All-Inside Anterior Cruciate Ligament Reconstruction By Tight Rope

Abstract

Background: The anterior cruciate ligament (ACL) is one of the most important stabilizing factors of the knee joint. The ACL is made up of two bundles: the anteromedial bundle and the posterolateral bundle. The increase in the incidence of ACL injury is attributed to the higher participation in sports activity by the general population. A popular orthopaedic surgical procedure involves reconstructing the anterior cruciate ligament with entire tibial tunnels. Aim: the clinical outcome of the reconstruction of the ACL using the All-Inside technique through retrograde drilling of both femur and tibia sockets, with the graft fixated by tight ropes on both tibial and femoral sides. Methods: We included forty patients with an ACL tear, who underwent ACL reconstruction using a single semitendinosus tendon graft, through an all-inside technique (retrograde femoral and tibial drilling). Results: The data from the forty cases were analyzed. The Lysholm score was improved to 92.78 ±4.24, postoperatively. There was a statistically highly significant difference in comparing preoperative and postoperative results in favour of postoperative results (p<0.001). Besides, the IKDC improved to 91.12 ±4.85, postoperatively. There was a statistically highly significant difference in comparing preoperative and postoperative results in favour of postoperative results (p<0.001). Conclusion: Based on our analysis, we found that the short-term outcomes of the all-inside approach for ACL restoration are good to exceptional. With specially created instrumentation, it has many benefits. However, the increased usage of flipcutters drives up the overall cost of surgery.