Outcome of Judet's quadricepsplasty for knee contractures and the effect of local infiltration of epinephrine on reducing blood loss

Akbar Jaleel Zubairi; Haroon Rashid; Rizwan Haroon Rashid; Moiz Ali; Pervaiz Mehmood Hashmi

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Outcome of Judet's quadricepsplasty for knee contractures and the effect of local infiltration of epinephrine on reducing blood loss

机译：Judet股四头肌成形术治疗膝关节挛缩的结果以及肾上腺素的局部浸润对减少失血的影响

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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.

机译：目的：评估Judet股四头肌成形术治疗膝关节挛缩症的有效性，并确定肾上腺素局部浸润对与此过程相关的失血的方法。纳入从2009年1月1日至2013年12月31日的四头肌成形术，分为两组。肾上腺素组包括在手术前15分钟的手术区域周围浸入稀释的肾上腺素（1∶400,000）和甲苯噻卡因的患者，记录所有患者的Judet结局，失血，血红蛋白下降和需要输血的情况，并在两组之间进行比较。结果：确定为膝关节挛缩发展的最常见的先前病理是关节周围骨折而ilizarov应用是最常见的病因。除术前屈曲挛缩（p = 0.02）外，所有其他术前特征均相似。两组的所有功能结局指标（包括Judet结局）均相似。相比之下，手术时间（p = 0.01），失血（p = 0.02），跌落肾上腺素组血红蛋白（p = 0.01）和输血次数（p = 0.03）明显减少。结论：Judet股四头肌成形术是增加僵硬膝盖运动范围的有用方法，肾上腺素的局部浸润可有效减少随后的失血量和输血要求。

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《中华创伤杂志（英文版）》 |2017年第3期|147-150|共4页
作者
Akbar Jaleel Zubairi; Haroon Rashid; Rizwan Haroon Rashid; Moiz Ali; Pervaiz Mehmood Hashmi;
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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;

Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi 74800, Pakistan;

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收录信息中国科学引文数据库(CSCD);中国科技论文与引文数据库(CSTPCD);
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Outcome of Judet's quadricepsplasty for knee contractures and the effect of local infiltration of epinephrine on reducing blood loss

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