Profil Pasien Cedera Anterior Cruciate Ligament (ACL) yang Menjalani Rekonstruksi ACL di RSUP Prof. Dr. R. D. Kandou Manado
DOI:
https://doi.org/10.35790/ecl.v12i3.53583Abstract
Abstract: Knee injuries are among the most common sports-related injuries experienced by athletes. One of the frequently encountered knee injury is anterior cruciate ligament (ACL) tear. This study aimed to obtain the profile of patients with ACL injuries whor underwent ACL reconstruction at Prof. Dr. R. D. Kandou Hospital, Manado. This was a descriptive study with a retrospective-prospective method, using secondary data. The results obtained 16 patients who met the inclusion criteria. The incidence of ACL injuries was the highest in males (81.25%) aged 17-25 years (68.75%). The most common cause of ACL injuries was sports activities (81.25%), and many patients were classified as having first-degree obesity (37.5%). ACL injuries often occurred with meniscal injuries (56.25%). The most commonly used graft was the Hamstring (semi T) graft (43.75%). Patients typically presented within 1-6 months of the injury onset (68.75%), and the majority of knee functional outcomes were categorized as moderate (43.75%). In conclusion, anterior cruciate ligament injuries most often occur in men, aged 17-25 years. Sports activities and obesity are more at risk of ACL injury. Most ACL injuries are associated with meniscus injuries, and onsets of 1-6 months. The operative management graft that is often used is the Hamstring graft, with functional results in the middle category.
Keywords: anterior cruciate ligament injury; reconstruction; graft operative management
Abstrak: Cedera lutut merupakan salah satu cedera olahraga yang paling banyak dialami oleh atlet; salah satunya yang sering dijumpai ialah robekan anterior cruciate ligament (ACL). Penelitian ini bertujuan untuk mengetahui profil pasien cedera ACL yang menjalani rekonstruksi ACL di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif dengan pendekatan retrospektif prospektif menggunakan data sekunder. Hasil penelitian mendapatkan 16 pasien yang memenuhi kriteria inklusi. Insiden cedera ACL paling banyak terjadi pada laki-laki (81,25%), kelompok usia 17-25 tahun (68,75%), penyebab cedera karena aktivitas olahraga (81,25%), dan pasien kategori obesitas derajat 1 (37,5%). ACL sering terjadi dengan adanya cedera meniskus (56,25%), graft yang paling sering digunakan yaitu graft Hamstring (semi T) (43,75%). Sebagian besar pasien datang dengan onset kejadian 1-6 bulan (68,75%) dengan hasil fungsional lutut kategori menengah (43,75%). Simpulan penelitian ini ialah cedera ACL sering terjadi pada laki-laki berusia 17-25 tahun. Aktivitas olahraga dan obesitas berisiko terjadinya cedera ACL. Mayoritas cedera ACL berhubungan dengan cedera meniskus, onset sebagian besar pasien cedera ACL ialah 1-6 bulan, penatalaksanaan operatif dengan graft Hamstring, dengan luaran hasil fungsional kategori sedang.
Kata kunci: cedera anterior cruciate ligament; rekonstruksi; graft penatalaksanaan operatif
References
Alsubaie SF, Walid KA, Abdulaziz AA, Waleed MA, Mohammed MA, Basil BA, et al. anterior cruciate ligament injury patterns and their relationship to fatigue and physical fitness levels a-cross-sectional study. Medicine (Baltimore). 2021;100(1):e24171. Doi: 10.1097/MD.0000000000024171
Meybodi EMK, Jannesari M, Rahim Nia A, Yaribeygi H, Sobhani FV, Dorostegan A. Knee flexion strength before and after ACL ReconstructionuUsing Hamstring tendon autografts. Trauma Mon. 2013;18(3):130-3. Doi: 10.5812/traumamon.12813
Kaeding CC, Pedroza AD, Reinke EK, Huston LJ, MOON Consortium, Spindler KP. Risk factors and predictors of subsequent ACL injury in either knee after ACL reconstruction: prospective analysis of 2488 primary ACL reconstructions from the MOON cohort. Am J Sports Med. 2015;43(7):1583–90. Doi: 10.1177/ 0363546515578836
Micheo W, Hernandez L, Seda C. Evaluation, management, rehabilitation, and prevention of anterior cruciate ligament injury: current concept. PM and R. 2010;2(10):935-44. Doi: 10.1016/j.pmrj.2010.06.014
Domnick C, Michael JR, Mirco H. Biomechanics of the anterior cruciate ligament:physiology, rupture and reconstruction techniques. World J Orthop. 2016;7(2);82-93. Doi: 10.5312/wjo.v7.i2.82
Rodriguez K, Soni M, Joshi PK, Patel SC, Shreya D, Zamora DI, et al. Anterior cruciate ligament injury: conservative versus surgical treatment. Cureus. 2021;13(12):e20206. doi: 10.7759/cureus.20206.
Gusma KC. Survei penyebab terjadinya cedera anterior cruciate ligament (ACL) pada komunitas ACL Indonesia Cabang Jateng DIY. Unnes Journal of Sport Sciences. 2022;6(2):104-17. Doi: https://doi.org/10.15294/ ujoss.v6i2.54852
Spindler KP, Wright RW. Clinical practice. Anterior cruciate ligament tear. N Engl J Med. 2008;359(20):2135-42. Doi: 10.1056/NEJMcp0804745
Raines BT, Naclerio E, Sherman SL. Management of anterior cruciate ligament injury: What's in and what's out? Indian J Orthop. 2017;51(5):563-75. Doi: 10.4103/ortho.IJOrtho_245_17
Shaker A, Alshehri MSM, Alshehri FS, Alshahrani MM, Alshahrani MS, Alamri OM. Knowledge and awareness toward anterior cruciate ligament (ACL) injury among population of Aseer region, Saudi Arabia. J Family Med Prim Care. 2019;8(3):812-7. Doi: 10.4103/jfmpc.jfmpc_27_19.
Hurd WJ, Axe MJ, Snyder-Mackler L. Influence of age, gender, and injury mechanism on the development of dynamic knee stability after acute ACL rupture. J Orthop Sports Phys Ther. 2008;38(2):36-41. Doi: 10.2519/jospt.2008.2609
Maniar N, Verhagen E, Bryant AL, Opar DA. Trends in Australian knee injury rates: an epidemiological analysis of 228,344 knee injuries over 20 years. Lancet Reg Health West Pac. 2022:21:100409. Doi: 10.1016/j.lanwpc.2022.100409
Granelli H. Why Female athletes injure their ACL's more frequently? What can we do to mitigate their risk?. Int J Sports Phys Ther. 2021;16(4):971-7. Doi: 10.26603/001c.25467
The female ACL: Why is it more prone to injury? J Orthop. 2016;13(2):A1-4. Doi: 10.1016/S0972-978X(16)00023-4
Ardiyanti R, Afriwardi, Syah NA. Hubungan indeks massa tubuh dengan cedera ligament krusiat anterior pada atlet cabang olahraga kontak. Jurnal Kesehatan Andalas. 2016;5(3). Doi: https://doi.org/10.25077/jka.v5i3.589
Colombet P, Dejour D, Pannisset JC, Siebold R. current concept of partial anterior cruciate ligament ruptures. Orthop Traumatol Surg Res. 2010;96(8Suppl):S109-18. Doi: 10.1016/j.otsr.2010.09.003
Venkataraman S, Ethiraj P, Shanthappa AH, Vellingiri K. Association of meniscus injuries in patients with anterior cruciate ligament injuries. Cureus. 2022;14(6):e25878. Doi: https://doi.org/10.1186/s13018-015-0184-x
Rudy, Mustamsir E, Phatama KY. Tensile strength comparison between peroneus longus and hamstring tendons: a biomechanical study. International Journal of Surgery Open (IJS Open). 2017;9:41-4. Doi: https://doi.org/10.1016/j.ijso.2017.10.002
Rhatomy S, Widjaya M, Ghazali S, Setyawan R, Budhiparama. The influence of Hamstring autograft diameter on patient-reported functional scores following anterior cruciate ligament (ACL) reconstruction. Journal of the Medical Science. 2019;51(4);309-15. Doi: https://doi.org/10.19106/JMedSci005104201904
Smith TO, Davies L, Hing CB. Early versus delayed surgery for anterior cruciate ligament reconstruction: a systematic review and meta‐analysis. Knee Surg Sports Traumatol Arthrosc. 2010;18(3);304‐11. Doi: 10.1007/s00167-009-0965-z
Evans S, Shaginaw J, Bartolozzi A. Acl reconstruction - it's all about timing. Int J Sports Phys Ther. 2014;9(2):268-73. Available from: https:// pubmed.ncbi.nlm.nih.gov/24790787/
Eitzen I, Holm I, Risberg MA. Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med. 2009;43(5):371‐6. Doi: 10.1136/bjsm.2008.057059
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