A Comparative Study of the Clinical and Functional Outcome of Anterior Cruciate Ligament Reconstruction using Transportal and Transtibial Approach for Femoral Tunnel Drilling
|IJOCP | April 2014 | Volume 1 | Issue 2 | Page 1
Conference: Poona Orthopaedic Society Annual Conference POSAC- 2014, India [Click for Full details]
Authors: Dr Abhishek Vaish, Dr Parag Sancheti, Dr Atul Patil, Dr Ashok Shyam
Authors Affiliations:Sancheti Institute of Orthopaedics and Rehabilitation,Pune
Address of Correspondence:
Sancheti Institute of Orthopaedics and Rehabilitation,Pune
Purpose – Our study aims to compare the functional and clinical outcomes of arthroscopic ACL reconstruction using transportal and transtibial approaches for femoral tunnel drilling at 1 year post-surgery.
Material & Methods: This study was conducted from June 2010 to December 2012. Patients were selected for either group (transportal or transtibial) prospectively. 87 patients were included in transportal group and 75 patients in transtibial group depending on which method was to be used. Patients were evaluated pre-operatively using 5 evaluation systems i.e. IKDC, Lysholm, LEAS, Tegner and pain VAS, and were examined clinically with Lachman’s, anterior drawer, pivot shift and McMurray’s tests. Post-operative evaluation was done at 1 year from the surgery wherein patients were evaluated clinically and with the evaluation forms as well as with a KT-1000 arthrometer and SF-36 evaluation.
Results: There was a significant difference in functional outcome at 1 year between transportal and transtibial groups on comparing the IKDC score (63.17 ±12.12 and 53.27 ±12.48 respectively; p<0.001), Lysholm score (83.13 ±13.8 and 70.11 ±20.39; p<0.001), Tegner’s score (4.78 ±1.45 and 4.28 ±1.73; p=0.049), pain on VAS (2.45 ±1.65 and 3.92 ±1.98; p<0.001) and the Physical Component Survey of SF-36 (49.46 ±6.51 and 42.51 ±9.33; p<0.001). The percentage of cases having more than 5mm translation of tibia compared to opposite knee using the KT-1000 arthrometer 1 year post-operatively was higher in transtibial group than transportal group (10/87 and 10/75).
Conclusion: We concluded that the transportal group has a better functional outcome than the transtibial group at 1 year after reconstruction.
|How to Cite this Abstract|
|Vaish A, Sancheti P, Patil A, Shyam A. A Comparative Study of the Clinical and Functional Outcome of Anterior Cruciate Ligament Reconstruction using Transportal and Transtibial Approach for Femoral Tunnel Drilling. I J Orthopaedic Conference Proceedings April 2014;1(2):1.|