Affordable Access

Access to the full text

Capsulotomy as a measure to control pain and reducing hemarthrosis in arthroscopic DB ACL reconstruction surgery: a prospective randomized control study

Authors
  • Mishra, Pallav1
  • Ajay,1
  • Bhat, Mohd Shafi2
  • Goyal, Ankit1
  • Joshi, Deepak1
  • Chaudhary, Deepak1
  • 1 Safdarjung Hospital, Sports Injury Centre, Ansari Nagar West, Ring Road, New Delhi, 110029, India , New Delhi (India)
  • 2 Safdarjung Hospital, FNB Fellow Arthroscopy and Sports Medicine, Sports Injury Centre, New Delhi, India , New Delhi (India)
Type
Published Article
Journal
Archives of Orthopaedic and Trauma Surgery
Publisher
Springer Berlin Heidelberg
Publication Date
Oct 30, 2017
Volume
137
Issue
12
Pages
1713–1717
Identifiers
DOI: 10.1007/s00402-017-2798-4
Source
Springer Nature
Keywords
License
Yellow

Abstract

PurposeThe aim of the study was to evaluate the effect of capsulotomy as a measure of pain relief and hemarthrosis prevention in the arthroscopic double-bundle anterior cruciate ligament reconstruction.MethodsThis was a case control study conducted between April 2013 and Dec 2013, in which 64 patients were enrolled. Capsulotomy was done at the end of the procedure in 31 patients, who were compared with a control group. Pain score (VAS) and grade of hemarthrosis on post-op day 1 and post-op day 2 were compared between the two groups and patients followed up to a minimum of 24 months.ResultsThere was a statistically significant difference (p value < 0.05) in the pain scores and hemarthrosis grade of the capsulotomy group compared to the control group. The mean pain score on post-op day 1 in the capsulotomy group was 2.71 ± 0.97, whereas it was 4 ± 1.22 in the non-capsulotomy group. The difference between the two groups was statistically significant both at day 1 of post-op and day 2 of post-op (p value < 0.05). The difference between the two groups in terms of hemarthrosis grading was statistically significant both at day 1 of post-op and day 2 of post-op (p value < 0.05). The difference between the two groups in terms of thigh circumference measurements was statistically significant both on day 1 and day 2 of post-op (p value < 0.05).ConclusionWe conclude that capsulotomy is a safe and effective measure of pain relief and hemarthrosis management in arthroscopic ACL reconstruction surgeries.

Report this publication

Statistics

Seen <100 times