A Comparative Study Of Clinical And Functional Outcome Of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Peroneus Longus Graft Vs Semitendinosus, Gracilis Graft”
DOI:
https://doi.org/10.48047/58fmw977Keywords:
Anterior Cruciate Ligament, Peroneus Longus, Semi Tendinosis, Graft.Abstract
Introduction:
The Anterior Cruciate Ligaments (Acl) Injury Is A Contentious Topic In Which Extensive Research Was Done Worldwide For 2 Decades. Unlike Pcl, Acl Is Less Robust As Well As More Susceptible To Tearing. This Susceptibility Contributes To Instability In The Front Of The Knee When The Acl Is Torn, Which Is A Significant Clinical Challenge.
Aim And Objectves:
To Study The Pathology And Physiology Of The Anterior Cruciate Ligament Disruption, To Study The Arthroscopic Anterior Cruciate Ligament Reconstruction Using Semitendinosus And To Study The Arthroscopic Anterior Cruciate Ligament Reconstruction Using Peroneus Longus.
Materials And Methods:
A Prospective Study Was Done On 40 Consecutive Subjects Those Undergone Arthroscopy Assisted Anterior Cruciate Ligament Reconstruction From October 2022 To June 2024at Vinayaka Mission’s Kirupanandavariyar Medical College And Hospitals At Seeragapadi, Salem Reconstruction Utilized St Tendon, Gracilis Tendon As Well As Fibularis Longus Tendon. All Patients Who Were Aged Between 15-60 Years, Who Were Skeletally Mature And Diagnosed With An Anterior Cruciate Ligament Injury Had Been Established By Performing Lachman Evaluation, Alongside Concurrent Meniscal Or Collateral Ligament Tears Requiring Repair, Were Eligible For Inclusion In This Academic Research. On Condition That Subjects Are Fit In Undergoing Rehab Following Anterior Cruciate Ligament Reconstruction, Which Involved Complete Load -Bearing Walking As Well As Unrestricted No-Load-Bearing Rom Were Included In The Study.
Results:
The Comparison Of Functional Outcome Between The Two Groups. Functional Outcome Was Measured Using Lysholm Scoring System, Which Was Assessed At 3 Months And At 12 Months. It Is Inferred From The Table That There Is No Difference Which Is Significant In The Functional Outcome Among 2 Groups Both At 12 Weeks As Well As At 12 Months. A Statistical Significant Improvement Is Observed In Functional Scores Among Both Groups At The End Of 12 Months In Comparison With The Score At 3 Months.
Conclusion:
Morphologically The Peroneus Longus Has Better Features Than Semitendinosus In The Construction Of Aclgraft, Statistically Both The Semitendinosus And Peroneus Longus Has Similar Results However Functionally Pl Is A Better Graft In Female Subgroup, The Pl Tendon Is Particularly Beneficial Among Cases Involving Complex Injuries, Such As Those Affecting The Mcl, Having A Review Of Approximately 24months.
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