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Purpose of study was to look at the practical and clinical results of transportal and transtibial approaches for penetrating of femoral passage in arthroscopic ACL reconstruction.The prospective study which was conducted at department of orthopedics. All patients worked with arthroscopic ACL age were screened using the thought and shirking measures, instructed consent was taken and the willing patients were fused . Total eighty patients who were operated were remembered for this examination.The mean age of the patients was 26.0 years in bundle I and 24.3 years in pack II.Average time of patients were 26 in the transportal gathering and 24.3 in the transtibial gathering.The majority of males i.e. 90% males in transportal group and 86.6% males in the transtibial group. Majority of ACL tears were on the right side 58% in both the groups.In both the groups’ medial meniscus injury was more commonly related with ACL tear as compared to lateral meniscus tear, 30% in the transtibial group and 23.3% in the transportal group.The average IKDC score, Lysholm knee score, pain on VAS score of transportal patients was basically higher than transtibial patients at a half year improvement .Complication of frailty was progressively ordinary in transtibial patients, 11(36.7%), when stood out from transportal patients, 9(30%), in any case this differentiation was not imperative [P=0.58].Arthroscopic ACL Reconstruction using transportal and transtibial methods of femoral tunneling are both amazing modalities of treatment in patients with ACL lacking knees.
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