“A RANDOMISED PROSPECTIVE STUDY OF FUNCTIONAL OUTCOMES BETWEEN ARTHROSCOPIC RECONSTRUCTION OF ACL WITH OATS (OSTEOCHONDRAL AUTOGRAFT TRANSFER SYSTEM) AND RECONSTRUCTION OF ACL WITH MICROFRACTURE IN PATIENTS WITH ACL TEAR ASSOCIATED WITH OSTEOCHONDRAL DAMA

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Abstract

Introduction: Articular cartilage injuries commonly occur in conjunction with anterior cruciate ligament (ACL) injury. Osteochondral autograft transfer (OATS) is a one-stage surgical procedure to treat chondral defects of the knee and other articulating surfaces. Our study Aims & Objective aims to evaluate the functional outcomes between arthroscopic reconstruction of ACL with OATS (osteochondral autograft transfer system) and ACL with Microfracture in patients with ACL tear associated with osteochondral damage 30 patients with ACL tear and Material & Methods osteochondral damage size ≤ 1.5 cm2 were chosen for our study from January 2021 to January 2023 in SGITO, Bangalore, were randomly divided into 2 groups. Group A were patients who underwent arthroscopic ACL reconstruction with OATS Vs Group B were patients who underwent arthroscopic ACL reconstruction with MF. Their functional outcome was assessed using lysholm score and IKDC score at 6 weeks, 3 months and 12 months. Lysholm Score and IKDC score (functional assessment) were analysed for Results the 30 patients, both the scores were better for group A than group B (p value < 0.001) at 6 weeks, 3 months and 12 months follow-up. On the basis of stud Conclusion ies done earlier, incidence of articular cartilage injury with acute ACL tear is between 16- 46 %, and combined surgery is preferred. Our study compared the different cartilage repair techniques OATS and MF, when combined with ACL reconstruction. Patients who underwent with OATS gave better results than patients who underwent microfracture for cartilage defect, while ACL reconstruction technique was kept same for both groups