The significant muscle strength outcome of the interference screw group found in this study gives initial evidence that this fixation technique is useful for athletes that may need accelerated rehabilitation. Early return to sports ability signaled by isokinetic muscle strength is of clinical relevance as it is one of the main goals for athletes' rehabilitation.
Objective. To evaluate the effectiveness of two antifibrinolytic drugs (tranexamic acid and epsilon-aminocaproic acid) in reducing postoperative hemarthrosis after anterior cruciate ligament reconstruction. Methods. 45 patients diagnosed with primary anterior cruciate ligament tears were randomly placed into 3 groups: control, tranexamic acid (TXA) and epsilon-aminocaproic acid (EAC). The first group was operated on without the use of the drugs, and for the other two, the dose was adjusted by weight. The evaluation was conducted for 1 and 7 postoperative days to assess the degree of hemarthrosis, assess the visual pain scale and measure the range of motion (ROM) in degrees. The patients were then assigned a subjective functional score at 14 and 28 postoperative days. Results. The TXA group showed improvement on the postoperative pain scale after 7 days compared to the control group. When evaluated with the Lysholm functional score, the TXA group showed improvement compared to the control group. No significant statistical difference emerged in the parameter evaluated for the EAC group. Conclusions. The tranexamic-acid group showed reduced pain and improved function after arthroscopic reconstruction of the ACL. Up to this point, the use of Epsilon-aminocaproic acid yielded no benefit. A follow-up study with more participants may confirmation our findings or present new relevant findings.
Objective:To analyze the level of agreement in diagnosing knee injury among orthopedists with clinical experience in knee treatment. Method:An online questionnaire was used to analyze the ability of orthopedic knee surgeons to diagnose intra-articular knee injuries using MRI, the importance given to this test in their clinical practice, and the agreement between these diagnoses and the radiology report. Results:The study participants considered MRI an important tool for clarifying inconclusive diagnoses and surgical planning. The level of agreement between the surgeons and the radiologist was considered to be very slight for posterior cruciate ligament injuries, collateral ligament injuries, and chondral injuries, and was considered slight for anterior cruciate ligament and meniscus injuries. Conclusion:A diagnosis of intra-articular knee injury must be based on the patient history, physical examination, and radiological imaging (MRI) in order to provide a complete approach to the patient. Level of Evidence III; Clinical study.
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