Post-Operative Radiological Outcome of Hamstring Graft in ACL Reconstruction after Augmentation of Graft with Periosteal Envelope

Abstract

Introduction: Anterior Cruciate Ligament (ACL) reconstruction with hamstring graft is usually done for the surgical management of ACL tear. The post-operative outcome of ACLR is mainly dependant on graft healing its integration into the femoral and tibia tunnels. For the tendon to bone integration it can take up to several months post-surgery. Incorporation of graft into the bony tunnels plays an important role in post-operative outcome after ACL reconstruction surgery. In our study we have aimed to compare hamstring graft healing time post ACL reconstruction when graft was enveloped with periosteum as envelope. Material and Methods: 30 patients with isolated ACL tear were selected between age group of 18 to 40 years and were grouped randomly into 2 groups. In first group the hamstring graft was enveloped with the surrounding periosteum harvested were as second group the patients were not augmented with periosteal envelope. Post-operative rehabilitation remained similar in both the groups and MRI scan was done at 6 months, 9 months and 1 year post operatively to check for graft maturity.