A comparison of postoperative pain between anterior cruciate ligament reconstruction and repair.

MedStar author(s):
Citation: European journal of orthopaedic surgery & traumatologie. 2021 Feb 14PMID: 33585970Institution: MedStar Washington Hospital CenterDepartment: MedStar Georgetown Orthopedic Institute, Washington Hospital Center | Orthopedic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021ISSN:
  • 1633-8065
Name of journal: European journal of orthopaedic surgery & traumatology : orthopedie traumatologieAbstract: CONCLUSION: Patients who underwent ACL repair experienced less short-term postoperative pain and were prescribed fewer narcotics compared to patients who underwent ACL reconstruction.METHODS: Electronic charts were retrospectively reviewed of patients who underwent ACL surgery from November 2014 through April 2019 by a single surgeon. Patients were divided into two groups based on whether they underwent ACL repair or ACL reconstruction. A two-tailed equal variance t-test was used to evaluate visual analog scale (VAS) pain scores at the first postoperative visit. A chi-squared test of independence was used to evaluate narcotic prescription refills at the first postoperative visit.PURPOSE: To determine if patients who underwent ACL repair experienced less short-term postoperative pain versus patients who underwent ACL reconstruction.RESULTS: 36 ACL repair patients and 71 ACL reconstruction patients were included. The mean visual analog scale (VAS) pain score at the first postoperative visit (12.9 +/- 3.7 days post-op) for ACL repair patients (2.81 +/- 1.79) was significantly lower (p = .004) compared to ACL reconstruction patients (4.07 +/- 2.26). The number of narcotic prescription refills at the first postoperative visit was significantly lower (p = .027, ARR = 21.4%, NNT = 4.67) in the ACL repair group (7 of 36, 19.4%) compared to the ACL reconstruction group (29 of 71, 40.8%).All authors: Argintar EH, Connolly PT, Panish BJ, Rigor PD, Zittel KWFiscal year: FY2021Digital Object Identifier: Date added to catalog: 2021-02-18
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Journal Article MedStar Authors Catalog Article 33585970 Available 33585970

CONCLUSION: Patients who underwent ACL repair experienced less short-term postoperative pain and were prescribed fewer narcotics compared to patients who underwent ACL reconstruction.

METHODS: Electronic charts were retrospectively reviewed of patients who underwent ACL surgery from November 2014 through April 2019 by a single surgeon. Patients were divided into two groups based on whether they underwent ACL repair or ACL reconstruction. A two-tailed equal variance t-test was used to evaluate visual analog scale (VAS) pain scores at the first postoperative visit. A chi-squared test of independence was used to evaluate narcotic prescription refills at the first postoperative visit.

PURPOSE: To determine if patients who underwent ACL repair experienced less short-term postoperative pain versus patients who underwent ACL reconstruction.

RESULTS: 36 ACL repair patients and 71 ACL reconstruction patients were included. The mean visual analog scale (VAS) pain score at the first postoperative visit (12.9 +/- 3.7 days post-op) for ACL repair patients (2.81 +/- 1.79) was significantly lower (p = .004) compared to ACL reconstruction patients (4.07 +/- 2.26). The number of narcotic prescription refills at the first postoperative visit was significantly lower (p = .027, ARR = 21.4%, NNT = 4.67) in the ACL repair group (7 of 36, 19.4%) compared to the ACL reconstruction group (29 of 71, 40.8%).

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