Evaluation of the Results of Arthroscopic Anterior Cruciate Ligament Reconstruction by Tripled Semitendinosus Tendon Autograft Fixed by Bio Screws

Author(s): Md. Emdadul H. Bhuyan, Shekhar K. Bosu, Md. Zahidur Rahman, Md. Towhidul Islam, Md. Syedur Rahaman, Tapas Mandal

Background: Reducing activity levels and becoming an economic burden, anterior cruciate ligament (ACL) injuries are most common in young adults as a result of sports injuries and post-traumatic knee conditions. It often leads to instability of the knee, especially during sports, exercise, or heavy work, and compels them to modify their jobs. The study's goal was to look at how well tripled semitendinosus tendon autograft reconstruction of the anterior cruciate ligament with bioscrews worked.

Methods: This quasi-experimental study was carried out in the Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh from July 2016 to April 2018. A total of 30 male patients who presented with unilateral knee complaints and were clinically diagnosed with ACL injuries attended the OPD of NITOR, Dhaka. Statistical Packages for Social Sciences (SPSS-24) and window-based Microsoft Excel were both used to analyze the results statistically.

Results: In this study, the highest number of patients was 18 (60%) observed in the 3rd decade. The lowest, 1 (3.33%), was observed in the 5th decade. The mean age was 25.13±5.90 years, with a range from 16 to 45 years. And all of the patients were male (100%). Here are the causes of injury: sports activity 25 (83.33%), RTA 4 (13.33%), and others 1 (3.33%). And the mean diameter of the tripled ST autograft was 7.23 mm with SD (±0.558), and the mean length was 23.57 cm with SD (±0.615).

Conclusion: This study, which was designed to evaluate arthroscopic ACL reconstruction with a triple semitendinosus autograft and fixation of the graft by bioscrews, is justified and time-worthy.