Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Poster Topic: General Orthopaedics Abstract number: 24009 DYNAMIC HIP SCREW POSITIONING Parissa REZAI, Sibtain HUSSAIN Lancaster Royal Infirmary, Lancaster (UNITED KINGDOM) We studied the position of the tip of the lag screw in DHS operations over a one year period. The method described by Kyle et al was used to determine the lag screw position on image intensifier films on an electronic radiological system. On the AP xray the screw was either positioned in the superior (S), central (C) or inferior (I) position. On the lateral x-ray the screw was either classified as being anterior (A), central (C) or posterior (P). Total surgeries numbered 101, we excluded 27 because of not having an AP, Lateral or both x-rays.Fourty-one-63% of patients had the lag screw in the CC position. Six-9% were CP, four-6% CA, six-9% SC, four-6% SP, one- 2% SA, three-5% IP; No screws were placed in IP or IA. Four patients had implant failure due to cut out; screw position was SC, CC, CC and CP. The two CC placed screws each had a tip apex distance (TAD) of 31mm and 29mm. The SC placed screw had a TAD of 20mm.Our work indicates that the position of the lag screw had been satisfactory in 63% of cases. The cut out rate in the centrally placed screws was most likely due to an increased TAD. The SC placed screw had a very good TAD however the position was unsatisfactory thereby leading to failure. Accurate placement of the lag screw has an important role in the success of DHS surgery. 226
Poster Topic: General Orthopaedics Abstract number: 24029 INTRA-ARTICULAR MORPHINE INFILTRATION DOES NOT IMPROVE PAIN RELIEF FOLLOWING KNEE ARTHROSCOPY Devendra MAHADEVAN, Mohd GHEEWALA, Srinivas KAMBHAMPATI, Subash TANDON University Hospitals of Leicester, Leicester (UNITED KINGDOM) A trial was undertaken to establish whether the addition of intra-articular morphine reduced pain after knee arthroscopy. Patients listed for minor knee arthroscopic procedures were recruited and quasi-randomised into: Group 1 (10ml 0.5% Marcaine intra-articular infiltration); and Group 2 (10mg morphine in 9ml 0.5% Marcaine). All patients also received 10ml of 0.5% Marcaine around the portal wounds. Questionnaires were provided pre-operatively and pain scores were recorded preoperatively and at 1hr and 24hr after surgery. To date, 39 patients have been included in this study (Group 1 = 19; Group 2 = 20). The mean age of patients was 46 (range 17 to 80).The preoperative pain scores in the two groups were similar (5.4 & 5.37). In Group 1, there was a significant reduction in pain scores at 1hr post-op (3.47, p
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Poster<br />
Topic: General Orthopaedics<br />
Abstract number: 24029<br />
INTRA-ARTICULAR MORPHINE INFILTRATION DOES NOT IMPROVE PAIN<br />
RELIEF FOLLOWING KNEE ARTHROSCOPY<br />
Devendra MAHADEVAN, Mohd GHEEWALA, Srinivas KAMBHAMPATI, Subash<br />
TANDON<br />
University Hospitals of Leicester, Leicester (UNITED KINGDOM)<br />
A trial was undertaken to establish whether the addition of intra-articular morphine<br />
reduced pain after knee arthroscopy. Patients listed for minor knee arthroscopic<br />
procedures were recruited and quasi-randomised into: Group 1 (10ml 0.5% Marcaine<br />
intra-articular infiltration); and Group 2 (10mg morphine in 9ml 0.5% Marcaine). All<br />
patients also received 10ml of 0.5% Marcaine around the portal wounds.<br />
Questionnaires were provided pre-operatively and pain scores were recorded preoperatively<br />
and at 1hr and 24hr after surgery. To date, 39 patients have been<br />
included in this study (Group 1 = 19; Group 2 = 20). The mean age of patients was<br />
46 (range 17 to 80).The preoperative pain scores in the two groups were similar (5.4<br />
& 5.37). In Group 1, there was a significant reduction in pain scores at 1hr post-op<br />
(3.47, p
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