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العنوان
Results of Anterior Cruciate Ligament Reconstruction with and Without Internal Suture Augmentation Technique Randomized Control Trial/
المؤلف
Ramadan,Ahmed Abdelaziz .
هيئة الاعداد
باحث / أحمد عبدالعزيز رمضان
مشرف / طارق محمد سامي
مشرف / محمد حسن صبحي
مشرف / أحمد هاني خاطر
تاريخ النشر
2022
عدد الصفحات
100.p;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة عين شمس - كلية الطب - Orthopedic Surgery
الفهرس
Only 14 pages are availabe for public view

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from 99

Abstract

To report and compare patient outcomes (PROs) (IKDC score, Lysholm Score) and knee laxity using Lachmeter
-The digital Rolimeter ® - among patients who underwent hamstrings autograft anterior cruciate ligament re¬construction (ACLR) with and without internal tape augmentation. Randomized trial of 41 patients in which 21 patients underwent all-inside ACLR with internal suture augmentation (group I, Brace group) and 20 patients underwent all-inside ACLR without internal suture augmentation (group II, non-brace group). Primary outcomes Lachmeter examinations and PROs were analyzed at 3,6,9 months postoperative. Secondary outcomes were graft failure, synovitis, and infection. Mean follow-up duration was 18 months ± 3.4. Date was expressed as Mean±SD for quantitative parametric data or number and percentage for categorized data. Delta change (dC) principle was used to test the actual mathematical change in the outcomes between 0-9 months and 3-9 months inter¬vals postoperative. Lysholm score at 9-months was significant and better in brace group mean: 94 (92.4-96.5), p<0.005. Postoperative Lachmeter at 3,9 months was significant with less laxity in brace group mean: 1.98 (1.89-2.07), 2.14 (2.06-2.22) p<0.005. dC Lachmeter in both intervals was significant with less laxity in brace group mean: .09 (.06-.11) p<0.001. dC IKDC score was significant in 3-9 months interval mean: .31 (.28-.35) p<0.001. dC Lysholm score was significant in 0-9 months interval mean: .86 (.72-.99) p<0.001. Both scores were better in brace-group. One graft failure was reported in group II and one case of synovitis in group I. All-inside ACLR with brace showed better laxity measures and lower failure rate at 9-months postoperative. However, the subjective functional outcomes did not show clear evidence of superiority in the suture tape augmentation group.