DOI: https://doi.org/10.36347/sasjm.2024.v10i09.001

Pages: 824-828

Purpose: This study aims to determine clinical outcomes of the ACL reconstruction using the 4SHS grafts technique and show its radiological aspects. Materials and Methods: This is a retrospective descriptive study conducted on 25 patients, undergoing ACL reconstruction using the 4SHS technique, in the orthopedic surgery department of the Avicenna Military Hospital in Marrakech. It was carried over a 5 years period from January 2017 to January 2022. Outcomes were determined by numerous postoperative clinical examinations. Results: The mean age is 34 years, ranging from 22 to 46 years. There was a marked male predominance. The right knee was injured in 68 % of cases. 68 % of the tears occurred from athletic injuries. In 48 % of the cases, the injury occurred from a valgus flexion external rotation mechanism. The mean time from injury to surgery is 8 months. Direct signs of ACL tear were found in all MRI scans performed routinely on all our patients. No perioperative nor postoperative complications occurred. 80 % resumed sporting activities within 8 months. The average Lysholm and Tegner scale score increased from 35 points preoperatively to 85 points postoperatively. Overall the results were satisfactory: 80 % of the patients reported high Lysholm scale scores (good and excellent grades). Conclusion: Using the 4SHS graft technique we achieved good results in terms of laxity and low morbidity. However, this was a small study which only included 25 patients. A study with greater number of subjects and a longer follow up is necessary to corroborate these results.