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Pattern of anterior cruciate ligament injuries in armed forces

1 Department of Orthopaedics, INHS Asvini, Mumbai, Maharashtra, India
2 Department of Medicine, INHS Asvini, Mumbai, Maharashtra, India
3 Department of Orthopaedics, Base Hospital, Delhi Cantt, India
4 Brig Med 4 Corp, c/o 99 APO, India
5 Physiotherapy Department, CH (WC), Chandimandir, Panchkula, Haryana, India
6 Department of Anesthesia, AFMC, Pune, Maharashtra, India

Correspondence Address:
Munish Sood,
Department of Orthopaedics, INHS Asvini, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_38_21

Background: Anterior cruciate ligament (ACL) injuries are the commonly seen and potentially devastating injuries in sportsperson and high-demand professionals like military personals. The return to the preinjury status even after the successful ACL reconstruction surgery is not assured. The aim of this study was to assess the pattern and profile of ACL injuries seen in military personnel. Materials and Methods: Five hundred and twenty-four patients who were operated at our center with ACL reconstruction and were meeting the inclusion criteria were included in this study. Patients were evaluated with detailed history and clinical and radiological examination. Results: Five hundred and twenty-four patients were evaluated at a mean of 7.86 months. The mean age was 29.64 years (range: 20–46 years). Five hundred and twenty patients were male and four were female. The mode of injury was sporting activity in 244 (46.6%), military training-related activity in 180 (34.3%), and other activities in 100 (19.1%). Football and basketball were the most common sporting activities in which ACL injuries were sustained, while landing injuries during 9-feet ditch activity (n = 109) were the single most common activity in which ACL injuries were sustained. An isolated ACL tear in 235 patients was the most common type of injury seen, while the meniscus injuries (medial and lateral meniscus) in 149 (28.4%) and 115 (21.9%) patients, respectively, were the most commonly seen associated injuries. Conclusions: ACL injuries are a common occurrence in armed forces. Injury during sports and landing injuries in 9-feet ditch are the common modes by which patients sustained ACL injuries.

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