PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 5, OCTOBER 2018

ANTERIOR CRUCIATE LIGAMENT AVULSION INJURIES IN MILITARY SOLDIERS: A TERTIARY CARE EXPERIENCE

Muhammad Nadeem Chaudhry, Sohail Hafeez, Memoona Aslam*

Abstract

Objective: To evaluate the clinical outcome of fixation of anterior cruciate ligament avulsion injuries in Military Soldiers.
Study Design: Descriptive case series.
Place and Duration of Study: Orthopedic department, Combined Military Hospital (CMH) Rawalpindi, from Jun 2015 to Jun 2016.
Material and Methods: Open reduction and screw fixation was done in 30 soldiers presenting with McKeever type III and IV avulsion fractures of anterior cruciate ligament. Outcome evaluation was carried out at 3 and 6 months. Lachman test was used for stability. Standard AP and Lateralx-rayswere taken to monitor bony healing. Lysholm score was used for functional evaluation.
Results: All 30 patients showed complete healing at 3 months. Three patients revealed residual laxity. Mean extension loss was 5 degrees. Lysholm score improved from pre-operative mean of 29.97 (SD ± 5.46) to post-operative mean of 95.67 (SD ± 1.47).
Conclusion: This study demonstrated operative fixation of Grade III and IV anterior cruciate ligament avulsion injuries as a successful surgical option in Military soldiers.

Keywords : ACL avulsion, Lysholm score, McKeever type, Screw fixation.



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