Prospective Study to Evaluate the Outcome in the Management of Combined ACL and PCL Injuries

Abstract

Background: Combined anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) disruptions are uncommon orthopaedic injuries. Although some authors recommended cast immobilization for treatment, others advocated operative repair. Hence; the present study was undertaken for assessing the outcome in the management of combined ACL and PCL injuries. Materials & Methods: A total of 25 patients diagnosed with presence of combined ACL and PCL injuries were enrolled. Complete demographic and clinical details of all the subjects were obtained. Clinical and radiographic examination of the subjects was carried out. All the patients underwent simultaneous arthroscopic reconstruction. Assessment of pre-treatment and post-treatment lysholm scores and IKDC scores was done for analysis of outcome of all the patients. Follow-up was done and data of all the patients was recorded separately. Results: Excellent outcome was seen in 32 percent of the patients while good outcome was seen in 40 percent of the patients. Fair outcome was seen in 28 percent of the patients. Mean IKDC score during pre-treatment and post-treatment time was 33.1 and 86.4 respectively. Mean Lysholm score during pre-treatment and post-treatment time was 37.2 and 88.6 respectively. While comparing pre-treatment and post-treatment scores, significant results were obtained. Conclusion: By using arthroscopic technique, simultaneous ACL and PCL reconstruction is an excellent procedure and helps to achieve early rehabilitation.