2023 ISAKOS Biennial Congress ePoster
Effect of Intra-articular Drain on Pain in Postoperative Arthroscopic Anterior Cruciate Ligament Reconstruction: A Randomized control trial
Artit Boonrod, MD, Khon Kaen, Khon Kaen THAILAND
Sarat Tiangwan, MD, Khon Kaen THAILAND
Aumjit Wittayapairoj, MD, , Meung, Khon Kaen THAILAND
Sermsak Sumanont, MD, Khon Kaen, Khonkaen THAILAND
Punyawat Apiwatanakul, MD, Mueang, Khon Kaen THAILAND
Khananut Jaruwanneechai, MD, Khon Kaen THAILAND
Faculty of medicine, Khon Kaen university, Khon kaen , Khon kaen, THAILAND
The FDA has not cleared the following pharmaceuticals and/or medical device for the use described in this presentation. The following pharmaceuticals and/or medical device are being discussed for an off-label use: OLIC(Thailand) limited , Tranexamic acid
Summary
A RCT study about effect of Intra-articular drain on pain in postoperative Arthroscopic Anterior Cruciate Ligament Reconstruction with hamstring grafts, patients have undergone the same pain control protocol and method of anesthesia.
ePosters will be available shortly before Congress
Abstract
Background
Intra-articular drain after arthroscopic anterior cruciate ligament reconstruction (ACLR) is used by many surgeons. However, the benefit of the drain in the aspect of pain is still unknown.
Objectives:
This study aims to validate the benefit of the intra-articular drain on pain after ACLR with hamstrings graft (HS) and other effects of the intra-articular drain regarding postoperative conditions.
Method
Forty ACLR with HS patients were randomized to intra-articular drain and no drain groups. All participants have undergone spinal anesthesia and the same perioperative pain control protocols. The primary outcome was post-operative pain at 48 hours using a visual analog scale (VAS).
The secondary outcomes were VAS and morphine consumption at 6-, 12-, 24-, 36-, and 48(morphine) hours post-operation, swelling grades of the knee, range of motion (ROM), ability to perform straight leg raising, and incidence of knee joint aspiration before discharge.
Results
The demographic data, preoperative pain, ROM, and knee effusion grade in both groups were comparable. At 48 hours post-operation, there was no significant difference in the VAS between groups: VAS at rest (No drain, median 20.00; 10.00-30.00, drain 10.00; 4.00-20.00, P= 0.16) and VAS with knee motion (No drain, mean 35.42 ± 19.45, drain 27.58 ± 16.28, P =0.19). The secondary outcomes; VAS and morphine consumption at 6-, 12-, 24-, 36-, and 48(morphine) hours post-operation were determined by linear mixed models. Both VAS and morphine consumption were not significantly different. Patients who received knee joint aspiration within two weeks and other outcomes were not significantly different between the groups.
Conclusion
Intra-articular drain after ACLR did not significantly reduce post-operative pain and morphine consumption compared to the no drain group.