Introduction: This is a cross-sectional study to evaluate the functional outcome of ACL Reconstruction between BPTB and hamstring graft who underwent ACL Reconstruction between January to June 2012 at our institution. Methods: Functional IKDC scoring was done pre-operatively, at 6 months and one year. Arthrometric measurements were taken using KT2000. Lysholm score and SF-36 were assessed at one year. Resuts: All patients are male, mean age is 29 (21 to 37 years old). 21.4% patients from patella BPTB group and 13% of hamstring group had anterior knee pain. 50% of patients from both groups complained of numbness over operative site. Average time return to pre-injury sports activity for BPTB group was 7.9 months, whereas for hamstring group was 8.3 months. KT-2000 measurements revealed an average side to side laxity difference average of 6.6mm in BPTB group and 7.9mm in hamstring group. Pivot shift were negative at 6 months in all patients. IKDC knee scoring significantly improved from grade C or D to grade B in 82% of BPTB group and 63% in hamstring group one year post operatively. There were no difference between both groups in terms of SF-36, Lysholm score and knee range of motion. Conclusions: There are no difference in functional outcome and lysholm knee score between the two groups although there is a discrepancy of IKDC score and arthrometric measurement at one year. Although both groups have moderate anterior laxity after one year, but they are asymptomatic and able to go back to preinjury sports activities.
Introduction: The incidence of hip fractures in Malaysia was 218 per 100,000 for females and 88 per 100,000 for men and they are associated with mortality rate up to 33 % at 1 year as shown by international studies. There are no local studies available in regards to mortality rate and associated factors. We aimed to determine mortality rate in elderly patient following hip fractures within 1 year. In addition, we evaluated the association of timing of fixation, length of hospital stay and number of comorbidities with mortality in these patients. Materials And Methods: This was a cross sectional study conducted in Hospital Melaka. All patients aged 65 and older who were admitted and underwent surgery for hip fractures from January 2014 to January 2017 were included. Patients or relatives were contacted via phone calls to determine their status of living. From the records, timing of fixation, length of hospital stay and number of comorbidities were recorded. Results: Mortality rate at 1 year was 10.55%. From Simple Logistic Regression analysis, all three factors of timing of fixation, length of hospital stay and number of comorbidities were found to have significant value less than 0.25. From Multiple Logistic Regression, only length of stay was found to be significant (p<0.0001). The significant variable can be interpreted as follows: a person with one day longer in hospital stay has 1.89 times the chance to be deceased at 1 year. Conclusion: This study shows 10.55% mortality rate at 1 year following hip fractures in the elderly. There were an association between mortality and timing of fixation, length of hospital stay and patients’ comorbidities.
Introduction: This is a cross-sectional study to evaluate the outcome of posterior cruciate ligament reconstruction in chronic injuries using ipsilateral Bone-patella tendon-Bone graft in nine patients, between January 2000 and January 2003 at our institution. Methods: Eight male and one female patient; their ages ranged from 18 to 36 years old. The surgery was done at an average of 17.2 months (range from 3 and 40 months) post injury. All patients were followed up for a minimum of two years period. The assessment was done at twelve and twenty-four months using Lysholm knee score, IKDC knee examination evaluation score and arthrometric measurement with KT-2000. Results: The result showed only moderate success in restoration of ligament stability with 73.4% satisfactory objective results. However, the functional improvement and patient satisfaction is only 55%. The incidences of degenerative changes were 89% at the time of operation. Conclusion: Surgical reconstruction of chronic Posterior Cruciate Ligament restored satisfactory stability of the knee but the functional outcome was only moderate.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.