Ligament Reconstruction in Patients Operated Arthroscopically with Bone-Patellar Bone Graft Using Lysholm Score

Khalil Ur Rehman; Shahzad Inam; Atiq Ur Rehman; Mohsin Javid; Idris Khan; Syed Arsalan Akbar

doi:10.51253/pafmj.v73i3.6650

Authors

Khalil Ur Rehman Department of Surgery, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Shahzad Inam Department of Surgery, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Atiq Ur Rehman Department of Surgery, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Mohsin Javid Department of Surgery Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Idris Khan Department of Surgery, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Syed Arsalan Akbar Department of Surgery, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i3.6650

Keywords:

Anterior cruciate ligament reconstruction (ACL), Arthroscopy, Bone-patellar tendon-bone, Lysholm score

Abstract

Objective: To assess the mean Lysholm score after arthroscopic anterior cruciate ligament Anterior Cruciate Ligament (ACL) reconstruction with a bone-patellar tendon-bone graft.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Department of Orthopaedic, Combined Military Hospital, Peshawar Pakistan, from Oct 2020 to Apr 2021.

Methodology: Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft was performed in 70 patients. Baseline characteristics were recorded, and patients were followed up for six months. Functional outcome was determined using the Lysholm score.

Results: The mean age of patients was 32.38±11.83 years. The majority, 59(84.3%) of the patients were males. Of the 70 patients, 36(51.4%) had a right knee involved. The mean Lysholm score at baseline was 50.46±6.93. At six months, a Lysholm score of 85.49±9.05 was recorded, and the mean difference was found to be statistically significant (p<0.001) using paired t-test.

Conclusion: Significant change in Lysholm score at six months was observed in the study sample. Reconstructing the anterior cruciate ligament with a bone-patellar-tendon bone graft improved the Lysholm score and, thus, functional outcome.
Keywords: Anterior cruciate ligament reconstruction (ACL); Arthroscopy, Bone-patellar tendon-bone, Lysholm score.