Mehran Soleymanha; Sohrab Keyhani; Maryam Mousavi; Zahra Mehrpouya
Abstract
Background: The anterior cruciate ligament (ACL) reconstruction is one of the most frequent surgeries on the adult knee. Auto grafts are essential for providing knee stability while minimizing donor site morbidity. The peroneus longus tendon may be an alternative auto graft for ACL reconstruction. This ...
Read More
Background: The anterior cruciate ligament (ACL) reconstruction is one of the most frequent surgeries on the adult knee. Auto grafts are essential for providing knee stability while minimizing donor site morbidity. The peroneus longus tendon may be an alternative auto graft for ACL reconstruction. This study aimed to evaluate the short-term clinical outcomes and donor site morbidity of ACL reconstruction using the peroneus longus tendon.Methods: This cross-sectional study was conducted on patients with an ACL tear, who underwent arthroscopic reconstruction using the peroneal longus tendon. The knee functional outcomes were investigated based on the Lysholm and IKDC scores at preoperative and end of at least one year after the procedure. The follow-up period was at least one year, and the graft diameter was measured intra-operatively. In addition, the American Orthopaedic Foot and Ankle Score (AOFAS), the Foot & Ankle Disability Index (FADI), and ankle range of motion were applied to evaluate ankle donor site morbidities.Results: A total of 50 patients (47 men and three women) were followed up for at least one year with a mean age of 24.2 years (17 to 50 years old). The mean follow-up time was 19 months (12-24 months). The mean diameter of the peroneal longus auto graft was 8.22 ± 0.5 mm (7-9 mm). The AOFAS, FADI and ankle range of motion indicated no obvious ankle joint dysfunction.Conclusion: According to the results, arthroscopic anterior cruciate ligament reconstruction with the peroneal longus tendon is be a safe and effective auto graft source.
Knee
Mehran Soleymanha; Sohrab Keyhani; Kamran Asadi; Amin Moradi
Abstract
Background: The tourniquet commonly uses in knee replacement surgery, but there is no consensus on the release time of the tourniquet. The aim of this study was the evaluation of tourniquet release time, on postoperative hemoglobin level in knee arthroplasty patients. Material and Methods: During one ...
Read More
Background: The tourniquet commonly uses in knee replacement surgery, but there is no consensus on the release time of the tourniquet. The aim of this study was the evaluation of tourniquet release time, on postoperative hemoglobin level in knee arthroplasty patients. Material and Methods: During one year, patients undergoing complete knee arthroplasty were randomly divided into two groups according to the inclusion criteria, the early release tourniquet group (opening tourniquet after cementation) and the late release tourniquet group (opening tourniquet after wound dressing). Hemoglobin levels were measured and compared at preoperative, 24 hours and one week after surgery. Also, Duration of surgery, blood transfusion requirements and early wound complications were evaluated in two groups.Results: The mean duration of surgery was 82 ± 11.2 minutes in the early release group and 73 ± 14 minutes in the late release group (P <0.001). Decrease of hemoglobin level at 24 hours and one week after surgery was 1.8±0.82 and 1.1±0.71 respectively in the first group, and 1.4 ±0.94 and 0.6 ±0.82 in the second group. In this study, the requirements for blood transfusion was more in the early release of the tourniquet group (4 cases in the first group and 2 cases in the second group), but this difference was not significant.Conclusion: Late tourniquet release after wound dressing can reduce surgery time and reduction of hemoglobin level in total knee arthroplasty.
