A comparison of postoperative pain between anterior cruciate ligament reconstruction and repair.
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
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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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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