AJSM Click here for details!
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
First published on April 12, 2005, doi:10.1177/0363546504271503
This version was published on June 1, 2005
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
33/6/900    most recent
0363546504271503v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Karahan, M.
Right arrow Articles by Uyan, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Karahan, M.
Right arrow Articles by Uyan, D.
Related Collections
Right arrow Reconstruction
Right arrow Knee
The American Journal of Sports Medicine 33:900-906 (2005)
© 2005 American Orthopaedic Society for Sports Medicine

Effect of Drain Placed in the Donor Site in the Early Postoperative Period After Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction With Quadrupled Hamstring Tendons

Mustafa Karahan, MD*, Bülent Erol, MD, Nural Bekiroglu, PhD and Derya Uyan

From the Marmara University School of Medicine, Istanbul, Turkey

* Address correspondence to Mustafa Karahan, MD, Kuzu Sok. Fatma Karaca Apt 3/2, Saskinbakkal, Istanbul, 81070, Turkey (e-mail: drmustafakarahan{at}yahoo.com).

Background: No scientific study has addressed the effects of the routine use of postoperative drains in the donor site after arthroscopic anterior cruciate ligament reconstruction using hamstring tendons.

Hypothesis: Patients who have drains placed in their donor sites have less lower extremity edema, more motion, and more comfort in the early postoperative period.

Study Design: Randomized controlled clinical trial; Level of evidence, 1.

Methods: Thirty-four patients undergoing arthroscopically assisted quadruple hamstring tendon anterior cruciate ligament reconstruction were randomly assigned to either receive a drain for 24 hours placed at the donor site (17 patients) or have no drain at the donor site (17 patients). Data were collected on postoperative days 1, 3, 5, and 7 regarding knee flexion, knee extension, thigh circumference, leg circumference, and visual analog scale (measuring pain).

Results: In the study group versus the control group, there were increased knee flexion measurements on postoperative day 7 (84° vs 69°, P < .05); smaller thigh circumference measurements on postoperative day 7 (36.8 vs 40.1 cm, P < .05); smaller leg circumference measurements on postoperative days 3 (33.2 vs 36.4 cm, P < .05), 5 (32.7 vs 36.0 cm, P < .05), and 7 (31.8 vs 35.7 cm, P < .001); and a lower visual analog scale score on postoperative days 3 (40.38 vs 57.50, P = .001), 5 (38.46 vs 60.35, P = .001), and 7 (38.07 vs 61.43, P = .001).

Conclusion: Drain placement at the donor site after anterior cruciate ligament reconstruction gives more comfort to the patient and provides better flexion within the first week.

Key Words: postoperative drain • anterior cruciate ligament (ACL) reconstruction • donor site • visual analog scale (VAS)






HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2005 by the American Orthopaedic Society for Sports Medicine.