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Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period

INTRODUCTION: This study aimed to determine the effect of using an intra-articular drain after anterior cruciate ligament (ACL) reconstruction on early postoperative pain, range of motion (ROM), muscle strength, and complications. MATERIALS AND METHODS: Between 2017 and 2020, of the 200 consecutive...

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Autores principales: Shimozaki, Kengo, Nakase, Junsuke, Yoshimizu, Rikuto, Kanayama, Tomoyuki, Yanatori, Yusuke, Sengoku, Takuya, Tsuchiya, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asia-Pacific Knee, Arthroscopy and Sports Medicine Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201551/
https://www.ncbi.nlm.nih.gov/pubmed/37223278
http://dx.doi.org/10.1016/j.asmart.2023.04.002
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author Shimozaki, Kengo
Nakase, Junsuke
Yoshimizu, Rikuto
Kanayama, Tomoyuki
Yanatori, Yusuke
Sengoku, Takuya
Tsuchiya, Hiroyuki
author_facet Shimozaki, Kengo
Nakase, Junsuke
Yoshimizu, Rikuto
Kanayama, Tomoyuki
Yanatori, Yusuke
Sengoku, Takuya
Tsuchiya, Hiroyuki
author_sort Shimozaki, Kengo
collection PubMed
description INTRODUCTION: This study aimed to determine the effect of using an intra-articular drain after anterior cruciate ligament (ACL) reconstruction on early postoperative pain, range of motion (ROM), muscle strength, and complications. MATERIALS AND METHODS: Between 2017 and 2020, of the 200 consecutive patients who underwent anatomical single-bundle ACL reconstruction, 128 patients underwent primary ACL reconstruction with hamstring tendons and were evaluated for postoperative pain and muscle strength at 3 months postoperatively. Sixty-eight patients who received intra-articular drain before April 2019 were classified as group D and 60 patients without an intra-articular drain after ACL reconstruction after May 2019 were classified as group N. Patient background, operative time, postoperative pain, number of additional analgesics used, presence of intra-articular hematoma, ROM at 2, 4, and 12 weeks postoperatively, extensor and flexor muscle strength at 12 weeks postoperatively, and perioperative complications were compared between the two groups. RESULTS: The postoperative pain at 4 h after surgery was significantly greater in group D than in group N although no significant difference was found in the pain felt in the immediate postoperative period and at 1 day and 2 days postoperatively and in the number of additional analgesics used. No significant difference in the postoperative ROM and muscle strength was noted between the two groups. Six patients with intra-articular hematomas in group D and four patients in group N needed puncture by 2 weeks postoperatively, and no significant difference was found between the two groups. CONCLUSION: Postoperative pain was greater at 4 h postoperatively in group D. Furthermore, the intra-articular drain did not affect muscle strength, ROM, and complications on the early postoperative period. The usefulness of intra-articular drain after ACL reconstruction was considered low. LEVEL OF EVIDENCE: Level IV.
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spelling pubmed-102015512023-05-23 Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period Shimozaki, Kengo Nakase, Junsuke Yoshimizu, Rikuto Kanayama, Tomoyuki Yanatori, Yusuke Sengoku, Takuya Tsuchiya, Hiroyuki Asia Pac J Sports Med Arthrosc Rehabil Technol Original Article INTRODUCTION: This study aimed to determine the effect of using an intra-articular drain after anterior cruciate ligament (ACL) reconstruction on early postoperative pain, range of motion (ROM), muscle strength, and complications. MATERIALS AND METHODS: Between 2017 and 2020, of the 200 consecutive patients who underwent anatomical single-bundle ACL reconstruction, 128 patients underwent primary ACL reconstruction with hamstring tendons and were evaluated for postoperative pain and muscle strength at 3 months postoperatively. Sixty-eight patients who received intra-articular drain before April 2019 were classified as group D and 60 patients without an intra-articular drain after ACL reconstruction after May 2019 were classified as group N. Patient background, operative time, postoperative pain, number of additional analgesics used, presence of intra-articular hematoma, ROM at 2, 4, and 12 weeks postoperatively, extensor and flexor muscle strength at 12 weeks postoperatively, and perioperative complications were compared between the two groups. RESULTS: The postoperative pain at 4 h after surgery was significantly greater in group D than in group N although no significant difference was found in the pain felt in the immediate postoperative period and at 1 day and 2 days postoperatively and in the number of additional analgesics used. No significant difference in the postoperative ROM and muscle strength was noted between the two groups. Six patients with intra-articular hematomas in group D and four patients in group N needed puncture by 2 weeks postoperatively, and no significant difference was found between the two groups. CONCLUSION: Postoperative pain was greater at 4 h postoperatively in group D. Furthermore, the intra-articular drain did not affect muscle strength, ROM, and complications on the early postoperative period. The usefulness of intra-articular drain after ACL reconstruction was considered low. LEVEL OF EVIDENCE: Level IV. Asia-Pacific Knee, Arthroscopy and Sports Medicine Society 2023-05-03 /pmc/articles/PMC10201551/ /pubmed/37223278 http://dx.doi.org/10.1016/j.asmart.2023.04.002 Text en © 2023 Asia Pacific Knee, Arthroscopy and Sports Medicine Society. Published by Elsevier (Singapore) Pte Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Shimozaki, Kengo
Nakase, Junsuke
Yoshimizu, Rikuto
Kanayama, Tomoyuki
Yanatori, Yusuke
Sengoku, Takuya
Tsuchiya, Hiroyuki
Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period
title Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period
title_full Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period
title_fullStr Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period
title_full_unstemmed Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period
title_short Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period
title_sort non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201551/
https://www.ncbi.nlm.nih.gov/pubmed/37223278
http://dx.doi.org/10.1016/j.asmart.2023.04.002
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