title: A Comparative Study of the Results of the Anatomic Medial Portal and All-inside Arthroscopic ACL Reconstruction.
abstract: BACKGROUND
  Many techniques of graft placement in Arthroscopic Anterior Cruciate Ligament (ACL) reconstruction is available now-a-days, like trans-tibial, anatomical accessory medial portal and anatomical all-inside technique.
  
  
  OBJECTIVE
  To compare the improvement in clinical status of patients treated by anatomic accessory medial portal and all-inside arthroscopic ACL reconstruction technique pre-operatively post-operatively using International Knee Documentation Comittee (IKDC) Subjective Knee Scores, Lysholm Knee Score, Knee Society Score, Lachman test, Visual Analog Score (VAS) in both the groups.
  
  
  METHODS
  After informed consent from patients and clearance from Ethical Committee, we included patients aged 18 to 50 years with ACL injury and clinical laxity admitted in Department of Orthopaedics, King George Medical University, Lucknow. We included 100 patients in the study, which were divided into two groups, Group1 comprised of patients treated by Anatomic accessory medial portal technique and group 2 comprised of patients treated by All-Inside technique. Then the patients were followed up post-operatively at 6 weeks, 12 weeks and 6 months, clinically for functional status using Lysholm Knee Score, IKDC Subjective Knee Score, Knee Society Score and VAS score. Grading of laxity was evaluated by Lachman test at pre-operative stage and 6 months follow-up. After collection of the data, analysis was carried out on SPSS software version 16.0 (Chicago, inc. USA) and the statistical test that was used was 2-Way Analysis of Variance (ANOVA).
  
  
  RESULTS
  IKDC Subjective Knee Score, Lysholm Knee Score, Knee Society Score, Lachman Test and VAS Score was better in group 2 treated by All-inside technique as compared to group1 and the difference was significant (p<0.005).
  
  
  CONCLUSIONS
  All- Inside arthroscopic ACL reconstruction technique (group2) is a better technique than arthroscopic Anatomic accessory medial portal technique (group1).
authors.affiliation: Assistant Professor, Department of Orthopaedics, King George's Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Kumar
authors.initials: K
authors.lastname: Shantanu
authors.affiliation: Assistant Professor, Department of Orthopaedics, Era's Medical College , Lucknow, Uttar Pradesh, India .
authors.forename: Sudhir Shyam
authors.initials: SS
authors.lastname: Kushwaha
authors.affiliation: Assistant Professor, Department of Orthopaedics, King George's Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Deepak
authors.initials: D
authors.lastname: Kumar
authors.affiliation: Assistant Professor, Department of Orthopaedics, King George's Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Vineet
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Assistant Professor, Department of Orthopaedics, King George's Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Shailendra
authors.initials: S
authors.lastname: Singh
authors.affiliation: Professor, Department of Orthopaedics, King George's Medical University , Lucknow, Uttar Pradesh, India .
authors.forename: Vineet
authors.initials: V
authors.lastname: Sharma
keywords: IKDC subjective knee score; Knee society score; Lachman test; Lysholm knee score; Visual analog score