ANTERIOR CRUCIATE LIGAMENT AVULSION INJURIES IN MILITARY SOLDIERS: A TERTIARY CARE EXPERIENCE: Anterior Cruciate Ligament Avulsion Injuries

Muhammad Nadeem Chaudhary; Sohail Hafeez; Memoona Aslam

Authors

Muhammad Nadeem Chaudhary Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sohail Hafeez Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Memoona Aslam Pak Emirates Military Hospital/ National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Keywords:

ACL avulsion, Lysholm score, McKeever type, Screw fixation

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 postoperative
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.

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