Gambaran Karakteristik Pasien yang Menjalani Operasi Robek Anterior Cruciate Ligament di RSUP H Adam Malik dan Rumah Sakit Jejaring Departemen Orthopaedi dan Traumatologi Fakultas Kedokteran Universitas Sumatera Utara pada Tahun 2017-2022

Abstract

ACL injury is the most common injury of all knee injuries, with surgery still being the definitive treatment of ACL rupture. And it Contributes to one of the highest number of knee surgery. It is important that every factor and characteristic that might influence the surgical process and outcome are identified. Methods This study was conducted with 118 patients, which underwent ACL reconstruction surgery. Patients underwent surgery at least 9 months before data collection. The patients’ data was collected from several teaching hospitals. Informed consent was created beforehand. Result The subject of this study consists of 99 men and 19 female. Surgery was mainly done in the chronic phase of injury, 74 patients with 44 patients underwent surgery in the acute phase. ACL tears caused by contact injuries are more common, 89 people (75.4%) compared to noncontact injuries, 29 people (24%). 77 patients (65.3%) who had total tears and 41 people (34.7%) with partial tears. Hamstring tendon graft were used in 92 patients (78%), with the quadriceps tendon in 22 patients (18.6%), and the peroneus longus tendon in 4 people (3.4%). Tears are more commonly found in patient with high school level of education 65 patients (55.1%). Discussion Most of the patients with ACL rupture at Adam Malik General Hospital were caused by contact injuries. ACL ruptures are associated with the severity of work and it is consistent with this study which shows that patients with heavy work are more prone to experiencing ACL tears. Many ACL rupture sufferers was only high school graduates which can be caused directly by the low education, or because the high school population usually are more active Conclusion This study presents new data for the ACL rupture characteristics in Medan, a metropolitan city in a middle income country. The data shows similar findings with data gathered from other populations.