18; 94(14):e106. PMid: 22810413. https://doi.org/10.2106/JBJS.L.00525

Chen M, Xu W, Dong Q, Huang Q, Xie Z, Mao Y. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: A systematic review and meta-analysis of current evidence. Arthroscopy. 2013 Aug; 29(8):1437–49. PMid: 23711754. https://doi.org/10.1016/j.arthro.2013.03.076

Prasathaporn N, Kuptniratsaikul S, Kongrukgreatiyos K. Single-row repair versus double-row repair of fullthickness rotator cuff tears. Arthroscopy. 2011 Jul; 27(7):978–85. PMid: 21693349. https://doi.org/10.1016/j.arthro.2011.01.014

Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: A systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg. 2014 Apr; 23(4):586–97. PMid: 24411671. https://doi.org/10.1016/j.jse.2013.10.006

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Robertson TA. et al. Predictors of early complications after rotator cuff repair. Techniques in Shoulder and Elbow Surgery. 2016; 17(2):88–92. https://doi.org/10.1097/BTE.0000000000000082

Functional Outcome of Arthroscopic Reconstruction of Single Bundle Anterior Cruciate Ligament with 5 Strand Hamstring Autograft

Abstract Views :208 | PDF Views:83

Authors

Nitin Wagh ¹, Brijbhushan Mahajan ², Bhalchandra Prabhakar Bhalerao ³, Nitish Agrawal ³, Nimesh Nebhani ³, Yogesh Rathod ³

Affiliations
1 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Nashik – 422003, Maharashtra, IN
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Nashik – 422003, Maharashtra, IN
3 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Nashik – 422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 7, No 1 (2020), Pagination: 78-85

Abstract

Background: Most commonly reconstructed ligament of knee is Anterior Cruciate Ligament that aims to halt or minimise the number of instability episodes 1. Testing with biomechanical parameters has shown that there is correlation between graft cross-sectional area and maximum load to failure 2. This study attempts to analyse the functional outcome of ACL reconstruction with 5 strands of hamstring autograft. Aims and Objectives: This study is based on hypothesis that larger graft will be stronger, stiffer providing better functional outcome. Materials & Methods: 35 Patients having ACL injury were treated at a tertiary care hospital; using a 5-strand hamstring graft, fixed with suspensory fixation at femoral side and aperture fixation at the tibial side. Cases were diagnosed with ACL on clinical examination & MRI. Tegner-lyshom score and International Knee Documentation Committee - Orthopaedic Scores (IKDC) is used post-operatively to grade the functional outcome of an ACL reconstruction. Results: Male predominance was observed in study subjects than female with left side slightly more commonly involved than right. Laterality didn’t influenced outcome. Graft diameter observed is 9mm in 68.6%, 8 mm and 10 mm was observed in 11.4% and 20% respectively. Lysholm score at baseline was 41.63 which increased progressively to 93.45 at the end of 9 months. The IKDC score at baseline was 32.5 which increased progressively to 83.45 at the end of 12 months. Superficial infections was seen in 8.6% while complaint of knee pain was given by 2.9% cases. Lachman test was positive in 2 (5.7%) cases. Conclusion: Five-strand graft offers very high strength and more length than the 4ST. It is useful in patients with ligamentous laxity, small tendons, or other stability risk factors.

Keywords

ACL, Autograft, Graft Diameter, 5 Strand

Full Text

References

Shelbourne KD, Gray T. Minimum 10-year results after anterior cruciate ligament reconstruction: How the loss of normal knee motion compounds other factors related to the development of osteoarthritis after surgery. Am J Sports Med 2009; 37: 471–80. https://doi.org/10.1177/0363546508326709

Hamner D.L., Brown C.H., Jr., Steiner M.E., Hecker A.T., Hayes W.C. Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: Biomechanical evaluation of the use of multiple strands and tensioning techniques. J Bone Joint Surg Am. 1999; 81: 549–557. https://doi.org/10.2106/00004623-199904000-00013

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Sajovic M., Strahovnik A., Dernovsek M.Z., Skaza K. Quality of life and clinical outcome comparison of semitendinosus and gracilis tendon versus patellar tendon autografts for anterior cruciate ligament reconstruction: An 11-year follow-up of a randomized controlled trial. Am J Sports Med. 2011; 39: 2161–2169. https://doi.org/10.1177/0363546511411702

Prodromos CC, Joyce B. 5-Strand Hamstring ACL Reconstruction: A New Technique with Better Long-Term Stability Versus 4-Strand (SS-13). Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2006 Jun 30; 22(6): e7. https://doi.org/10.1016/j.arthro.2006.04.015

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Sideris, A., Hamze, A., Bertollo, N., Broe, D. and Walsh, W. (2017) Five Strand Hamstring Tendon Autograft for Anterior Cruciate Ligament Reconstruction Provides No Benefit over the Gold Standard Four Strand Repair for Anterior Stability of the Knee: A Prospective Cohort Study. Open J Orthop., 7, 156–172. https://doi.org/10.4236/ojo.2017.76018

Study of Survivorship and Functional Outcome of Total Hip Arthroplasty in Avascular Necrosis of Femur Head

Abstract Views :205 | PDF Views:69

Authors

Mehul Sarkar ¹, Nitin Wagh ², Sandeep Pangavane ³

Affiliations
1 Senior Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College and Hospital, Nashik – 422003, Maharashtra, IN
2 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College and Hospital, Nashik – 422003, Maharashtra, IN
3 Professor and Head, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College and Hospital, Nashik – 422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 7, No 1 (2020), Pagination: 104-112

Abstract

Osteonecrosis of the femoral head is not a specific diagnostic entity, but rather the final common pathway of a series of derangements that produce a decrease in blood flow, leading to cellular death within the femoral head. It can present with a number of clinical manifestations. The most common complaint is a deep, intermittent, throbbing pain in the groin region which has an insidious onset. In the early stages, prophylactic measures are used to prevent further progression of the disease. When the patient is diagnosed in later stages, the collapse and distortion of the femoral head can be seen, for which a reconstructive procedure is the treatment of choice. The goals of total hip arthroplasty are to relieve pain, to provide motion with stability and to correct deformity so that they are able to return to their normal daily activities. Total hip arthroplasty can be the first treatment of choice. especially in the advanced stages of hip osteonecrosis, or can be reserved as a salvaging procedure when other more conservative treatments fail. Total Hip Arthroplasty is a good modality of treatment for patients with very poor pre-surgical functional scores combined with an excellent long term survival of the cement-less implants.

Keywords

Harris Hip Score, Osteonecrosis, Survival Analysis, Total Hip Arthroplasty

Full Text

References

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Functional Outcome of Open Reduction Internal Fixation (ORIF) versus Minimally Invasive Plate Osteosynthesis (MIPO) in Distal Third Tibia Fractures

Abstract Views :297 | PDF Views:95

Authors

Satyen Joshi ¹, Sameer Ramdas Shelar ², Nitin Wagh ¹, Nikhil Challawar ³, Chinmay Salunkhe ²

Affiliations
1 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
3 Assistant Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 209-215

Abstract

Introduction: Distal Tibia fractures are considered as a surgeon’s nightmare as it is difficult to treat due to less muscle cover, precarious blood supply and its proximity to ankle joint. Here we compare two surgical procedures Open Reduction Internal Fixation (ORIF) and Minimally Invasive Plate Osteosynthesis (MIPO) methods. Aims and Objectives: Study was done to compare results between surgical approaches ORIF vs. MIPO in treatment of lower third tibia fractures. Methodology: The study included 64 patients out of which 32 were treated by ORIF and remaining 32 by MIPO. Outcome was evaluated on the basis of length of incision, duration of surgery, blood loss, duration of stay, mobilization with partial and full weight bearing, AOFAS grading. Results: Length of incision, blood loss, mobilization at full weight bearing was significantly higher in ORIF group as compared to MIPO and was statistically significant. Results and Conclusion: MIPO offers biological advantages over conventional plating techniques in terms of low surgical trauma, preservation of the blood supply, lesser evacuation of osteogenic fracture hematoma and stable construct.

Keywords

Fracture, Distal Tibia, Internal Fixation, Plate Osteosynthesis

Full Text

References

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Guo JJ, Tang N, Yang HL, Tang TS. A prospective, randomised trial comparing closed intramedullary nailing with percutaneous plating in the treatment of distal metaphyseal fractures of the tibia. J Bone Joint Surg Br. 2010 Jul; 92(7):984–8. PMid: 20595119. https://doi.org/10.1302/0301-620X.92B7.22959.

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Functional Outcome in Intertrochanteric Femur Fracture Fixation using Proximal Femur Nail

Abstract Views :126 | PDF Views:127

Authors

Deepak Kumar Singh ¹, Rajesh Sonawane ², Sandeep Pangavane ³, Nitin Wagh ⁴, Satyen Joshi ⁴, Pranit Sonawane ⁵, Ashutosh Ushir ², Ajit Jangle ⁵, Tanay Goyal ¹

Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
3 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
4 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
5 Senior Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN

Source

MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 78-85

Abstract

Background: This study was conducted to assess the functional outcome of Proximal Femoral Nailing in fixation of Intertrochanteric fractures of Femur. Methods: After obtaining written consent, this prospective study was conducted among 127 patients (age group>18 years) who had inter-trochanteric fracture with or without subtrochanteric extension fixed using proximal femoral nail. Mobilisation was started between first week to 6th week of fracture fixation depending on the rigidity of fixation and pain tolerance of the patient. Patients were followed up at 6th week, 3rd month and 6th month after operative fixation. Functional outcome was assessed using a physician based scoring system i.e. Harris Hip Score at every follow up. Scores were tabulated and assessment was done. Results: The present study included, 54 females (42.5%) and 73 males (57.5%) in the age group of 28 years to 94 years with the mean age of 67.7 years. Unstable inter-trochanteric fractures were seen in 106 cases (83.5%) ‘Fair’ results were seen in 17(13.4%), ‘Good’ results seen in 61(48.0%), ‘Excellent’ results were seen in 37(29.1%) patients at the end of 6 months follow up. Intraoperative complications were seen in 4 patients and late complications seen in 13 patients. Conclusion: From this study, we consider that PFN is an excellent implant for the treatment of intertrochanteric fractures. With a proper technique, PFN gives excellent clinical results with fewer failure rates and complications.

Keywords

Harris Hip Score, Intertrochanteric Fractures, Proximal Femur Nail

Full Text

References

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To Study Functional Outcome for Upper Limb Phalanx Fracture Treated by JESS Fixator

Abstract Views :151 | PDF Views:106

Authors

Nitin Wagh ¹, Shrikant Vetal ², Saurabh Tidke ³, Satyen Joshi ¹

Affiliations
1 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN

Source

MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 298–305

Abstract

Purpose: To study functional outcome for upper limb phalanx fracture treated by Joshi’s External Stabilizing System (JESS) fixator. Material and Methods: 68 patients were operated for Upper limb phalynx fracture in a tertiary health care setup with JESS fixator and were reviewed at 3 weeks, 6 weeks and 3months. After the procedure, the patients were assessed for the functional outcome using DASH (Disabilities or Arm, Shoulder and Hand) scoring scale. Results: Mean Adjusted DASH scores of the operated finger over consequent visits at 3 weeks, 6 weeks, and 3 months. We found that the mean adjusted DASH score improved in each consequent visit as compared to the first visit for all the joints (p<0.001). Out of the total 68 study participants, 63 had no complications (92.65%). Only 5 study participants had complications, out of which 2 each had joint stiffness (2.94%) and superficial pin track infection (2.94%) while 1 had pin loosening (1.47%). Conclusion: From the results, we can safely conclude that JESS is an effective alternative treatment for fractures of the phalanges. It is cheap and easily available. Technically, also it is less demanding. Also there is a good functional outcome as suggested by our study findings in terms of improvement in the range of motion as well as the mean adjusted DASH scores over a period of three follow up visits planned at 3 weeks, 6 weeks and 3 months with very few complications.

Keywords

Dash Score, Joshi’s External Stabilizing System (JESS) Fixator, Phalanx Pinning, Upper Limb Phalanx

Full Text

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Functional Outcome of Bone Patellar Tendon Bone Graft in Anterior Cruciate Ligament Reconstruction

Abstract Views :139 | PDF Views:85

Authors

Nitin Wagh ¹, Chinmay Salunkhe ², Sandip Pangavane ³, Brijbhushan Mahajan ⁴, Sameer Shelar ²

Affiliations
1 Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
2 Former PG Student, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India., IN
3 Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
4 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research, Centre, Nashik – 422003, Maharashtra, India ., IN

Source

MVP Journal of Medical Sciences, Vol 9, No 1 (2022), Pagination: 30 - 36

Abstract

Background: Anterior Cruciate Ligament (ACL) tear is the one of the common among ligamentous injury to the knee joint. Various surgical methods have been advised for the anterior cruciate ligament reconstruction with different kinds of grafts which have own merits and demerits. Bone patellar tendon bone is one of the commonly used autograft for ACL reconstruction. Aim of this study was to analyze the functional outcome following arthroscopic ACL reconstruction using Bone patellar Tendon Bone graft (BTB). Materials and Methods: Between 2017 and 2019, 32 patients with an average age of 27 years (range: 19-51 years) participated in a prospective study. The patients were arthroscopically treated with a bone-patellar tendon-bone graft. Physiotherapy and appropriate post-operative care were provided. The patient’s functional status was assessed at three-month, six-month, and one-year intervals. We assess knee joint stability and normal knee function using clinical tests. To evaluate the findings, we used the Tegner Lysholm knee score as well as the VAS score. Results: In terms of clinical outcomes, 93 percent of patients had normal or near-normal knee function. According to the Tegner-Lysholm knee rating system, 88 percent of the patients received an excellent score. At the end of one year, 27 out of 32 patients have no pain on the VAS score. Anterior knee discomfort (10%) and numbness above the graft donor site were the most common consequences (8 percent). Conclusion: Based on objective and subjective assessments, ACL reconstruction employing the bone-patellar tendon-bone approach could produce a very satisfactory functional outcome. Improved knee stability and function allow for a quicker return to everyday activities.

Keywords

Anterior Cruciate Ligament (ACL), Arthroscopic Repair, Bone Patellar Tendon Bone graft (BTB)

Full Text

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