Functional Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autograft: Arthroscopic ACL Reconstruction Using Hamstring Tendon Autograft

Farman Ul Haq; Faraz Ahmad Khan; Hazrat Akbar; Rahmat Khan; Waheed Altaf; Zain Naseer; Latif Khan; Hafiz Umair Hussain

doi:10.54393/pjhs.v6i12.3008

Authors

Farman Ul Haq Department of Orthopaedics, Clinical Trust Teaching Hospital, Lahore, Pakistan
Faraz Ahmad Khan Department of Orthopaedics, Clinical Trust Teaching Hospital, Lahore, Pakistan
Hazrat Akbar Pakistan Ordinance Factory Hospital, Wah Medical Hospital, Wah Cantt., Pakistan
Rahmat Khan Department of Orthopaedics, Hayatabad Medical Complex, Peshawar, Pakistan
Waheed Altaf Department of Orthopaedics, Hayatabad Medical Complex, Peshawar, Pakistan
Zain Naseer Department of Orthopaedics, Clinical Trust Teaching Hospital, Lahore, Pakistan
Latif Khan Department of Orthopaedics, Clinical Trust Teaching Hospital, Lahore, Pakistan
Hafiz Umair Hussain Department of Orthopaedics, Clinical Trust Teaching Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i12.3008

Keywords:

Anterior Cruciate Ligament, Reconstruction, Hamstring Tendon Autograft, Functional Outcome, Lysholm Score, IKDC Score

Abstract

Anterior cruciate ligament (ACL) injuries are among the most common knee injuries, particularly in active individuals and athletes. Untreated ACL tears can lead to joint instability, meniscal damage, and early osteoarthritis. Objectives: To assess the efficacy of hamstring tendon autografts in arthroscopic ACL reconstruction. Methods: A longitudinal descriptive study was undertaken from July 2023 to January 2024, including 70 patients with ACL rupture with an arthroscopic ACL reconstruction using hamstring autografts. Patients were assessed through Lysholm knee scoring and International Knee Documentation Committee (IKDC) scores at 6 weeks, 3 months, and 6 months postoperatively. Demographic data, clinical characteristics, and outcomes were analyzed using statistical methods, using a p-value≤0.05 as significant. Results: Participants were predominantly male (80%), with a mean age of 35.6 years (SD 5.76). Causes of ACL injury included road traffic accidents (40%), sports activities (31.4%), and falls (28.6%). Preoperative IKDC scores improved significantly from 52.6 (95% CI: 50.9–54.3) to 89.6 (95% CI: 88.8–90.4) postoperatively (p<0.001, Cohen’s d = 5.2). Lysholm scores indicated excellent outcomes (90–100) in 44.3% (SD 4.1), good (80–89) in 38.6% (SD 3.8), fair (65–79) in 12.9% (SD 2.5), and poor (<65) in 4.3% (SD 1.2). Right-sided injuries showed better outcomes (p<0.001). Sports-related injuries had superior outcomes (p<0.001). Conclusions: The study contributes valuable insights into demographic factors influencing results, emphasizing the importance of graft choice in achieving favorable postoperative knee function.

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