| dc.description.abstract | Background. Injury to the knee is a potentially serious case because the passive stability
of the joint can be disrupted. Generally more than one ligament is damaged, but the anterior
cruciate ligament (ACL) is the most commonly affected and the most seriously injured.
One of the causes of failure in ACL reconstruction is the wrong placement of the femoral
tunnel. The purpose of this study was to compare the position of the femoral tunnel with
clinical outcomes in patients after anterior cruciate ligament reconstruction.
Method. This research is an analytic observational study with a cross sectional approach.
The research sample was anterior cruciate ligament rupture patients who underwent
anterior cruciate ligament reconstructive surgery at the Department of Orthopaedic and
Traumatology at Adam Malik General Hospital Medan who met the inclusion criteria.
Clinical outcome evaluation was assessed by quantitative Lysholm scoring, and qualitative
examination of the anterior drawer test, Lachman test, and pivot shift test. The results of
the research analysis are significant if the p value <0.05.
Results. The study sample consisted of 45 people divided into 4 groups, namely the group
with the position of the femoral tunnel High-anterior, High-posterior, Low-anterior, and
Low-posterior. The data analysis in this study were carried out by qualitative examination
in the form of anterior drawer test, Lachman test, pivot shift test and quantitative
examination in the form of Lysholm score. The group with the highest number of samples
is in the High-anterior position with a total of 20 samples, and the group with the lowest
number is in the Low-posterior position with a total of 2 samples. The Lysholm score in
the Low-anterior group had the highest score among all groups with an average value of 91
± 5.3, followed by the High-posterior group with an average score of 90.8 ± 5.6, then the
High-anterior group with mean scores of 87.65 ± 13.3, and 85.5 ± 2.5 for the Low-posterior
group. The four sample groups showed results that were not statistically significant.
Conclusion. Demographically, the most femoral tunnel positions performed at H. Adam
Malik General Hospital were in the High-anterior position and the lowest number were in
the Low-posterior position, with the highest Lysholm scoring value in the Low-anterior
group. However, statistically the position of the femoral tunnel has no significant
relationship to the clinical outcome of patients after anterior cruciate ligament
reconstruction. | en_US |
