Nonopioid Analgesia After Anterior Cruciate Ligament Reconstruction

Condition:   Anterior Cruciate Ligament Injury Interventions:   Drug: Celecoxib;   Drug: Hydrocodone-Acetaminophen;   Drug: Ketorolac;   Drug: Gabapentin;   Drug: Acetaminophen;   Drug: Diazepam Sponsor:   Henry Ford Health System Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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BACKGROUND: The misuse of opioid medications has contributed to a significant national crisis affecting public health as well as patient morbidity and medical costs. After orthopaedic surgical procedures, patients may require prescription (Rx) opioid medic...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
ConclusionUse of FNB at the time of primary ACL reconstruction can negatively affect achievement of isokinetic extension strength return to sport criteria. FNB increases risk of graft rupture within the first year after surgery but does not affect re-injury risk during the second. FNB may not be appropriate for use in patients already at high risk of ACL re-injury.Level of evidenceIII.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Authors: Mehran N, Damodar D, Shu Yang J Abstract Quadriceps tendon (QT) autograft in anterior cruciate ligament reconstruction has received increased attention, as more studies compare clinical outcomes between QT, bone-patellar tendon-bone (BPTB), and hamstring tendon (HT) autografts. Biomechanically, QT has similar properties to BPTB and to HT. QT has shown equivalent stability, patient-reported outcome measures, strength and graft failure rates, and decreased donor site morbidity compared with BPTB and HT. All three autografts have excellent clinical outcomes. Ultimately, anterior cruciate ligament graft select...
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
Condition:   Pain, Postoperative Interventions:   Procedure: saphenous nerve block;   Procedure: popliteal plexus block;   Drug: Plain bupivacaine;   Drug: 0.05 mg epinephrine Sponsor:   Fayoum University Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 13 July 2019Source: Journal of Arthroscopy and Joint SurgeryAuthor(s): Raju Vaishya, Maduka Celestine Okwuchukwu, Amit Kumar Agarwal, Vipul VijayAbstractAnterior Cruciate Ligament (ACL) injuries are common in the knee and are often caused by sports injuries. These injuries are common among the young population of the society and are significant causes of morbidity and functional impairment. Arthroscopic ACL Reconstruction (ACLR) is considered as a gold standard in the management of ACL injuries. ACLR has been shown to restore the joint stability, and improve the functional outcome. Nevert...
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
Conclusions: Promising results were seen for simultaneous correction of genu valgum and transphyseal ACL reconstruction. Treatment of both pathologies in a concomitant surgery can be considered in the appropriate population, with expected results comparable to each procedure in isolation. Level of Evidence: Level IV—case series.
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Lower Extremity Source Type: research
AbstractPurposeThe purpose of this study was to report the long-term outcomes of a continuous series of patients who underwent simultaneous anterior cruciate ligament (ACL) reconstruction and opening wedge high tibial osteotomy (HTO) for varus-related early medial tibio-femoral osteoarthritis. It was hypothesized that this combined surgery sustainably allowed return to sport with efficient clinical and radiological results.MethodsFrom 1995 to 2015, all combined ACL reconstruction (bone-patellar tendon-bone graft) and opening wedge HTO for anterior laxity and early medial arthritis were included. Clinical evaluation at fina...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Purpose Strategies that underload the surgical limb after anterior cruciate ligament reconstruction (ACLr) are observed in submaximal tasks. It is not known what underlies these strategies in early rehabilitation. The purpose of this study was to determine if underloading can be attributed to the inability to meet task demands with and without attention to limb loading or learned behavior. Methods Twenty individuals (110.6 [18.1] days) post-ACLr and 20 healthy individuals (CTRL) participated in this study. Participants performed standing, sit-to-stand, and squat tasks under natural, instructed, and feedback conditions...
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: CLINICAL SCIENCES Source Type: research
FRIDAY, July 12, 2019 -- For patients undergoing anterior cruciate ligament reconstruction, prescribing fewer tablets is associated with lower postoperative opioid consumption, according to a research letter published in the June 25 issue of the...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
(American Orthopaedic Society for Sports Medicine) Young athletes who have anterior cruciate ligament surgery are more likely to need an additional surgery if they received a hamstring graft compared to a bone-patellar tendon-bone graft, according to research presented today at the American Orthopedic Society for Sports Medicine Annual Meeting. The research was conducted by group of clinicians led by Dr. Christopher C. Kaeding of Ohio State University in Columbus, Ohio.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
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