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: Sports Medicine - Knee Abstract number: 25523 HIGH AND LOW-POLE MRI OF THE KNEE: COMPARISON OF ACCURACY. Dmitriy ILYIN 1 , Andrey KOROLEV 1 , Sergey MOROZOV 2 , Pavel FILISTEEV 3 1 PFU, ECSTO, Moscow (RUSSIA), 2 MMA, Moscow (RUSSIA), 3 MMA, ECSTO, Moscow (RUSSIA) PURPOSE: evaluation sensitivity, specifity, NPV, PPV and accuracy of high- and low-pole MRI of the knee joint. MATERIALS AND METHODS: retrograde investigation of 100 operated knees with lesions of medial and lateral menisci, ACL and gialine cartilage. Half of them were pre-operative evaluated using low-pole MRI (less then 1,0 T), the other half - using high pole MRI (1.5 or 3.0T). The evaluations were performed in different diagnostic centers by different radiologists. Arthroscopy was performed by skillful orthopedists in our clinic and used as gold standard. RESULTS: The most pronounced difference was seen in diagnostic of ACL lesions: for the low-pole MRI sensitivity was 40,0%, specifity - 84,6%, NPV - 47,8 %, PPV - 80,0%, accuracy - 57,5%. The same parameters for high pole MRI were: sensitivity - 82,0%, specifity - 91,0%, NPV 66,7%, PPV - 91,0%. Total accuracy of low-pole MRI was 65,7%, of high-pole MRI - 74,8%. The results were higher in Orthopaedicsspecialised centers. CONCLUSIONS: high-pole MRI is significantly better diagnostic tool for lesions of the knee than the low-pole one. 482
Poster Topic: Sports Medicine - Knee Abstract number: 25709 USE OF THE GROWING FACTORS IN THE RECONSTRUCTION OF THE Elisabetta DIOTTI, Roberto PELUCCHI, Pasquale GIFUNI, Claudio MANZINI Ao di Desio e Vimercate, Giussano (ITALY) The platelets contain various growing factors (GF) that once activated give a stimulation effect on the migration and proliferation of various cellular types. The growing factors in the platelet-rich-plasma (PRP) allow obtaining a revitalization of tissue and ther faster recovery. Stimulated from the data collected in literature we have tried a new application of the GF in the surgical reconstruction of the ACL: in particular we wanted to study the effect of PRP on bleeding and post-operative painful symptomatology. We have considered four continuous series of young sportsmen operated of reconstruction of the ACL: A) reconstruction LCA with ST-Gr + GF B) reconstruction LCA with ST-Gr without GF C) reconstruction LCA with BPTB + GF D) reconstruction LCA with BPTB without GF The patients included in this study practiced different sports. Results: the pain is increased in all groups in the first postoperative day and reduced at the removing of the drains: in the groups A and C the pain is reduced with important values. The edema is very reduced in the groups A and C in III post-operative day. Conclusions: the use PRP in patients operated of reconstruction of the ACL with ST +Gr and BPTB allows the reduction of the postoperative pain, of the the blood loss and the edema versus the control groups. All this means better compliance of the patient to rehabilitation protocol and a faster return to the sporting activity and to the specific athletic practice. All this means a faster return to “SAME SPORT-SAME LEVEL”. 483
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Poster<br />
Topic: Sports Medicine - Knee<br />
Abstract number: 25709<br />
USE OF THE GROWING FACTORS IN THE RECONSTRUCTION OF THE<br />
Elisabetta DIOTTI, Roberto PELUCCHI, Pasquale GIFUNI, Claudio MANZINI<br />
Ao di Desio e Vimercate, Giussano (ITALY)<br />
The platelets contain various growing factors (GF) that once activated give a<br />
stimulation effect on the migration and proliferation of various cellular types. The<br />
growing factors in the platelet-rich-plasma (PRP) allow obtaining a revitalization of<br />
tissue and ther faster recovery. Stimulated from the data collected in literature we<br />
have tried a new application of the GF in the surgical reconstruction of the ACL: in<br />
particular we wanted to study the effect of PRP on bleeding and post-operative<br />
painful symptomatology. We have considered four continuous series of young<br />
sportsmen operated of reconstruction of the ACL: A) reconstruction LCA with ST-Gr<br />
+ GF B) reconstruction LCA with ST-Gr without GF C) reconstruction LCA with BPTB<br />
+ GF D) reconstruction LCA with BPTB without GF The patients included in this study<br />
practiced different sports. Results: the pain is increased in all groups in the first postoperative<br />
day and reduced at the removing of the drains: in the groups A and C the<br />
pain is reduced with important values. The edema is very reduced in the groups A<br />
and C in III post-operative day. Conclusions: the use PRP in patients operated of<br />
reconstruction of the ACL with ST +Gr and BPTB allows the reduction of the postoperative<br />
pain, of the the blood loss and the edema versus the control groups. All this<br />
means better compliance of the patient to rehabilitation protocol and a faster return to<br />
the sporting activity and to the specific athletic practice. All this means a faster return<br />
to “SAME SPORT-SAME LEVEL”.<br />
483