Outcome of Judet's quadricepsplasty for knee contractures and the effect of local infiltration of epinephrine on reducing blood loss |
| |
Authors: | Akbar Jaleel Zubairi Haroon Rashi Rizwan Haroon Rashi Moiz Ali and Pervaiz Mehmood Hashmi |
| |
Institution: | Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi 74800, Pakistan,Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi 74800, Pakistan,Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi 74800, Pakistan,Aga Khan University Medical College, Karachi 74800, Pakistan and Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi 74800, Pakistan |
| |
Abstract: | Objective: To evaluate the effectiveness of Judet''s quadricepsplasty for treatment of knee contractures and to identify the effect of local infiltration of epinephrine on blood loss associated with this procedure.
Methods: A retrospective cohort study was conducted in which all cases of knee contractures managed
with Judet''s quadricepsplasty from 1st January 2009 to 31st December 2013 were included and were
divided into two groups. The epinephrine group included patients who were infiltrated with diluted
epinephrine (1:400,000) along with xylocaine, around the operative field 15 min prior to the incision
time, while the control group did not receive any infiltration. Judet''s outcome, blood loss, drop in hemoglobin and required blood transfusion were noted for all patients and compared between both groups.
Results: Most common preceding pathology identified for the development of knee contractures was
periarticular fracture while ilizarov application was the most common etiology. Both groups were found similar in all preoperative characteristics except preoperative flexion contracture (p=0.02). All functional outcome measures including Judet''s outcome were similar in both groups. In contrast, duration of surgery (p=0.01), blood loss (p=0.02), drop in hemoglobin (p=0.01) and number of transfusions (p=0.03) were significantly reduced in epinephrine group.
Conclusion: Judet''s quadricepsplasty is a useful procedure to increase the range of motion of rigid knees and local infiltration of epinephrine is effective in decreasing the amount of subsequent blood loss and transfusion requirements. |
| |
Keywords: | Knee contractureBlood transfusionEpinephrineKnee range of motionOperative time |
|
| 点击此处可从《中华创伤杂志(英文版)》浏览原始摘要信息 |
| 点击此处可从《中华创伤杂志(英文版)》下载免费的PDF全文 |
|