Management of partial tears of the anterior cruciate ligament by single-bundle augmentation

Authors

Ahmed M. Mostafa, Menoufia University Students HospitalFollow
Emad B. Badawy, Menoufia University
Hesham M. El-Mowafy, Menoufia University
Mohamed H. El-Naggar, Menoufia University Students Hospital

Subject Area

Orthopedic Surgery

Article Type

Original Study

Abstract

Objective The aim was to evaluate early results of single-bundle augmentation of partial tears of the anterior cruciate ligament (ACL) with an autogenous hamstring graft. Background Intact fibers of the partially torn ACL preserve some of the proprioception of the knee joint. It adds some biomechanical strength and protection to the newly inserted augmentation graft in the early postoperative period and helps in early revascularization, ligamentization, and reinnervation of the newly inserted augmentation graft. Patients and methods A prospective study was performed for 20 patients with partial ACL tears treated with arthroscopic single-bundle augmentation with an autogenous hamstring graft. Patients were subjected to preoperative and postoperative evaluation according to Lysholm score, anterior drawer test, Lachman test, pain, and instability. Results There was a significant improvement after arthroscopic augmentation in Lysholm score, anterior drawer test, Lachman test, pain, and instability (P < 0.001). Conclusion The single-bundle augmentation technique, preserving intact fibers of the ACL, can be considered as a suitable method of treatment of symptomatic partial tears of the anterior cruciate ligament.

Recommended Citation

Mostafa, Ahmed M.; Badawy, Emad B.; El-Mowafy, Hesham M.; and El-Naggar, Mohamed H. (2022) "Management of partial tears of the anterior cruciate ligament by single-bundle augmentation," Menoufia Medical Journal: Vol. 35: Iss. 3, Article 88.
DOI: https://doi.org/10.4103/mmj.mmj_60_21