Research conducted on incidence and rate of re rupture of ACL after Tibial stump preserving ACL Reconstruction
1Dr. Ikram, 2Dr Abdul Rasheed Napar, 3Dr Ali Hamza, 4Dr Bilal, 5Dr Asad, 6Syed Danish Mehmood
1PIMS Islamabad
2Associate Professor, orthopedic surgery, Khairpur medical college khairpur Mirs Sindh.
3PIMS Islamabad
4PIMS Islamabad
5UHS Lahore
6Consultant Orthopaedic dept, Islamabad medical complex, Nescom.
ABSTRACT:
Background: ACL injury remains one of the most frequent knee injuries which orthopedic professionals treat. A surgical preservation of the tibial stump during ACL reconstruction aims to enhance graft healing processes as well as propel proprioceptive recovery. Graft re-rupture represents a handling concern after performing this technique despite such concerns.
Aim: The authors evaluated the frequency of ACL re-tears that occurred following tibial stump-preserving ACL reconstruction surgeries and searched for possible risk factors during their research.
Methods: The observational research took place at Ayub Medical Hospital, Abbottabad, during the time period from February 2024 to January 2025. The research included 100 patients who received tibial stump-preserving ACL reconstruction as their procedure. The staff followed up patients both clinically and through radiological tests to measure graft wellness and functional outcome results. The researchers collected data about patient characteristics together with information about their injuries and surgical approaches and rehabilitation methods.
Results: Among 100 subjects, 8 patients had re-ruptures of their reconstructed ACL during the monitoring interval. The majority of re-ruptures occurred within 9 months post-surgery and were associated with premature return to high-impact sports or non-compliance with rehabilitation protocols. Male patients under the age of 30 and those with high activity levels demonstrated a higher incidence of re-injury. Overall, 92 patients (92%) had intact grafts and showed satisfactory functional recovery.
Conclusion: Tibial stump-preserving ACL reconstruction demonstrated a relatively low re-rupture rate of 8%, supporting its viability as a reliable surgical option. However, strict adherence to rehabilitation protocols and cautious return to sports are critical to minimize the risk of graft failure, particularly in young, active individuals.
Keywords: ACL reconstruction, Tibial stump preservation, ACL re-rupture, Incidence, Graft failure, Knee injury