ANTERIOR CRUCIATE LIGAMENT AVULSION INJURIES IN MILITARY SOLDIERS: A TERTIARY CARE EXPERIENCE
Anterior Cruciate Ligament Avulsion Injuries
Objective: To evaluate the clinical outcome of fixation of anterior cruciate ligament avulsion injuries in Military
Study Design: Descriptive case series.
Place and Duration of Study: Orthopedic department, Combined Military Hospital (CMH) Rawalpindi, from Jun
2015 to Jun 2016.
Material and Methods: Open reduction and screw fixation was done in 30 soldiers presenting with McKeever
type III and IV avulsion fractures of anterior cruciate ligament. Outcome evaluation was carried out at 3 and 6
months. Lachman test was used for stability. Standard AP and Lateralx-rayswere taken to monitor bony healing.
Lysholm score was used for functional evaluation.
Results: All 30 patients showed complete healing at 3 months. Three patients revealed residual laxity. Mean
extension loss was 5 degrees. Lysholm score improved from pre-operative mean of 29.97 (SD ± 5.46) to postoperative
mean of 95.67 (SD ± 1.47).
Conclusion: This study demonstrated operative fixation of Grade III and IV anterior cruciate ligament avulsion
injuries as a successful surgical option in Military soldiers.