HUBUNGAN TIPE GRAFT TERHADAP FUNGSI LUTUT DAN FUNGSI PERGELANGAN KAKI PASCA ACLR

Authors

  • Ni Nyoman Ratnaningsih Universitas Udayana
  • I Putu Gde Surya Adhitya Departemen Fisioterapi, Fakultas Kedokteran, Universitas Udayana, Indonesia
  • Govinda Vittala Departemen Fisioterapi, Fakultas Kedokteran, Universitas Udayana, Indonesia
  • Nila Wahyuni Departemen Ilmu Faal, Fakultas Kedokteran, Universitas Udayana, Indonesia
  • Ida Kurniawati , Departemen Anatomi dan Histologi, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa, Indonesia

DOI:

https://doi.org/10.31004/prepotif.v9i1.44075

Keywords:

anterior cruciate ligament reconstruction, fungsi lutut, fungsi pergelangan kaki, tipe graft

Abstract

Cedera anterior cruciate ligament (ACL) merupakan salah satu cedera yang paling sering dialami oleh individu muda, terutama mereka yang aktif di bidang olahraga. Sebagian besar robekan ACL terjadi pada atlet melalui mekanisme kontak dan non-kontak. Wanita memiliki risiko lebih tinggi mengalami cedera ACL, dengan jumlah kasus mencapai 200.000 per tahun dan sebanyak 100.000 menjalani rekonstruksi. Penelitian ini menggunakan desain studi observasional analitik dengan pendekatan cross-sectional pada 55 pasien ACL yang telah menjalani ACLR dan merupakan anggota Komunitas ACL Indonesia. Data dikumpulkan menggunakan kuesioner lysholm dan foot and ankle outcome score (FAOS) yang dikirimkan melalui platform online. Analisis data dilakukan menggunakan analisis deskriptif dan bivariat dengan uji spearman untuk melihat hubungan antar variabel. Hasil penelitian menunjukkan bahwa tipe graft memiliki hubungan signifikan dengan fungsi pergelangan kaki, khususnya pada kualitas hidup (QOL). Analisis korelasi menunjukkan bahwa tipe graft memiliki korelasi positif yang signifikan dengan QOL (r=0.319, p=0.017). Hal ini menunjukkan bahwa jenis tipe graft yang digunakan saat ACLR memberikan pengaruh terhadap fungsi pergelangan kaki khususnya pada QOL.Penelitian ini menemukan bahwa terdapat hubungan signifikan antara tipe graft dengan fungsi pergelangan kaki pasca operasi ACLR. Hasil penelitian ini menunjukkan bahwa penggunaan tipe graft yang tepat dapat mempengaruhi hasil fungsional pergelangan kaki.

References

Adhitya, I. P. G. S., Kurniawati, I., Sawa, R., Wijaya, T. F., & Dewi, N. P. A. C. (2023). The Risk Factors and Preventive Strategies of Poor Knee Functions and Osteoarthritis after Anterior Cruciate Ligament Reconstruction: A Narrative Review. Physical Therapy Research, 26(3), 78–88. https://doi.org/10.1298/ptr.r0028

Adhitya, I. P. G. S., Manuaba, I. B. A. P., Suprawesta, L., Mauludina, Y. S., & Marufa, S. A. (2020). Patient characteristics of non-operative anterior cruciate ligament injury associated with poor knee functions on activities of daily living: A cross-sectional study. Bali Medical Journal, 9(3). https://doi.org/10.15562/bmj.v9i3.2023

Cristiani, R., Mikkelsen, C., Wange, P., Olsson, D., Stålman, A., & Engström, B. (2021). Autograft type affects muscle strength and hop performance after ACL reconstruction. A randomised controlled trial comparing patellar tendon and hamstring tendon autografts with standard or accelerated rehabilitation. Knee Surgery, Sports Traumatology, Arthroscopy, 29(9). https://doi.org/10.1007/s00167-020-06334-5

Eckenrode, B. J., Carey, J. L., Sennett, B. J., & Zgonis, M. H. (2017). Prevention and Management of Post-operative Complications Following ACL Reconstruction. In Current Reviews in Musculoskeletal Medicine (Vol. 10, Issue 3). https://doi.org/10.1007/s12178-017-9427-2

Emami Meybodi, M. K., Jannesari, M., Rahim Nia, A., Yaribeygi, H., Firoozabad, V. S., & Dorostegan, A. (2013). Knee Flexion Strength Before and after ACL Reconstruction Using Hamstring Tendon Autografts. Trauma Monthly, 18(3). https://doi.org/10.5812/traumamon.12813

Filbay, S. R., & Grindem, H. (2019). Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture. In Best Practice and Research: Clinical Rheumatology (Vol. 33, Issue 1). https://doi.org/10.1016/j.berh.2019.01.018

Gök B, Kanar M, Tutak Y. Peroneus Longus vs Hamstring Tendon Autografts in ACL Reconstruction: A Comparative Study of 106 Patients' Outcomes. Med Sci Monit. 2024 Oct 26;30:e945626. doi: 10.12659/MSM.945626. PMID: 39460374; PMCID: PMC11523759.

Hart, L. M., Izri, E., King, E., & Daniels, K. A. J. (2022). Angle-specific analysis of knee strength deficits after ACL reconstruction with patellar and hamstring tendon autografts. Scandinavian Journal of Medicine and Science in Sports, 32(12). https://doi.org/10.1111/sms.14229m

He, J., Tang, Q., Ernst, S., Linde, M. A., Smolinski, P., Wu, S., & Fu, F. (2021). Peroneus longus tendon autograft has functional outcomes comparable to hamstring tendon autograft for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 29(9), 2869–2879. https://doi.org/10.1007/s00167-020-06279-9m

Kim, D. K., Hwang, J. H., & Park, W. H. (2015). Effects of 4 weeks preoperative exercise on knee extensor strength after anterior cruciate ligament reconstruction. Journal of Physical Therapy Science, 27(9). https://doi.org/10.1589/jpts.27.2693

Larsen, P., Rathleff, M. S., Roos, E. M., & Elsoe, R. (2023). Foot and Ankle Outcome Score (FAOS): Reference Values From a National Representative Sample. Foot and Ankle Orthopaedics, 8(4). https://doi.org/10.1177/24730114231213369.

Logerstedt, D., Di Stasi, S., Grindem, H., Lynch, A., Eitzen, I., Engebretsen, L., Risberg, M. A., Axe, M. J., & Snyder-Mackler, L. (2014). Self-reported knee function can identify athletes who fail return-to-activity criteria up to 1 year after anterior cruciate ligament reconstruction: A Delaware-Oslo ACL cohort study. Journal of Orthopaedic and Sports Physical Therapy, 44(12). https://doi.org/10.2519/jospt.2014.4852

Mistry, H., Metcalfe, A., Colquitt, J., Loveman, E., Smith, N. A., Royle, P., & Waugh, N. (2019). Autograft or allograft for reconstruction of anterior cruciate ligament: a health economics perspective. Knee Surgery, Sports Traumatology, Arthroscopy. https://doi.org/10.1007/s00167-019-05436-z

Montalvo, A. M., Schneider, D. K., Yut, L., Webster, K. E., Beynnon, B., Kocher, M. S., & Myer, G. D. (2019). “what’s my risk of sustaining an ACL injury while playing sports?” A systematic review with meta-analysis. In British Journal of Sports Medicine (Vol. 53, Issue 16). https://doi.org/10.1136/bjsports-2016-096274

Padua, D. A., DiStefano, L. J., Hewett, T. E., Garrett, W. E., Marshall, S. W., Golden, G. M., Shultz, S. J., & Sigward, S. M. (2018). National athletic trainers’ association position statement: Prevention of anterior cruciate ligament injury. Journal of Athletic Training, 53(1). https://doi.org/10.4085/1062-6050-99-16

Rhatomy, S., Hartoko, L., Setyawan, R., Soekarno, N. R., Zainal Asikin, A. I., Pridianto, D., & Mustamsir, E. (2020). Single bundle ACL reconstruction with peroneus longus tendon graft: 2-years follow-up. Journal of Clinical Orthopaedics and Trauma, 11. https://doi.org/10.1016/j.jcot.2019.09.004

Sahu, M. M., Pragassame, A. S., Mohanty, P., & Sahoo, P. K. (2021). Evaluation of Donor Ankle Function after Harvesting Peroneus Longus Tendon Graft for Anterior Cruciate Ligament Reconstruction- A Prospective Cohort Study. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. https://doi.org/10.7860/jcdr/2021/49882.15383

Saoji, A., Arora, M., Jain, G., & Shukla, T. (2023). There is a Minimal Difference in Ankle Functional Outcomes After Peroneus Longus Harvest: Systematic Review and Meta-analysis. In Indian Journal of Orthopaedics (Vol. 57, Issue 12). https://doi.org/10.1007/s43465-023-00982-8

Shom, P., Varma, A. R., & Prasad, R. (2023). The Anterior Cruciate Ligament: Principles of Treatment. Cureus. https://doi.org/10.7759/cureus.40269

Thomas, A. C., Villwock, M., Wojtys, E. M., & Palmieri-Smith, R. M. (2013). Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction. Journal of Athletic Training, 48(5). https://doi.org/10.4085/1062-6050-48.3.23

Tjoumakaris, F. P., Herz-Brown, A. L., Legath-Bowers, A., Sennett, B. J., & Bernstein, J. (2012). Complications in brief: Anterior cruciate ligament reconstruction. Clinical Orthopaedics and Related Research, 470(2). https://doi.org/10.1007/s11999-011-2153-y

Vijay, C., Santosh, M. S., Avinash, C., & Adarsh, T. (2022). Is Peroneus longus autograft a better alternative to the Hamstring autograft for anterior cruciate ligament reconstruction? – A randomised control study. Journal of Orthopaedics, Trauma and Rehabilitation, 29(1). https://doi.org/10.1177/22104917221088335

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Published

2025-04-29

How to Cite

Ni Nyoman Ratnaningsih, Adhitya, I. P. G. S., Vittala, G., Wahyuni, N., & Kurniawati, I. (2025). HUBUNGAN TIPE GRAFT TERHADAP FUNGSI LUTUT DAN FUNGSI PERGELANGAN KAKI PASCA ACLR. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 9(1), 2238–2245. https://doi.org/10.31004/prepotif.v9i1.44075

Issue

Vol. 9 No. 1 (2025): APRIL 2025

Section

Articles

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