Aim: To compare the outcome of primary ACL reconstruction in patients who had either an autograft or allograft ACL procedure for symptomatic instability.

Methods: 21 patients reviewed and assessed between 2 and 8 years post ACL reconstruction using patient centred scoring methods.

Results: 21 patients underwent isolated primary ACL reconstruction. 14 patients underwent reconstruction with autologous patellar tendon “bone-tendon-bone” ipsilateral graft (mean time post op 3.55 years) and 7 had “bone-tendon-bone” allografts (mean time post op 2.13 years). Both operations were performed through an open approach. Previously validated Knee Outcome Survey of the Activities of Daily Living Scale questionnaires were completed for all patients and also a single score for overall satisfaction with the outcome.

Overall levels of patient satisfaction and function were good. Testing the data with a one-sample t-test showed that donor graft patients showed higher levels of satisfaction, higher knee scores and less pain than autologous graft patients (p< 0.01).

These data suggest that although autologous grafts are more commonly performed, there is an improved outcome in the group of patients following donor grafting of the ACL.

Introduction: The incidence of Peri-prosthetic fractures is about 1% following Lower limb arthroplasty. The management of these fractures is difþcult,complex,challenging and controversial. Aim of Study: To study the results of Dal- Miles Plating system in Peri-prosthetic fractures. To þnd the difference, if any in the outcome of Transverse vs. Spiral fractures. Material and Methods: 13 patients, who were treated with Dal-Miles plating for periprosthetic fractures in last 4 years in our hospital, were reviewed. There were 7 females and 6 males. Average age of the patients was 73.8 years. Fractures were classiþed according to Vancouver classiþcation. Fractures were also classiþed according to their pattern into Transverse and Spiral Fractures. Results: There was high rate of complications during the postoperative period with half the patients having some complication. (Implant failure-3, malunion-1, Infection-2, Fracture distal to plate-3). All the patients who had Implant failure had transverse type of Fracture. No patient with spiral type fracture had non-union. Conclusions: Treatment of Peri-prosthetic fractures with Dal-Miles Plating is complicated and associated with high rate of complication. Transverse type fractures have high rate of failure (50% in our study) following þxation with Dal-Miles Plating system.