Intraoperative Complications of Primary Anterior Cruciate Ligament Reconstruction Using Quadriple Hamstring Tendon Graft (Semitendinosus and Gracilis ): Measures of Avoidance
Iraqi Postgraduate Medical Journal,
2018, Volume 17, Issue 3, Pages 297-306
Anterior cruciate ligament reconstruction is widely done orthopedic procedure, during this procedure there is potential risk for development of complications, which need to be dealt with or better to be prevented by specific measures.
To avoid intra operative complications during anterior cruciate ligament reconstruction using hamstring muscles graft in order to reduce incidence of the graft failure due to technical error.
PATIENT AND METHOD:
prospective cohort study for patient who has undergone primary anterior cruciate ligament reconstruction surgery using hamstring graft by same surgical team during the period from 2016-2017. History, examination and investigations were done for all patients and surgery was done under general anesthesia or spinal anesthesia. Specific rehabilitation program was instructed to all patients. Intra operative complications might be encountered during anterior cruciate ligament reconstruction surgery which includes: cartilage injury, Bleeding, Screw breakage, Screw mal direction and graft harvest complications. Identification of the measures to avoid these complications was crucial in this study.
Fifty four patients who underwent primary anterior cruciate ligament reconstruction with mean age 27.7. Fourteen patients (26%) developed complications. Seven patients had cartilage injury (13)% , (2/54) patients had bleeding (3.7)% , (2/54) patients had developed screw breakage (3.7)% , screw mal direction (1.9)% was encountered in (1/54) patient and (2/54) patients had sustained premature graft cutoff short (3.7)%.
Complications of anterior cruciate ligament reconstruction may occure at any stage of operation, avoidness of these complications is important step in improving the functional outcome and the surgeon need to be aware about it and how to avoid them.
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