ABSTRACT
Background: Lower back pain (LBP) is the most common form of musculoskeletal disorder and a crucial occupational issue among healthcare professionals that peaks among surgeons. This cross-sectional study aimed to assess the prevalence and the characteristics and identify associated risk factors among surgeons in the Makkah region, Saudi Arabia. Methods: This study used a cross-sectional method among surgeons in the Makkah region of Saudi Arabia. Data were randomly collected using a self-administered questionnaire divided into demographic, individual, and occupational characteristics and prevalence data from different hospitals and cities. The subjects of the study were 208 surgeons working in different specialties. Results: Thirty-eight percent of surgeons were found to have back pain. The highest prevalence was found among general surgeons, followed by gynecologists. Surgeons with a longer mean duration of work experience had a significantly higher percentage of back pain sufferers. The presence of back pain, on the other hand, did not appear to be related to the surgeon's gender, dominant hand, specialty, or other work conditions. LBP was widespread in surgeons with higher work experience, a stable job position, older age, a higher body mass index (BMI), chronic conditions, who did not exercise, and who were not athletes. Conclusions: General surgeons have the highest prevalence, according to the results of this study. Appropriate measures should be adopted to avoid this occupational health issue. We emphasize the importance of performing a periodic examination and follow-up on the health status of surgeons' spines and providing educational information about LBP and the best ways to avoid it. We advocate an ergonomic examination of workplace conditions and regular counseling sessions to encourage people to use their backs more properly with correct posture.
ABSTRACT
PURPOSE: This study compared the accessory anteromedial portal (AAMP) and the modified transtibial technique (MTTT)" for single-bundle anterior cruciate ligament (ACL) reconstruction. PATIENTS AND METHODS: Sixty active adult patients with ACL tear were randomly assigned into two equal groups who were treated surgically. One group was operated on using AAMP and the other group through MTTT. Both the groups had the same postoperative course and were followed for 1 year after surgery. The follow-up included Lysholm and International Knee Documentation Committee (IKDC) subjective knee evaluation forms, IKDC objective knee examination form, and radiological evaluation. Results were evaluated and compared with each other. RESULTS: There was no significant difference in subjective effects or clinical examination between the two groups. Regarding radiological angles, the AAMP had more oblique graft orientation in the coronal plane than the MTTT, but both were found to be more slanted than native ACL. Also, the MTTT had succeeded to place the graft and tunnel more obliquity than the traditional non-anatomic TTT and better than the anatomic ranges despite having the graft inclination of the AAMP higher than the MTTT. The complaints from the patients and subjective scoring were found to be positively related to graft stability. Patients with healthier preoperative subjective state had a smoother postoperative period and better outcome. CONCLUSION: This study offers simple modifications to the transtibial technique to allow near anatomic ACL reconstruction with similar results comparable to the AAMP and with fewer complications.
