POSTER ABSTRACTS - ISAKOS

1000 arthrometer ® at 20 and 80 degrees of knee
flexion applying the anterior force of 89 N or
posterior force of 133 N. No difference was found
between two groups at anteroposterior laxity at 20
degrees of flexion (8.9 mm in PS; 9.4 mm in UC),
postoperative range of motion (106.8 degree in
PS; 107.6 degree in UC), and lateral laxity (7.6
degree in PS; 7.9 degrees in UC). However
significant difference was found in anteroposterior
laxity at 80 degrees of flexion (5.6mm in PS;
7.0mm in UC) (p=0.008), the difference was 1.4
mm on average. Since UC knee prosthesis has
little drawbacks compared with PS knee
prosthesis, similar stability found in UC knees as
PS knees in this study might indicate the
superiority of the UC knees.
E-poster #804
Effects of Isokenetic Training for Leg Flexion
and Extension Muscle: A Review
Maria Stella Peccin, Sao Paulo, BRAZIL,
Maria Carolina Matarazzo, Sao Paulo, BRAZIL
UNIFESP-FEREAL UNIVERSITY OF Sao Paulo,
BRAZIL
The purpose of this study is a literature review
about isokinetic training for leg flexion and
extension muscles, in order to allow applicability
based in scientific evidence for the clinical
practitioner, or those who intend to include the
isokinetic dynamometer in a training or
rehabilitation process in their daily practice. An
analytical review of clinical trials, retrospective
and case studies in which isokinetic training of
any type for leg flexion and extension muscles was
performed with a group of healthy subjects and/or
with those with knee diseases, was performed. The
used sources of studies were: the electronic data
bases LILACS, MEDLINE, Cochrane; a list of
references of the found studies; manual search in
indexed magazines; and finally, e-mail
communication with the author. Thirty eight
studies were selected from a total number of five
hundred and forty two articles found in the
bibliographical search. They were classified and
described. It was possible to observe that
isokinetic tests and training protocols are
variable, besides that, most of them did not meet
all the standard requirements that could interfere
in tests results. Accomplishment of studies that
have a thorough standard method, fulfilling the
necessary standardizations of isokinetic tests and
which follow more homogeneous training
protocols that can be possibly compared
permitting a clinical and experimental
reproduction of the results are required, besides
the need for a systematic review about the
subject.
E-poster #805
Continuous Femoral Block: A Comparison with
Endovenous Continuous Analgesia in
Reconstruction of Anterior Cross Knee
Ligament Under Arthroscopic Assistance
Alvaro Cristian Ojeda, CHILE, Presenter
Victor Contreras, Concepcion, CHILE
Paulina Carbonell, Concepcion, CHILE
Esteban Diaz, Concepcion, CHILE
Edgardo Sanzana, Concepcion, CHILE
Fredy Cristian Montoya, Concepcion, CHILE
Worker´s Hospital Concepcion. University of
Concep, Concepcion, CHILE
BACKGROUND:
Continuous Femoral Block (CFB) is use for
postoperative analgesia in joint replacement of
hip and knee with very good results, because it
offers advantages in comparison with other
locoregional or endovenous analgesic techniques
and has low incidence of complications. The aim
of this study was to clinically evaluate the utility
of the continuous femoral block compared with
endovenous analgesia in reconstruction of
anterior cross knee ligament under arthroscopic
assistance.
METHODS:
Controlled prospective study of 31 patients ASA I
scheduled for surgery between December 2001
and March 2003. The patients were divided into
two grups: Group I (n=15) received a continuous
femoral block installed under neurostimulation
with an infusion of bupivacaine and clonidine;
Group II (n=16) received endovenous infusion of
ketoprofen. All patients received spinal anesthesia
and sedation for the surgical procedure. For
postoperative pain, all patients received morphine
in PCA. Postoperative pain was recorded at 2, 4, 6,
24 and 36 hours after surgery using the Visual
Analog Scale (VAS). Morphine consumption is
compared between the two . Results were
analyzed using ANOVA and t Student test,
considering p < 0.05 significant.
RESULTS:
In Group I postoperative VAS between 4 and 24
hours was 1.3 mm +/- 0.2 and in Group II was 4.7
mm +/- 0.4 (p=0.001). Morphine consumption
between 4 and 24 hours after surgery in Group I
was 3 mg +/- 1.5 and in Group II was 15 mg +/- 1.5