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

Keywords

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