Article Sidebar
Views PDF: 59
THE ALL-INSIDE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH FIBER-LOOP AUGMENTATION
Main Article Content
Abstract
Objectives: To evaluate the functional outcomes in patients who underwent anterior cruciate ligament (ACL) reconstruction with fiber-loop augmented to reinforce the ligament, acting as a secondary stabilizer. Methods: A retrospective study was conducted on 25 patients who underwent the all-inside ACL reconstruction with the addition of fiber-loop inside the ACL graft in the Department of Joint Surgery, Military Hospital 103, from August 2022 to August 2023. Patients were evaluated pre-operatively and finally post-operatively via the Lachman test, Pivot shift test, and Lysholm score. Results: The mean follow-up was 9.84 months; the mean age was 33.04 ± 9.95 years. 24 patients (96%) were post-operatively Lachman negative. The pivot-shift test showed 96% of patients absent or glide after surgery. The Lysholm knee score at the last visit was good and very good in 96% of the patients; the mean score was 92.56 ± 4,53. Conclusion: This study showed good functional outcomes of arthroscopic ACL reconstruction with fiber-loop augmentation to reinforce the ligamental graft. There is a need for more comparative studies with longer follow-ups and large sample sizes.
Article Details
Keywords
Anterior cruciate ligament reconstruction, All-inside, Fiber-loop augmentation
References
2. Steven Garcia, Nirav K.Pandya. Anterior Cruciate Ligament Re-tear and Revision Reconstruction in the Skeletally Immature Athlete. Current Reviews in Musculoskeletal Medicine. 2020; 13:369-378.
3. Noonan BC, Bachmaier S, Wijdicks CA, Bedi A. Independent suture tape reinforcement of tripled smaller diameter and quadrupled grafts for anterior cruciate ligament reconstruction with tibial screw fixation: A biomechanical full construct model. Arthroscopy. 2020; 36:481-489.
4. Frangie R, Warth RJ, Harner CD. Will suture tape augmentation prove to be the answer to anterior cruciate ligament graft remodeling ultimate strength, and safe return to play? [editorial commentary]. Arthroscopy. 2020; 36:490-491.
5. Bodendorfer BM, Michaelson EM, Shu HT, et al. Suture augmented versus standard anterior cruciate ligament reconstruction: A matched comparative analysis. Arthroscopy. 2019; 35:2114-2122.
6. Huang W, Ong TY, Fu SC, Yung SH. Prevalence of patellofemoral joint osteoarthritis after anterior cruciate ligament injury and associated risk factors: A systematic review. J. Orthop. Translat. 2020; 22:14-25.
7. Darren de SA, Ajaykumar Shanmugaraj, Melissa Weidman, Devin C Peterson, Nicole Simunovic, Volker Musahl, Olufemi R Ayen. All-Inside anterior cruciate ligament reconstruction - A systematic review of techniques, outcomes, and complications. J Knee Surg. 2018; 31(9):895-904.
8. Santi MD, Richardson AB. The Ligament Augmentation Device in Hamstring Grafts for Reconstruction of the Anterior Cruciate Ligament. The American Journal of Sports Medicine. 1994; 22(4):524-530.
9. Vu Trung Hieu, Dao Xuan Thanh. Outcome of arthroscopic treatment anterior cruciate ligament tear back up with Internal Brace. Vietnam Medical Journal. 2021; 502(2):267-270.
10. Sana Ullah, Waqas Haleem, Muhammad Waqar, Muhammad Saeed, Israr Ahmad and Mohammad Arif khan. Outcomes of all inside ACL reconstruction technique in young patients. OPROJ. 2021000682; 8(2):832-840.
11. Williams III RJ, Hyman J, Petrigliano, F, Rozental T, Wickiewicz TL. Anterior cruciate ligament reconstruction with a four-strand hamstring tendon autograft. J. Bone Jt. Surg. Am. 2004; 86:225-232.
12. Janssen RPA, Scheffler SU. Intra-articular remodeling of hamstring tendon grafts after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014; 22(9):2102e2108.