Postoperative bleeding following notchplasty in anterior cruciate ligament reconstruction: thermal radio frequency versus powered instrumentation.
Knee Surg Sports Traumatol Arthrosc
; 9(1): 12-4, 2001.
Article
em En
| MEDLINE
| ID: mdl-11269577
ABSTRACT
This study compared postoperative bleeding during anterior cruciate ligament (ACL) reconstruction following notchplasty by power instrumentation with that following radiofrequency. Between January 1998 and April 1998 we prospectively divided 24 consecutive patients undergoing arthroscopic ACL reconstruction with bone-patellar tendon-bone autograft into two groups. Notchplasty was performed by powered instrumentation in group A (n=12) and by radiofrequency in group B (n=12). Two Redi-Vac suction drains were placed, one intra-articularly and the other subcutaneously at the harvest site and tibial tunnel. All drains were removed 48 h postoperatively. The first drainage measurement (end of surgery, 6 a.m. postoperative day 1) showed average total bleeding of 124.16 cc in group A and 65.41 cc in group B (P<0.001); per hour this was 10.21 cc in group A and 5.49 cc in group B (P<0.001). The second drainage measurement (6 a.m. postoperative day 2) showed average total bleeding of 44.55 cc in group A and 17.78 cc in group B (P<0.01); per hour this was 1.85 cc in group A and 0.74 cc in group B (P<0.001). Radiofrequency technology can be used when performing intercondylar notchplasty in ACL reconstruction. As a result of this technique postoperative intra-articular bleeding was significantly reduced.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroscopia
/
Ligamento Cruzado Anterior
/
Ligamento Patelar
/
Hemorragia Pós-Operatória
/
Procedimentos de Cirurgia Plástica
/
Lesões do Ligamento Cruzado Anterior
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Knee Surg Sports Traumatol Arthrosc
Assunto da revista:
MEDICINA ESPORTIVA
/
TRAUMATOLOGIA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Itália