Christopher Reilly
MD, FRCSC
Investigator, BC Children's Hospital
This study was a post-operative functional outcomes study. The Lysholm and International Knee Documentation Committee (IKDC) questionnaires were administered in addition to clinical measurements. The patients were divided into two groups, those who had undergone a four strand repair and those who had undergone an over-the-top repair. The outcomes of the two procedures were then compared. The results will be submitted to a peer-reviewed publication for publication.
Most children receive opioid (morphine-derived) pain relievers in the first 24 to 48 hours after the surgery. Opioids have significant side effects such as nausea, vomiting, itching, urinary retention, and sedation. The side effects from opioids have the potential to increase the length of hospital stay following surgery. By blocking a nerve before surgery (pre-emptive analgesia), the establishment of pain sensation at the site is prevented and less pain will be experienced when the effects of the block have worn off; therefore, there may be less of a need for opioids. Femoral nerve blocks are an accepted technique for use in children; however, to date, this is the first randomized trial examining the effectiveness of femoral nerve block in reducing post-operative pain in children.
Video Assisted Thoracoscopic Surgery (VATS) is a new technique used in spinal deformity surgery that allows the surgeon to avoid opening the entire chest wall. Using selected peri-operative and post-operative measures, VATS was compared to the traditional open thoracotomy. The results of this study have been accepted for publication in The Canadian Journal of Surgery.
Dean M.M. Weaver Medal and Prize – 1988
Zimmer Orthopaedic Prize – 1993
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