Pain after arthroscopic assisted anterior cruciate with semitendinosus graft. AACRL, Pain, Drain, no Drain, VAS, morphine consumption.
Conditions
Interventions
No intra-articular drain is placed in the AACLR operation ,Intra-articular drain is placed in the AACLR operation before surgical wound suturing
No Intervention No treatment,Active Comparator Device
No intra-articular drain ,Intra-articular drain
Sponsors
Research Affairs, Faculty of Medicine, KKU
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Volunteer who planned for primary arthroscopic assisted ACL reconstruction with Hamstring autograft with or without meniscus injury in ipsilateral knee 2. Volunteer's age between 18- 60 year 3. Volunteer who receive spinal anesthesia
Exclusion criteria
Exclusion criteria: 1. Volunteer who has contraindication for spinal anesthesia 2. Volunteer who has renal insufficiency GFR < 30 mL/min 3. Volunteer who has history of cardiovascular thrombotic event, thrombotic stroke and myocardial infarction 4. Volunteer who has history of peptic ulcer or GI bleeding 5. Volunteer who has previously undergone arthroscopic assisted ACL reconstruction 6. Volunteer who has ACL injury with bone fracture 7. Volunteer who is allergic to Ketorolac, Morphine, Transamine, Parecoxib, paracetamol 8. Volunteer who has drug or alcohol addiction or has chronic pain 9. Volunteer who receive steroid within 48 hours prior to surgery 10. Volunteer who has mental problems or unable to communicate 11. Volunteer who refuse to join the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain pre-op, 6,12,24,36,48 hours post operation (but VAS at 48 hours post operation is the primary outcome) Visual analogue scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain 6, 12, 24, 36 hours post operation Visual analogue scale ,morphine consumption 6,12,24,36,48 hours post operation morphine consumption from IV PCA,Straight leg raising test before surgery and 48 hours post operation Raise the leg 30 degrees from the horizontal line and maintain for 3 seconds,Incidence of knee joint aspiration within 48 hours post operation Count the knee joint aspiration event,Hemarthrosis grading before surgery and 48 hours post operation 7. Clinical grading of hemarthrosis by Coupens and Yates | — |
Countries
Thailand
Contacts
Public ContactSarat Tiangwan
Department of Orthopedic
Outcome results
None listed