Comparing and predicting the outcome of anterior cruciate ligament reconstruction performed within one year and one year after injury

Authors

  • Salahuddin Al Department of Orthopaedics, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
  • Muzaffar T Shihabudin Department of Orthopaedics, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia and Department of Orthopaedics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  • PS Au Yong Department of Orthopaedics, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
  • Azril Syazwan Mohd Ali Department of Orthopaedics, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia

DOI:

https://doi.org/10.3329/bjms.v22i4.67127

Keywords:

anterior cruciate ligament; reconstruction;outcome; delayed; predict

Abstract

Background: The anterior cruciate ligament reconstruction (ACLR) should not be delay too long to get a good outcome but how long delay could be considered acceptable is not known. The objective of this study was to assess the outcome of surgery performed within and after a year of injury. We also predicted the operative outcome if the surgery is further delayed and several associated factors were also evaluated if they could influence the outcome.

Methodology: Thirty-six patients were recruited in the early group where surgery is performed within a year of injury and thirty were in the delayed group where surgery was after a year of injury. Age, sex, body mass index, Tegner activity level and duration from the time of injury to surgery were evaluated. Surgical outcomes were measured at one year follow up after surgery were Lysholm score and limb symmetry index (LSI).

Results: Mean time from injury to surgery for early and delayed groups were eight months and 18 months. Timing from injury to surgery affects the outcome parameters. Both groups showed good outcomes but the early group showed better LSI and Lysholm scores (p<0.5). LSI was better in predicting the outcome of surgery compared to Lysholm score (67% vs 43%).

Conclusions: Early ACLR showed better outcome but the late ACLR still demonstrate acceptable result in the absent of high grade cartilage lesion. LSI is better at predicting the outcome of surgery.

Bangladesh Journal of Medical Science Vol. 22 No. 04 October’23 Page : 876-881

Downloads

Download data is not yet available.
Abstract
43
PDF
85

Downloads

Published

2023-09-07

How to Cite

Al, S. ., Shihabudin, M. T., Yong, P. A. ., & Ali, A. S. M. . (2023). Comparing and predicting the outcome of anterior cruciate ligament reconstruction performed within one year and one year after injury. Bangladesh Journal of Medical Science, 22(4), 876–881. https://doi.org/10.3329/bjms.v22i4.67127

Issue

Vol. 22 No. 4 (2023)

Section

Original Articles

License

Copyright (c) 2023 Salahuddin AL, Muzaffar T Shihabudin, PS Au Yong, Azril Syazwan Mohd Ali

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.