Perbandingan Hasil Fungsional Antara Single Bundle Versus Double Bundle Dalam Rekonstruksi ACL
DOI:
https://doi.org/10.31282/joti.v6n3.119Kata Kunci:
Anterior Cruciate Ligament, ACL rekonstruksi, Single Bundle, Double Bundle, Lysholm Skor, IKDC SkorAbstrak
Pendahuluan: Robekan Anterior Cruciate Ligament (ACL) adalah cedera umum yang berhubungan dengan olahraga, sering kali memerlukan intervensi bedah untuk pemulihan yang efektif. Dua teknik bedah utama yang digunakan untuk rekonstruksi ACL adalah Single Bundle (SB) dan Double Bundle (DB). Meta-analisis ini bertujuan untuk menilai secara kuantitatif dan membandingkan hasil dari kedua metode bedah pada pasien robekan ACL, dengan fokus pada ukuran hasil fungsional, khususnya Skor Lysholm dan IKDC.
Metode: Pencarian menyeluruh terhadap database terkait dilakukan untuk mengidentifikasi penelitian yang secara langsung membandingkan rekonstruksi SB dan DB ACL dan hasil pelaporan berdasarkan Skor Lysholm atau Skor IKDC. Sebanyak delapan penelitian memenuhi kriteria inklusi untuk analisis Skor Lysholm, sementara tujuh penelitian sesuai untuk analisis Skor IKDC, yang secara kolektif melibatkan 614 pasien. Meta-analisis menggunakan model efek acak, dan plot hutan digunakan untuk memvisualisasikan ukuran efek dan interval kepercayaan yang terkait.
Hasil: Temuan meta-analisis menunjukkan perbedaan yang signifikan secara statistik dalam mendukung pendekatan Double Bundle mengenai hasil Skor Lysholm (p <0,05). Pasien yang menjalani rekonstruksi ACL Bundel Ganda menunjukkan Skor Lysholm yang lebih unggul dibandingkan dengan mereka yang menjalani teknik Bundel Tunggal. Sebaliknya, perbedaan hasil Skor IKDC antara kedua pendekatan tersebut tidak signifikan secara statistik (p > 0,05). Hal ini berarti bahwa ketika menggunakan Skor IKDC sebagai ukuran hasil fungsional, tidak ada perbedaan substansial dalam hasil pasien antara rekonstruksi ACL Bundel Tunggal dan Bundel Ganda.
Kesimpulan: Singkatnya, meta-analisis ini memberikan bukti bahwa rekonstruksi ACL Bundel Ganda memberikan hasil yang lebih baik dalam hal Skor Lysholm bila dibandingkan dengan rekonstruksi Bundel Tunggal. Namun, tidak ada perbedaan signifikan yang teramati antara kedua teknik tersebut ketika Skor IKDC digunakan untuk mengevaluasi hasil fungsional. Oleh karena itu, rekonstruksi ACL Bundel Tunggal dan Bundel Ganda dapat dianggap sebagai pilihan pengobatan yang tepat untuk robekan ACL. Pemilihan antara pendekatan ini harus didasarkan pada faktor spesifik pasien dan keahlian ahli bedah. Penelitian lebih lanjut, khususnya uji coba terkontrol secara acak, mungkin menawarkan wawasan yang lebih berbeda mengenai pendekatan bedah yang optimal untuk kelompok pasien robekan ACL yang berbeda.
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