A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique

INTRODUCTION: Anterior cruciate ligament (ACL) reconstruction has evolved during past decade. All inside technique is introduced aiming for less invasive procedure, bone stock preservation, preservation of tendon at its donor site, better graft positioning and fixation technique. This study is condu...

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Main Author:	Nik Abdul Adel, Nik Alyani
Format:	Conference or Workshop Item
Language:	English English
Published:	2018
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/70550/ http://irep.iium.edu.my/70550/ http://irep.iium.edu.my/70550/17/OUTCOME%20OF%20ACL%20RECONSTRUCTION%20dr%20nik%20alyani.pdf http://irep.iium.edu.my/70550/12/azmi%20abdul%20latif.jpeg

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spelling	iium-705502019-03-19T03:23:34Z http://irep.iium.edu.my/70550/ A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique Nik Abdul Adel, Nik Alyani RD701 Orthopedics INTRODUCTION: Anterior cruciate ligament (ACL) reconstruction has evolved during past decade. All inside technique is introduced aiming for less invasive procedure, bone stock preservation, preservation of tendon at its donor site, better graft positioning and fixation technique. This study is conducted to compare the outcomes of this new technique to the previous bioscrew. MATERIAL AND METHODS: A cross sectional study was conducted in patients with ACL injury treated with ACL reconstruction surgery in Hospital Sultanah Nur Zahirah, Kuala Terengganu and Hospital Kemaman, Terengganu. Functional outcome with International Knee Documentation Committee (IKDC) score, SF-36 quality of life score and time taken to return to normal activities were evaluated at 18 to 24 months post-operative. RESULTS: Forty patient were recruited, 20 in each group. Of this, 37 were male with mean age of 25 ± 6.48 years old. 25 were office worker and the rest were field worker. 37.5% were smoker. Patients in bioscrew technique operated at mean of 21.3 ± 12.6 months after the injury while those in all inside technique at 17.7 ± 11.9 months (p-value 0.35). Mean BMI was 24.58 ± 4.59. The SF-36 score were similar in both groups with p-value 0.59. Both groups have same IKDC score of 82.99 ± 12.55. Mean of time taken to return to normal activity level was 46.3 ± 19.7 weeks which was similar in both groups (p-value 0.943). Re rupture rate were 10% in bioscrew technique and 5% in all inside technique. None of them has any form of infection. DISCUSSION: We produce similar result with study by Lubowitz, Volpi and Benea that reported no significant difference in IKDC score in those two groups studied. IKDC score of 86.5%, 81.3% and 89.7% was reported in all inside technique by Lubowitz, Benea and Schurz respectively. CONCLUSION: The functional outcome, quality of life and time return to normal activity were similar between patients who had biotransfix screw and all inside technique. 2018-10-27 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/70550/17/OUTCOME%20OF%20ACL%20RECONSTRUCTION%20dr%20nik%20alyani.pdf application/pdf en http://irep.iium.edu.my/70550/12/azmi%20abdul%20latif.jpeg Nik Abdul Adel, Nik Alyani (2018) A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique. In: 6th Malaysia Arthroscopy Society Annual Scientific Meeting 2018, 26th-28th Oct. 2018, Kuantan, Pahang. (Unpublished) http://my-arthroscopy.com/Conf/MAS_2018/programme.php
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Nik Abdul Adel, Nik Alyani A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique
description	INTRODUCTION: Anterior cruciate ligament (ACL) reconstruction has evolved during past decade. All inside technique is introduced aiming for less invasive procedure, bone stock preservation, preservation of tendon at its donor site, better graft positioning and fixation technique. This study is conducted to compare the outcomes of this new technique to the previous bioscrew. MATERIAL AND METHODS: A cross sectional study was conducted in patients with ACL injury treated with ACL reconstruction surgery in Hospital Sultanah Nur Zahirah, Kuala Terengganu and Hospital Kemaman, Terengganu. Functional outcome with International Knee Documentation Committee (IKDC) score, SF-36 quality of life score and time taken to return to normal activities were evaluated at 18 to 24 months post-operative. RESULTS: Forty patient were recruited, 20 in each group. Of this, 37 were male with mean age of 25 ± 6.48 years old. 25 were office worker and the rest were field worker. 37.5% were smoker. Patients in bioscrew technique operated at mean of 21.3 ± 12.6 months after the injury while those in all inside technique at 17.7 ± 11.9 months (p-value 0.35). Mean BMI was 24.58 ± 4.59. The SF-36 score were similar in both groups with p-value 0.59. Both groups have same IKDC score of 82.99 ± 12.55. Mean of time taken to return to normal activity level was 46.3 ± 19.7 weeks which was similar in both groups (p-value 0.943). Re rupture rate were 10% in bioscrew technique and 5% in all inside technique. None of them has any form of infection. DISCUSSION: We produce similar result with study by Lubowitz, Volpi and Benea that reported no significant difference in IKDC score in those two groups studied. IKDC score of 86.5%, 81.3% and 89.7% was reported in all inside technique by Lubowitz, Benea and Schurz respectively. CONCLUSION: The functional outcome, quality of life and time return to normal activity were similar between patients who had biotransfix screw and all inside technique.
format	Conference or Workshop Item
author	Nik Abdul Adel, Nik Alyani
author_facet	Nik Abdul Adel, Nik Alyani
author_sort	Nik Abdul Adel, Nik Alyani
title	A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique
title_short	A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique
title_full	A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique
title_fullStr	A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique
title_full_unstemmed	A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique
title_sort	comparison of outcome of acl reconstruction surgery in between all inside and bioscrew technique
publishDate	2018
url	http://irep.iium.edu.my/70550/ http://irep.iium.edu.my/70550/ http://irep.iium.edu.my/70550/17/OUTCOME%20OF%20ACL%20RECONSTRUCTION%20dr%20nik%20alyani.pdf http://irep.iium.edu.my/70550/12/azmi%20abdul%20latif.jpeg
first_indexed	2023-09-18T21:40:07Z
last_indexed	2023-09-18T21:40:07Z
_version_	1777413084095184896

A comparison of outcome of ACL reconstruction surgery in between all inside and bioscrew technique

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