1975
DOI: 10.2106/00004623-197557080-00005
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The early management of open joint injuries. A prospective study of one hundred and forty patients

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Cited by 70 publications
(42 citation statements)
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“…The original description of the use of the saline arthrogram was included in a report on the use of continuous irrigation in the management of open joint injuries by Patzakis et al [4], who studied 140 patients with penetrating joint injuries, including 129 knee injuries. In this report, the authors stated, ''Extravasation of saline from the joint into the wound during arthrocentesis...'' was used as an adjunctive diagnostic method for wounds in which violation of the joint capsule was not evident by physical examination and radiographs [4].…”
Section: Discussionmentioning
confidence: 99%
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“…The original description of the use of the saline arthrogram was included in a report on the use of continuous irrigation in the management of open joint injuries by Patzakis et al [4], who studied 140 patients with penetrating joint injuries, including 129 knee injuries. In this report, the authors stated, ''Extravasation of saline from the joint into the wound during arthrocentesis...'' was used as an adjunctive diagnostic method for wounds in which violation of the joint capsule was not evident by physical examination and radiographs [4].…”
Section: Discussionmentioning
confidence: 99%
“…In this report, the authors stated, ''Extravasation of saline from the joint into the wound during arthrocentesis...'' was used as an adjunctive diagnostic method for wounds in which violation of the joint capsule was not evident by physical examination and radiographs [4]. Voit et al [5] reported 50 consecutive patients evaluated for open joint injuries and compared the effectiveness of clinical evaluation alone versus the saline arthrogram for detecting intraarticular wounds.…”
Section: Discussionmentioning
confidence: 99%
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“…There were no late complications and no subsequent infections in the joints not irrigated or explored because of information obtained by this test. Patzakis et al (1975) described the 'saline load test', but there are no published data regarding the efficacy and safety of the procedure (Leffers 1992).…”
Section: Resultsmentioning
confidence: 99%
“…Therefore, the saline load test was developed to identify whether a superficial injury communicates with the joint. 1 Typically the recommended injection volume has been 50 to 60 mL, although this has never been clinically validated. 2 Clinically, the diagnosis of an intra-articular knee injury is important because it guides management of the patient.…”
Section: Introductionmentioning
confidence: 99%