Effect of drain use in the early postoperative period after arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft.
Journal - The American journal of sports medicine (United States )
BACKGROUND: Little data exist on the effect of routine use of postoperative drainage after arthroscopic anterior cruciate ligament reconstruction, although clinical studies of other procedures have not shown benefit to this practice. HYPOTHESIS: Use of a postoperative drain will not result in decreased suprapatellar girth, increased range of motion, and decreased pain compared with nonuse. STUDY DESIGN: Prospective randomized clinical trial. METHODS: Twenty-one patients undergoing arthroscopically assisted bone-patellar tendon-bone anterior cruciate ligament reconstruction were randomly assigned to receive a drain for 24 hours (12 patients) or no drain (9 patients). Data for comparison of groups were collected daily through postoperative day 7. RESULTS: Pain scores on a visual analog scale demonstrated the same improving trend over time for both treatment and control groups; however, the treatment group had significantly higher average pain scores, except on day 7. Differences in suprapatellar girth, flexion, and extension were not found to be statistically significant between groups. CONCLUSION: Use of a drain after arthroscopically assisted anterior cruciate ligament reconstruction provided no benefit in terms of range of motion, effusion, or pain in the early postoperative period.
|ISSN : ||0363-5465|
|Mesh Heading : ||Adult Analysis of Variance Anterior Cruciate Ligament Arthroscopy Female Humans Male Pain Measurement Patellar Ligament Postoperative Complications Postoperative Period Prospective Studies Range of Motion, Articular Reconstructive Surgical Procedures Statistics, Nonparametric Treatment Outcome injuries prevention & control|
|Mesh Heading Relevant : ||Drainage surgery transplantation|
Isolated posttraumatic posterior dislocation of the radial head in an adult.
Journal - American journal of orthopedics (Belle Mead, N.J.) (United States )
Isolated posterior dislocation of the radial head without concomitant ulnar fracture or humeroulnar subluxation is a rare injury with few reports in the literature. We describe a case of a 27-year-old man who sustained a traction injury to the right elbow and crush injury to the forearm with subsequent posterior dislocation of the radial head. The dislocation was treated by manual reduction under anesthesia, surgical repair of the annular ligament, and subsequent rehabilitation for 6 weeks in a range-of-motion brace with the forearm in pronation. To our knowledge, this is the only case to be treated this way. Our patient reports excellent range of motion and strength 3 years after surgery.
|ISSN : ||1078-4519|
|Mesh Heading : ||Accidents, Occupational Adult Dislocations Humans Male Radius Range of Motion, Articular radiography radiography surgery|
|Mesh Heading Relevant : ||surgery injuries|