Birat Journal of Health Sciences最新文献

{"title":"Comparison of outcomes in buried versus exposed Kirschner wire for treatment of paediatric supracondylar humerus fracture","authors":"Gokul Kafle, A. Pokhrel, Mithilesh Kumar Gupta, Rajan Panthee, Santosh Nepal, Raj Kumar Sah, Ujwal Gautam","doi":"10.62065/bjhs471","DOIUrl":"https://doi.org/10.62065/bjhs471","url":null,"abstract":"Introduction: The treatment options for paediatric supracondylar distal humerus fractures include close reduction and above elbow slab application, close reduction and percutaneous K-wire fixation, and open reduction and internal fixation using K-wire. For displaced supracondylar fracture closed reduction and percutaneous K-wire fixation, under C-arm guidance, is the current gold standard treatment option. Leaving the K-wire exposed or buried under the skin is decided as per the discretion and convenience of the operating surgeon.\u0000Objectives: The objective of this study is to evaluate and compare the outcomes of buried and exposed K-wire for treatment of paediatric supracondylar humerus fractures.\u0000Methodology: This study is a prospective, comparative, observational study conducted among the paediatric patients visiting Birat medical college teaching hospital OPD/ emergency department with supracondylar humerus fracture. The sample size was calculated to be 90 (45 in each group) on the basis of convenience sampling and samples were collected using systematic random sampling technique. After data collection, all reports are entered in a predetermined Performa and analysed using SPSS version 21.\u0000Results: The overall complications rate was 20%. In the exposed K-wire group, 6 patients (13.33%) had surgical site infection at 4 weeks. Among them, 5 patients (11.11%) had superficial infection and 1 patient (2.22%) had deep infection. In the buried K wire group, only 2 patients (4.44%) had skin perforation and superficial infection. None of the patients had deep infection. There were 2 patients (4.4%) with hyper granulation tissue formation in exposed K wire group which were associated with superficial infection. There were 8 patients (17.8%) with skin irritation/ K wire prominence but without K wire perforation in the buried K wire group which was statistically significant (p value 0.006).\u0000Conclusion: There is no significant difference between the exposed K wire group and buried K wire group.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"133 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139605079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating The Accuracy Of Fine Needle Aspiration Cytology Of Breast Lesion Using International Academy Of Cytology Yokohama System: A Study In Eastern Nepal","authors":"S. Sedhain, Soorya Bhattarai, Amrita Sinha, N. Kafle, Mrinalini Singh","doi":"10.62065/bjhs481","DOIUrl":"https://doi.org/10.62065/bjhs481","url":null,"abstract":"Introduction: Breast Carcinoma is the most common cancer in females worldwide. In developing countries, it is the most common cause of cancer-related deaths in women. The IAC Yokohama breast FNAB reporting system was developed as a multidisciplinary approach to have a standardized and structured report, for improvement in interpretation of breast cytology.\u0000Objectives: This study aims to classify Fine needle aspiration cytology of breast lesion according to the IAC Yokohama system and assess diagnostic accuracy of different categories.\u0000Methodology: This was a hospital based prospective cross-sectional study conducted in the Department of Pathology, Birat Medical College Teaching Hospital from August 2022 to May 2023.All patient with Breast lesions who underwent FNAB were included in the study. FNAB were categorized using IAC Yokohama reporting system. Considering histopathology as a final diagnosis sensitivity, specificity, PPV, NPV, Diagnostic accuracy and Risk of Malignancy were calculated.\u0000Results: One hundred and fifty-six patients underwent FNAB during the study period and 124 patients had histopathological reports available. Frequency of FNAB using Yokohama System were: Inadequate -1.9%, Benign- 59%, Atypical 14.7%, Suspicious- 11.5%, Malignant- 12.8% respectively.The Risk of Malignancy for each category were 33%, 1.51%, 22.22%, 94.11% and 100% respectively. Maximum sensitivity (97.56%) and NPV (98.48%) was achieved when considering Atypical, Suspicious for Malignancy and Malignant category as Positive. Whereas highest specificity (100%) and PPV (100%) was achieved when considering only the Malignant category as Positive.\u0000Conclusion: The IAC Yokohama System is a standard tool for diagnosing Breast FNAB with greater reproducibility and maximum diagnostic accuracy.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"121 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139605562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Risk factors of Intraoperative Hyperglycemia in Non-diabetic Patients: A Prospective Observational Study","authors":"Gunjan Regmi, Kanak Khanal, Batsalya Arjyal, K. Pyakurel, R. Shahi, Chetan Bohara","doi":"10.62065/bjhs477","DOIUrl":"https://doi.org/10.62065/bjhs477","url":null,"abstract":"Introduction: Intraoperative hyperglycemia is recognized as a significant concern, being associated with various complications such as surgical site infection, cardiovascular events, kidney injury, stroke, and even death. These complications can occur in both diabetic and non-diabetic patients. However, previous studies have not fully established the incidence and risk factors of intraoperative hyperglycemia in non-diabetic patients. \u0000Objectives: The primary objective was to find the incidence of intraoperative hyperglycemia in non-diabetic patients. The independent risk factors for intraoperative hyperglycemia and the incidence of surgical site infection in patients with intraoperative hyperglycemia were the secondary outcome. \u0000Methodology: A quantitative prospective observational study was performed after IRC approval. Six hundred five non-diabetic patients above 18 years who underwent intermediate- to high-risk surgery were included in the study. For 18 months capillary blood glucose levels were measured in all patients during surgery. Risk factors and postoperative surgical site infection was noted to identify relation and risk factors of intraoperative hyperglycemia. \u0000Results: Seventy-eight (12.9%) patients developed hyperglycemia during surgery. The independent risk factors for intraoperative hyperglycemia were an ASA status ≥3, preoperative impaired fasting blood sugar (OR 20.27, 95%CI:10.19–37.63, p<0.001, intraoperative hypotension (OR 4.6, 95%CI: 2.36–8.97, p < 0.001), intraoperative blood transfusion (OR 4.45, 95%CI: 1.88–10.56, p < 0.001) and steroid use (OR 2.81, 95%CI: 1.38–5.73, p = 0.003). Surgical site infection was higher in patients with intraoperative hyperglycemia compared with patients without intraoperative hyperglycemia (5 [6.8%] vs. 9 [1.7%], respectively, p = 0.010). \u0000Conclusion: Intraoperative hyperglycemia was observed among non-diabetic patients undergoing intermediate- to high-risk surgeries. Patients with risk factors for intraoperative hyperglycemia should undergo close monitoring of their blood glucose levels.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"79 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender variation in operative findings and outcome in patients undergoing laparoscopic cholecystectomy at Birat Medical College Teaching Hospital","authors":"Bhupendra Charan Shrestha, Shivraj Sharma, Dhurba Narayan Shah, Narendra Pandit, Milan Adhikari, Ismita Sharma","doi":"10.62065/bjhs467","DOIUrl":"https://doi.org/10.62065/bjhs467","url":null,"abstract":"Introduction: Laparoscopic cholecystectomy is the gold standard treatment for symptomatic cholelithiasis. Despite advancement in surgical instrument and operating technique, conversion to open cholecystectomy is still worrisome concern to surgeons. There are various preoperative factors impacting on conversion. Male gender as an independent risk factor for conversion is still debatable.\u0000Ojectives: This study aims to study the role of male gender, its impact on operative findings and conversion.Methodology: A total number of 131 patients diagnosed as symptomatic cholelithiasis and who fulfilled the inclusion criteria underwent laparoscopic cholecystectomy. Data related to patients demographics like age sex, intraoperative complications like bleeding, bile leak, duration of surgery, conversion if any was noted. Reason for conversion was also noted. Postoperative complications like pain, surgical site infection and duration of hospital stay was noted. \u0000Results: In this study, A total of 130 patients participated in this study of which 64 (51.70%) were male (M) and 66 (44.89%) were female (F). Mean age of presentation was 48.25 years, youngest being 23 years and elder being 78 years of age. Mean operating time was 40.66 minutes. Bile leak was seen in 2 patients in male (M) group while no such event was observed in the female group (p value 0.240). There was no organ injury observed in either group. 1 patient in the female (F) group had postoperative pancreatitis (p value 1.00). Postoperative obstructive jaundice was noted in 2 patients in female group (F), p value 0.496. It was observed that 7 male patients had conversion to open during the procedure while only 3 cases were converted in the female gender group, p value of 0.203. Bile duct injury was seen in 1 patient in male (M) gender group, p value 0.492. However, this injury was not seen in the conversion group. All cases undergoing conversion had mean operating time of 75.3 minutes and this was more in male (M) group. \u0000Conclusion: Laparoscopic cholecystectomy is difficult in male (M) gender group compared to females and operating time is also longer, however male gender is not an independent risk factor for conversion.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"18 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Wide Awake Local Anaesthesia no Tourniquet (WALANT) In Soft Tissue Surgeries Of The Hand","authors":"Rajan Panthee, Mithilesh Kumar Gupta, Santosh Nepal, Gokul Kafle, Raj Kumar Sah, Ajay Mahato","doi":"10.62065/bjhs474","DOIUrl":"https://doi.org/10.62065/bjhs474","url":null,"abstract":"Introduction: Hemostasis in hand surgery can be achieved by use of an arm tourniquet but it has its own disadvantages like tourniquet-related pain, muscle and nerve injury, post-tourniquet thrombosis, and bleeding. Another method can be the use of epinephrine locally, but surgeons are concerned with digital ischemia and necrosis as seen with use of procaine in the 1970s. Recently Wide Awake Local Anesthesia No Tourniquet (WALANT) is being popular among hand surgeons in which a mixture of local anesthetic with adrenaline and sodium bicarbonate is used. Despite the absence of tourniquet related complications in WALANT technique, surgeons are reluctant to use lignocaine with epinephrine in hand surgery. \u0000Objectives: The objective of this study is to observe the outcomes of WALANT technique in various surgical procedures of hand. \u0000Methodology: This prospective study involved 103 patients undergoing soft tissue surgery of the hand at Birat Medical College Teaching Hospital. Patients meeting inclusion criteria and willing to participate in study were included. A proforma was filled by the operating surgeon and another proforma was to be filled by patient at home after discharge which was retrieved at follow-up visit. A mixture of 10 ml of 2% lignocaine with adrenaline diluted in equal volume of normal saline and 2ml of 8.4% sodium bicarbonate was used for local anesthesia.None of our patients developed digital ischemia or necrosis, one patient developed surgical site infection which recovered with oral antibiotics. The mean VAS score at the time of administration of local anesthesia was 3.8+1.2, intraoperatively it was 1.8+ 1.1 and at 2 hours postoperatively it was 2.3+1.3. VAS score at 6 hours, 12 hours and 24 hours postoperatively was 3.2+1.2, 3.4+1.4 and 3.7+1.1 respectively. Hemostasis control was excellent in 33 cases, very good in 58 cases, good in 8 cases, and poor in 4 cases. \u0000Conclusion: We conclude that WALANT technique is safe to use in various soft tissue surgeries of hand surgery in terms digital ischemia, necrosis or wound infection and effective in providing excellent control of hemostasis at surgical site.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"53 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139602729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revolutionizing Critical Care Training with Simulation-Based Education","authors":"Vijayanand Sivakumar","doi":"10.62065/bjhs461","DOIUrl":"https://doi.org/10.62065/bjhs461","url":null,"abstract":"One key principle in healthcare education involves creating teaching and assessment methods that enable instructors to evaluate a trainee’s performance in scenarios mirroring real clinical practice. Standardized patients (SPs) have frequently been employed to evaluate the history-taking and physical examination skills of medical students and practicing physicians.1 Unfortunately, in critical care settings, training and skill development involving real-time patients and situations come with inherent risks and may give rise to numerous ethical concerns. Particularly in the realm of critical care, where rapid decision-making and precise skills are often the difference between life and death, the demand for effective training methods has grown exponentially. While traditional approaches have their merits, there’s a paradigm shift taking place in healthcare education, with simulation-based training emerging as a powerful tool for nurturing the next generation of critical care specialists.2 Simulation-based training in critical care represents a profound leap forward in the way we prepare healthcare professionals for real-world challenges. It’s not just a trend; it’s a revolution, one that’s enhancing the knowledge and skill set of medical personnel and, most importantly, improving patient outcomes. This editorial aims to shed light on the transformative potential of simulation-based training in critical care and its many advantages.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"67 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uric acid level in Chronic Kidney Disease patients and its association with other established CKD risk factors","authors":"Dilip Kumar Sah, Shweta Shah, Alina Gurung","doi":"10.62065/bjhs470","DOIUrl":"https://doi.org/10.62065/bjhs470","url":null,"abstract":"Introduction: Chronic Kidney Disease (CKD) is a rising global health concern with increased cardiovascular risks. Hyperuricemia, linked to CKD and related conditions, warrants investigation. \u0000Objectives: This study examines the uric acid in different stages of CKD and the association between uric acid levels and established CKD risk factors.\u0000Methodology: A hospital-based prospective cross-sectional study was conducted at Birat Medical College Teaching Hospital from 10 June 2023 to 30 August 2023. We enrolled 90 patients with non-dialytic chronic kidney disease (CKD) by complete enumeration sampling method. Ethical approval was obtained from the institutional review committee of the college. Written informed consent was obtained from each participant. Data was collected by means of a self developed questionnaire. Blood samples were obtained for estimation of serum creatinine and uric acid level and recorded in Microsoft excel sheet and analyzed by using SPSS software version 23. \u0000Results: Hyperuricemia was seen in 33(36.7%) ranging from 3.5-12 mg/dl with an average uric acid level of 6.38 mg/dl and a standard deviation of 1.43 mg/dl of total 90 patients. The mean serum uric acid level was highest in stage 2 CKD which includes 6.88±2.10 ranging from 4.3-12 mg/dl. CKD patients with a history of alcohol intake had increased risk of hyperuricemia and it was statistically significant (p value 0.005). Different stages of CKD (p value: 0.70), age groups, (p value 0.17), gender(P value 0.082), diabetes(p value 0.954), hypertension(p value 0.364), other CVDs(p value 0.649)and anemia(p value 0.0602)had no statistical significant association with hyperuricemia. \u0000Conclusion: In conclusion, hyperuricemia prevalence was observed in CKD patients, with the highest levels in stage 2 CKD. Notably, alcohol intake significantly correlated with hyperuricemia, while other studied factors did not show significant associations.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"136 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone Marrow Aspiration Cytology in Diagnosing Hematological Disorder in a Tertiary Care Center","authors":"N. Kafle, Santosh Upadhaya Kafle, Mrinalini Singh, Amrita Sinha, S. Sedhain, Soorya Bhattarai","doi":"10.62065/bjhs480","DOIUrl":"https://doi.org/10.62065/bjhs480","url":null,"abstract":"Introduction: Bone marrow aspiration is a safe, simple and minimally invasive procedure used for evaluation of hematological disorder. It is useful when diagnosis from the first line investigations are inconclusive. \u0000Objectives: To compare the clinical findings and bone marrow aspiration cytology findings \u0000Methodology: This is a prospective hospital based cross sectional study carried out in Birat Medical College. Simple random consecutive sampling was done in patients that underwent bone marrow aspiration from December15th 2021 to June 14th 2022. Dry tap, patient under treatment and inadequate material were excluded from the study. After informed consent, BMA was done from the right or left posterior superior iliac crest using local anesthesia. Smeared slides were stained by Wright stain and was examined by two pathologists. Special stain was not done. Ethical clearance was taken from Institutional Review Committee (IRC). Data collected was then tabulated by using Microsoft Excel sheet and SPSS \u0000Results: A total of 106 patients were included in this study with majority aged > 45 years (50.9%). The commonest indications for bone marrow aspiration was anemia under evaluation (35.9%) followed by pancytopenia under evaluation (22%). The most common diagnosis identified by bone marrow aspiration was mixed nutritional deficiency anemia (21.7%).In patients evaluated for pancytopenia six were diagnosed with hematological malignancy. \u0000Conclusion: Nutritional deficiency anemia, commonly indicated for bone marrow aspiration, was the most common cause diagnosed by bone marrow aspiration. Bone marrow aspiration is important to arrive at diagnosis especially in patients with anemia and pancytopenia.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"142 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication is The Key: Does Strategic Perioperative Counseling Decrease Anxiety in Parents of The Pediatric Patient Undergoing Surgery?","authors":"Batsalya Arjyal, Lalit Kumar Rajbanshi, Kanak Khanal, Dipesh Man Singh, Hiramani Pathak, Rakshya Sangroula","doi":"10.62065/bjhs479","DOIUrl":"https://doi.org/10.62065/bjhs479","url":null,"abstract":"Introduction: Anxiety is very common during the perioperative period. Anxiety among the parents of pediatric patients undergoing surgery is also encountered frequently despite the preoperative counseling which is a common standard of practice. The aim of the study was to determine the effectiveness of strategic perioperative counseling to relieve the anxiety among the parents of pediatric patient posted for surgery. \u0000Objectives: To measure the impact of the implemented communication strategies on anxiety levels experienced by parents. \u0000Methodology: This is a randomized observational cross-sectional study. After the approval of IRC, A total of 100 samples was chosen. The samples were randomly divided into two groups, control group (group1) and intervention group (group 2). The control group were counselled as per standard practice at preoperative time. The intervention group were counseled at 3 points namely preoperative, intraoperative and postoperative). The beck anxiety inventory score (Nepali version) will be handed to the family members of the patient undergoing pediatric surgery to be filled post operatively. \u0000Results: The intervention group where the family members received strategic counselling had lower anxiety scores than the group which received only standard counselling (preoperative). The education level of the sample was also correlated. The data suggests that higher education level had lower anxiety score than the ones who had lower education level. \u0000Conclusion: We conclude that strategic perioperative counseling decreases the anxiety among the parents of pediatric patient undergoing surgery.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139603626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcome of trans-portal anatomic anterior cruciate ligament reconstruction with quadrupled semitendinosus graft","authors":"Ranjib Kumar Jha, Santosh Thapa, Ashish Rajthala","doi":"10.62065/bjhs469","DOIUrl":"https://doi.org/10.62065/bjhs469","url":null,"abstract":"Introduction: The anterior cruciate ligament (ACL) injury is one of the most common injuries of knee. Arthroscopic reconstruction of ACL is standard approach, but controversy still remains regarding choice of graft. \u0000Objective: The objective of study is to see clinical outcome of quadrupled semitendinosus graft for ACL reconstruction.\u0000Methodology: This was a prospective clinical study of patients undergone single bundle ACL reconstruction with quadrupled semitendinosus autograft between February 2021 to July 2022 in our orthopedic department. All eligible patients who met inclusion criteria were evaluated in terms of knee stability subjectively and objectively before operation and at one year after operation.\u0000Results: There was total 33 patients, out of which 27 were male and 6 were female. The mean age was 27.5±8.2 years and most common mode of injury was RTA in 14 patients (43%) followed by sporting activities in 13 patients (39%) and fall from height in 6 patients (18%). The average diameter of graft was 8.03±0.35mm. The mean Lysholm score was 92.3±5.1 (range 79–99). Seventy percent patients returned to preinjury activity level whereas 30% decreased their activity level. In our study 31 patients (94%) had negative pivot shift test which indicates very high rate of knee stability.\u0000Conclusion: The quadrupled semitendinosus graft shows excellent result for ACL reconstruction both subjectively and clinically in our study. This method helps to save Gracilis tendon and also increases graft diameter.","PeriodicalId":31640,"journal":{"name":"Birat Journal of Health Sciences","volume":"136 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}