Outcomes of Anterior Cruciate Ligament Reconstruction in Rajavithi Hospital
Sukrom Cheecharern MD*, Chaiwat Lohpongpaiboon MD*
Affiliation : * Department of Orthopedics, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand
Background : Anterior cruciate ligament reconstruction (ACL) is one of the most common orthopedic procedures performed
worldwide. Many studies have reported results of single- and double-bundle ACL reconstruction with regard to long-term
follow-up; however, few have examined the outcomes of the early postoperative period.
Objective : This study was undertaken to evaluate early postoperative clinical outcomes after ACL reconstruction.
Material and Method: A retrospective study was carried out between April 2004 and February 2016. A total of 183 isolated
ACL-injury patients underwent primary ACL reconstruction using patellar tendon bone and hamstring tendon. Demographic
data and complications, including length of hospital stay (LOS) and operative time, were recorded.
Results : The mean age of the 183 patients was 28.52+7.43 years. Most of the subjects were male, single, and employed, with
no underlying diseases. The mean + SD of BMI was 24.34+3.36 kg/m2. The main cause of surgery was injury resulting from
accidents sustained while playing sports. The average operative time was 144.49+47.35 minutes, and LOS ranged from 3 to
23 days (mean + SD = 7.34+2.43 days). The majority of the patients underwent single-bundle ACL (92.2%) and bio absorb
screw was most commonly used for tendon fixation. Medial meniscus tear (MM) was the most common injury, accounting for
59.1% of cases, whereas no lateral meniscus (LM) tear was observed in 64.0% of subjects. ACL reconstruction due to sports
injury was more prevalent in younger patients than in older ones (p-value = 0.019), and a significant correlation between time
after injury and meniscus tear was identified (p-value = 0.017).
Conclusion : ACL surgery was most commonly associated with sports injury and was most prevalent in younger patients.
Operative times, LOS and complications in early postoperative outcomes were not significantly different in single- and
double-bundle cases. More research is needed to assess early postoperative rehabilitation and long-term follow-up.
Keywords : Anterior Cruciate Ligament, Early postoperative, ACL outcomes, Medial and lateral meniscus
