POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
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E-poster #818<br />
Arthroscopic Treatment of Traumatic Knee<br />
Joint with Hematoma in Children and<br />
Adolescents<br />
Urszula Zdanowicz, Warsaw, POLAND, Presenter<br />
Robert Smigielski, Warsaw, POLAND<br />
Stefan Matuszewski, Warsaw, POLAND<br />
Michal Drwiega, Warsaw, POLAND<br />
Carolina Medical Center, Warsaw, POLAND<br />
Goal: Our goal was to evaluate retrospectively the<br />
indications for arthroscopic treatment in children<br />
and adolescents after acute knee trauma.<br />
Material and methods: In the 1997-1998 and from<br />
April 2003 till march 2004 we have established<br />
program of arthroscopic treatment in children and<br />
adolescents with knee hematoma after trauma.<br />
In this time we performed 116 arthroscopies in<br />
children and adolescents, in 37 cases after acute<br />
sport-related trauma - mean age was 13,5 (6-17),<br />
32%girls, 68% boys. Each child had a recent<br />
history of acute knee trauma and presented very<br />
painfull and swollen knee joint. In every case we<br />
did bilateral X-ray A-P, lateral and Merchant's<br />
views. Arthroscopy was performed under general<br />
anesthesia.<br />
Results: In all cases except two we found<br />
hematoma. Other intraarticular injuries: cartilage<br />
injuries in 48,25% cases, ACL - 15,62%, plica<br />
mediopatellaris - 19,1%, medial retinaculum<br />
injury - 52%, medial meniscus - 13,5%, lateral<br />
meniscus - 10,75%, loose bodies - 27,5%, synovitis<br />
- 59,9%, compressive fracture - 36%, intercondylar<br />
eminentia fracture - 9,19%, patella subluxaction -<br />
52% of cases. In all cases of intercondylar<br />
eminentia fractures other injuries were presented:<br />
partial ACL injuries (posterolateral part) - 3,<br />
meniscal injury -1, patella cartilage fractures - 1.<br />
Only in 36,6% cases X-ray was Presenter some<br />
pathology.<br />
Conclusion: Knee arthroscopy in children and<br />
adolescent patients being safe, gives a high<br />
diagnostic accuracy, and what’s the most<br />
important allows treatment of a variety of<br />
intraarticular conditions, which are not seen in<br />
rutine X-Ray. We do believe that urgent (within 48<br />
hours) knee arthroscopy should become a<br />
standard in children after trauma and with clinical<br />
sympthoms of hemarthroma, even if rutine X-ray<br />
is normal.<br />
E-poster w/ Standard #820<br />
Video Informed Consent Improves Knee<br />
Arthroscopy Patient Comprehension<br />
Michael Rossi, Presenter<br />
James H Lubowitz, Taos, NM USA<br />
Dan Guttmann<br />
Megan J. MacLennan<br />
Taos Orthopaedic Institute Research Foundation,<br />
Taos, NM, USA<br />
Purpose: The purpose of this study is to test the<br />
hypothesis that video informed consent improves<br />
knee arthroscopy patient comprehension and<br />
satisfaction as compared to traditional verbal<br />
informed consent.<br />
Type of Study: Prospective, randomized, casecontrol<br />
study.<br />
Methods: Consecutive patients having informed<br />
consent in preparation for knee arthroscopy by a<br />
single surgeon were stratified by educational level<br />
less than or equal to 12th grade or greater than<br />
12th grade, then randomized to video or<br />
traditional verbal informed consent groups.<br />
Immediately after the informed consent process,<br />
patients completed an outcome questionnaire<br />
evaluating comprehension and satisfaction.<br />
Results: Patients in the video group<br />
demonstrated significantly higher comprehension<br />
(78.5%) than patients in the verbal group (65.4%)<br />
(p=0.00001). In the subgroup with less than or<br />
equal to 12th grade education level, the video<br />
patients scored 73.1% comprehension and the<br />
verbal patients only 54.2% (p=0.0011). In the<br />
subgroup with greater than 12th grade education<br />
level, the video patients scored 82.3% and the<br />
verbal patients scored 72.2% (p=0.0002).<br />
There was no significant difference in subjective<br />
self-assessment of satisfaction between groups.<br />
Conclusion: Video informed consent improves<br />
knee arthroscopy patient comprehension as<br />
compared to traditional verbal informed consent.<br />
E-poster w/ Standard #821<br />
Internal Fixation of Osteochondral Lesion of<br />
the Knee with PLLA Pins<br />
Takashi Natsu-ume, Sakai, Osaka JAPAN,<br />
Presenter<br />
Shuji Horibe, Sakai, Osaka JAPAN<br />
Tomoki Mitsuoka, Yao, Osaka JAPAN<br />
Keisuke Kita, Suita, Osaka JAPAN<br />
Yoshiki Shiozaki, Sakai, Osaka JAPAN<br />
Norimasa Nakamura, Suita, Osaka JAPAN<br />
Konsei Shino Habikino Osaka JAPAN<br />
Osaka Rosai Hospital, Sakai, Osaka, JAPAN<br />
Type of Study: Retrospective Analysis
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