Ligamentoplastie du ligament croisé antérieur du genou chez le sportif: étude rétrospective à propos de 80 cas dans le Département d’Orthopédie de Tataouine, Tunisie

Ligamentoplasty of the anterior cruciate ligament is performed to correct the anterior laxity of the knee and to regain stability and indolence. The purpose of our study was to assess short-term and medium-term functional outcomes in our case series. We conducted a retrospective study in the Department of Orthopedics and Traumatology at the Hospital of Tataouine in the South of Tunisia over a period of 5 years, from January 2013 to April 2018. The study involved 80 athletes with chronic laxity of the knee, secondary to a fracture of the anterior cruciate ligament caused by sport accident. All patients were operated by the same surgeon. Treatment was based on arthroscopic reconstruction using patellar tendon or goose foot. Functional assessment was based on Lyshlom-Tegner functional score. In our study, reconstruction of the anterior cruciate ligament using patellar tendon was performed in 20 patients, while in 60 patients using goose foot. The average time of resumption of sport activity in our series was 9 months. Tegner Activity Scale showed that 65 patients resumed the same level of sport, with an average time of restoration of 9 months. The other patients resumed a lower level of sport. Ligamentoplasty of the anterior cruciate ligament performed by an arthroscopic surgery specialist and post-operative rehabilitation provide satisfactory functional results, with resumption of sport activity.