Immediate Post Operative Complications in Arthroscopic ACL Reconstruction and Open Reconstruction with Bone-Tendon-Bone Graft

Background: Arthroscopic autograft ACL restoration increasingly superseded primary open repair of the ACL, which was the conventional surgical procedure. After ACLR, postoperative infection is also rare. Objective: To compare the immediate post-operative complication in patient undergoing arthroscopic ACL reconstruction versus open ACL reconstruction with bone-tendon-bone autograft. Material and Methods: A total of 304 participants participated in a randomized controlled experiment. After being randomly assigned to one of two groups, Group-A had arthroscopic ACL reconstruction, whereas Group-B had open ACL reconstruction. Every twelve hours, the VAS was used to assess postoperative discomfort. SPSS was used to evaluate all of the data that was gathered. The chi-square test or Fisher's exact test were used to compare the frequencies of complications across groups. To account for possible effect modifiers, stratification was used. A P-value of less than 0.05 is regarded as statistically significant. Results: Comparable demographics were displayed by both groups, with identical mean ages (46.82 ± 8.11 vs. 47.34 ± 8.58 years) and somewhat more men (64.5% arthroscopic vs. 61.2% open). Patients who had arthroscopy experienced consistently reduced pain levels at 12, 24, and 36 hours (p < 0.001) and a shorter hospital stay (1.56 ± 0.27 vs. 2.00 ± 0.79 days, p < 0.001). The open group experienced higher complications, including discomfort (4.6% vs. 12.5%) and infection (2.6% vs. 4.6%). In order to reduce postoperative morbidity, they are all in favor of the arthroscopic method. Conclusion: Comparing arthroscopic ACL surgery to open ACL reconstruction, our study revealed a noticeably lower risk of complications.