A Comparison between Early and Delayed Arthroscopic Anterior Cruciate Ligament Reconstruction: A Prospective Cohort StudyCorrespondence Address :
Dr. Simran Preet Singh,
H. No. 146, Sector 1, Channi Himmat, Jammu and Kashmir, India.
Introduction: A complete Anterior Cruciate Ligament (ACL) injury can result in a progressively increasing symptomatic knee instability, which can cause recurrent intra articular damage and eventually results in osteoarthritis if not treated on time.
Aim: To analyse the effects of delaying ACL reconstruction beyond a period of 12 weeks and compare the results with cases managed before that time period.
Materials and Methods: A prospective cohort study was conducted between July 2017 to October 2019 in Government Medical College, Jammu, India on two groups of patients divided into early (<12 weeks) and delayed (>12 weeks) on the basis of interval between the injury and definitive surgery. The ACL reconstruction was done using a quadrupled semitendinosusgracilis graft. A standard rehabilitation protocol was followed and the results were compared. Patients were followed-up till one year postsurgery. Software used for statistical analysis was EpiInfo Version 3.0 and Statistical Package for the Social Sciences (SPSS).
Results: A total of 72 patients were included in the study. Forty patients were in the early group and 32 in delayed. Male patients outnumbered the females in both the groups and the incidence of injury was more on the right side. Sports injuries were the most common mode of injury, followed by falls and road traffic accidents in both the groups. The incidence of grade 3/4 medial and Lateral Meniscal (LM) tears was more in the delayed group and the association was statistically significant (p<0.05). There was significant thigh wasting in the delayed group (p<0.05). Two patients were lost to follow-up and were not included in the study.
Conclusion: Delay in ACL reconstruction surgery predisposes to higher grade meniscal lesions and significant thigh wasting and hence the surgery should be preferably done within the first 12 weeks after injury
Arthroscopy, Lateral meniscal, Quadrupled semitendinosus-gracilis graft
Date of Submission: Oct 30, 2020
Date of Peer Review: Jan 20, 2021
Date of Acceptance: Feb 15, 2021
Date of Publishing: May 01, 2021
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Nov 02, 2020
• Manual Googling: Feb 10, 2021
• iThenticate Software: Apr 10, 2021 (6%)
ETYMOLOGY: Author Origin
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