Epidemiological profile of anterior cruciate ligament injuries in a tertiary referral trauma center of Nepal

Abstract

Background Sports related injuries are the leading cause of Anterior Cruciate Ligament (ACL) tear in the Western world. Although professional and recreational sporting activities are increasing in Nepal, they are not as common and prevalent in comparison to western world. In contrast, Road Traffic Accident (RTA) is a very common cause of knee injuries in Nepal. Although there are some studies from Nepal mentioning Road Traffic Accidents (RTAs) as the most common cause of ACL injury, no specific studies have primarily investigated the epidemiological and demographic profile of ACL injured patients from this region. we aimed to understand the epidemiological and demographic profile of ACL injured patients and evaluate the mode of injury in a tertiary referral trauma center of Nepal. Methods This was a retrospective descriptive study of a hospital cohort conducted from February 2018 to January 2020. Electronic details were retrieved, telephone interviews conducted and data analysis was done using descriptive analysis on the patients from the fore mentioned dates to complete demographic and epidemiological information. Results A total of 237 patients were enrolled in this study. Among these, 120 patients (50.6%) fell into the age group of 15–30 years with a male to female ratio of 2.7:1. A RTA was the most common cause of ACL injury (38.8%), followed by sports-related injuries in 33.3% and falls in 16.5% of patients. The most common mode of RTA was a two-wheeler accident, and football was the most common sport causing ACL injuries. Sports injury was more common in patients below 30 years of age (OR = 3.5, 95% CI [2.2, 5.7]), whereas RTA was more common in patients above 30 years of age. Sports was the cause of ACL injury in 55.5% of students and RTAs was the commonest cause of ACL injury in office workers. Conclusion Overall males were more frequently injured than females. Road traffic accidents were the most common cause of ACL injury in our subset of patients. Two-wheeler riders were the most commonly injured patients. Sport was the commonest cause of ACL injury in patients below 30 years, and RTA was common in patients above 30 years of age. Sports were the commonest cause of ACL injury in students, while RTA was the most common cause in office workers.

Incidence and characteristics of ligamentous knee injuries accompanying a femur shaft fracture and their association with injury mechanism and fracture characteristics: A prospective-observational study in a low-middle-income country

“…These divergent findings likely stem from variations in the force or trauma experienced to a specific anatomical region during RTA. 33 – 35 Complex fractures, which encompass irregular (33.3%) and comminuted segmental (22.3%) fractures, are more commonly observed in high-impact incidents, whereas wedge fractures tend to occur in scenarios characterized by moderate impact. 36 Significantly, our observation underscores that high-impact RTA injuries are more frequently encountered in low to middle-income economies, primarily due to the widespread use of two-wheelers.…”

Penatalaksanaan Fisioterapi Pada Kasus Post Rekonstruksi Anterior Cruciate Ligament Dextra Dengan Terapi Latihan Di RS Hermina Kemayoran

“…Cedera lutut paling banyak terjadi pada individu berusia 20-40 tahun (Wijayasurya & Setiadi, 2021). Cedera ini dapat disebabkan karena faktor intrinsik, seperti usia dan jenis kelamin (Irianto et al, 2024), maupun faktor ekstrinsik, seperti mekanisme cedera dan jenis olahraga (Joshi et al, 2022).…”