Arthroscopy Pubmed Results

The purpose of this exploratory pilot study was to compare the composition of humeral head (HH) and iliac crest (IC) bone marrow aspirates (BMA) and establish a framework for evaluating bone marrow aspirate concentrate (BMAC) in arthroscopic rotator cuff repair (RCR). Fifteen patients (mean age of 60, range: 41-74) with full-thickness RC tears underwent arthroscopic RCR with BM aspiration (30 mL) from both the HH and IC. Mononuclear cells (MNCs) before and after concentration, colony-forming...

CONCLUSIONS: In rotator cuff repair, the double row technique was found to be superior to the single row technique in terms of better UCLA score, better tendon healing rate, and lower re-tear rate. No clinically significant differences were found on the Constant-Murley scale or on the ASES scale.

The incidence of advanced osteomyelitis following arthroscopic shoulder surgery is rare, with few documented cases. As the need for shoulder interventions in elderly populations increases, managing these complex infections poses a significant surgical challenge. This report details the case of an 85-year-old woman who presented with fever and a fistulating portal site infection of the right shoulder. Diagnostic workup confirmed methicillin-resistant Staphylococcus aureus (MRSA). She was...

CONCLUSION: Noncompliance with functional restrictions and postoperative physical therapy is a strong independent risk factor for poor patient-reported outcomes at 2 years after hip arthroscopy.

CONCLUSION: Arthroscopic bony hip remplissage is a viable treatment option for young patients who present after failed hip arthroscopy with cam over-resection.

CONCLUSION: The present study demonstrates that both inlay and onlay arthroscopic biceps tenodesis techniques are effective surgical options for managing biceps tendon degeneration and superior labrum anterior-to-posterior lesions. However, the findings suggest a potential advantage of the onlay technique, as it is associated with faster recovery and a lower risk of complications.

CONCLUSION: A parsimonious logistic regression model using routine preoperative variables demonstrated excellent and externally validated discriminative ability for predicting MCID after hip arthroscopy. The model outperformed machine learning algorithms while maintaining superior interpretability. The developed nomogram provides a practical tool for individualized outcome prediction.

CONCLUSIONS: The FAST workstation can be used as a proficiency-based learning tool for residents to safely and effectively develop arthroscopic skills outside of the operating room. These benchmarks were established via a method previously validated in surgical simulation and balance precision and efficiency for skills that are considered generalizable and transferable to arthroscopic surgeries.

Objective: To investigate the causes of failure following arthroscopic anterior cruciate ligament (ACL) reconstruction and to evaluate the outcomes of revision surgery. Methods: A total of 102 patients who underwent revision surgery due to failed ACL reconstruction between January 2017 and December 2022 at Shengjing Hospital of China Medical University were included in this study. All the patients included in the study underwent single-bundle, stage Ⅰ arthroscopic revision ACL reconstruction....

The fracture of the coronoid process can compromise elbow stability. The surgical treatment aims to achieve adequate reduction and stability of the fragment. This article describes how arthroscopic assistance and the use of screws and sutures achieve fragment fixation. Our main objective is to describe the effectiveness of arthroscopy in obtaining reduction and fixation of isolated coronoid process fractures. This technique allows for optimal fragment stability and early rehabilitation.

Rotator cuff tears (RCTs) are a primary cause of shoulder pain and dysfunction. The progression of these tears, coupled with the intricate biomechanics of the shoulder joint, makes the repair and management of massive rotator cuff tears (MRCTs) particularly challenging for surgeons. For younger patients who are ineligible for arthroplasty, surgical approaches for MRCTs-such as biologic augmentation, interpositional grafts, and techniques like superior capsular reconstruction and biceps rerouting...

Pain after arthroscopic elbow surgery seriously impairs patients' quality of life, and its clinical management remains a significant challenge at present.

The aim of this study was to investigate the association between the critical shoulder angle (CSA) and the clinical outcomes following arthroscopic rotator cuff repair (RCR). An ambispective study was conducted in patients who underwent arthroscopic RCR and had adequate preoperative radiological shoulder studies (type A and 1 according to Suter and Henninger). Fifty-six patients with a minimum prospective follow-up of 3 years were included: 28 with a CSA >35º and 28 with a CSA <35º prior to...

Anterior Cruciate Ligament (ACL) injuries in the knee are common orthopedics injuries, affecting patients of various ages and activity levels. Now-a-days use of quadriceps tendon (QT) autograft has been steadily increasing for ACL reconstruction. This Prospective interventional study was conducted in the Department of Orthopedic Surgery, Bangladesh Medical University (BMU), Bangladesh from March 2020 to August 2022 to evaluate the Functional outcome of arthroscopic isolated ACL reconstruction...

CONCLUSIONS: With standardized initial proficiency, a contracting retraining schedule with higher late-sequence practice density improves short to intermediate term retention of basic arthroscopic surgical skills. This schedule is compatible with duty-hour realities and may enhance operative efficiency and safety.

CONCLUSION: Although AVFs following TMJ arthroscopy are rare, early recognition and appropriate treatment are crucial. Superselective arterial embolization with PHIL represents an effective, minimally invasive treatment for TMJ-associated AVFs. This case highlights the importance of prompt intervention in managing vascular complications following TMJ arthroscopy and demonstrates PHIL's potential as an embolic agent in high-flow fistulas.

CONCLUSION: Patient-specific 3D-printed guides enable the effective creation of two anatomically accurate tibial tunnels for medial meniscus posterior root repair. This approach offers a rapid and precise solution for anatomical restoration using MRI-guided planning.

CONCLUSION: This study provides the novel, initial clinical evidence for a single-stage arthroscopic procedure which incorporates complete arthroscopic ankle arthrodesis and arthroscopic fibular osteotomy in severe varus deformities. It can be effectively used with similar fusion and recovery times, by eliminating mechanical obstruction caused by the fibula in varus OA without necessitating additional surgical incisions.

Orthopaedic sports surgeons continue to strive for improved patient outcomes. An increasing number of studies indicate that surgical outcomes are improved and complications minimized when procedures are performed by surgeons with a higher volume of the indicated procedure. By developing a specific area of expertise, surgeons can gain recognition as an expert within their region, build patient volume within that area, and optimize patient outcomes. On the other hand, when surgeons feel a pressure...

CONCLUSIONS: This study showed a negative correlation between increased anxiety/depression and iHOT-12 outcomes; however, this was not reflected in the relative improvement in outcomes. Those with greatest preoperative anxiety/depression were at greater risk of not achieving minimally clinically important difference yet were most likely to see an improvement in their anxiety/depression scores.

Disorders of mental health and wellness are frequently encountered in patients with femoroacetabular impingement syndrome (FAIS) undergoing arthroscopic hip preservation surgery. Anxiety and depression are the two most common mental health diagnoses that coexist with intra-articular hip diagnoses. There is significant overlap with symptoms of anxiety and depression (sleep disturbance, energy loss, and concentration difficulties), and roughly three quarters of patients with either anxiety or...

CONCLUSION: Hip arthroscopy-assisted surgery significantly reduced perioperative morbidity and achieved equivalent, excellent clinical function compared with the anterior approach in the short- to mid-term, despite a higher rate of imperfect radiographic reductions. In carefully selected Pipkin type I fractures involving small, non-weight-bearing fragments, fragment excision was associated with favorable functional outcomes, supporting its role as a selective treatment option rather than a...

Arthroscopy has evolved significantly with advancements in instrumentation and surgical techniques. The introduction of needle arthroscopy represents a promising minimally invasive alternative and, has for the wrist proven to offer a reduced soft tissue trauma with still maintained diagnostic and therapeutic efficacy. The purpose of this study was to evaluate the safety and visualization capabilities of needle arthroscopy of the elbow using cadaveric specimens. Six fresh-frozen cadaveric elbows...

CONCLUSIONS: ITD yielded improvements when treating iliopsoas impingement during hip arthroscopy. ITDs had comparable improvements in PROs, resolution in painful internal snapping, and underwent revision arthroscopy at similar rates when compared to IFLs.

Internal snapping hip (ISH) is a relatively rare pathology in which the iliopsoas tendon "snaps" over anterior hip structures, causing pain and debilitation to patients. Although conservative management is routinely successful, patients will occasionally progress past the conservative measures and opt for surgical management. The advent of arthroscopy in treating hip pathology has provided a novel avenue in treating this patient population; however, identifying the specific technique that...

In the past 2 decades, posteromedial ramp repair for meniscocapsular lesions has transitioned from a challenging surgical technique to a vital element of anterior cruciate ligament reconstruction. Emerging biomechanical and clinical evidence underscores the posterior approach as the sole method offering direct visualization and effective engagement of meniscotibial structures. This technique enables precise debridement, stable fixation, and enhanced biological healing. Comparative studies reveal...

CONCLUSIONS: UTB may be considered a safer and a technically easier approach than ISB for providing equivalent intra and postoperative regional analgesia in arthroscopic shoulder surgery by anaesthesia trainees.

CONCLUSIONS: Compared with isolated OWHTO, concurrent meniscus centralization with all-inside root repair resulted in reduced MME and improved meniscal healing, but did not confer superior clinical outcomes and was associated with a greater loss of knee flexion, particularly in patients with preoperative hyperflexion.

Radial styloidectomy (RS) is a surgical procedure used to address radioscaphoid arthritis and radioscaphoid impingement. It involves removing the distal portion of the radial styloid to relieve pressure on the radioscaphoid joint. The procedure can be performed open or arthroscopically. Open RS provides direct access but can be more invasive, while arthroscopic RS offers better visualization and preservation of volar radiocarpal ligaments such as the radioscaphocapitate (RSC). The key challenge...

The 4-corner and 3-corner fusions are established treatments for scapholunate and scaphoid nonunion advanced collapse arthritis, effectively alleviating pain while maintaining partial mobility. Traditionally performed via open techniques, advancements in arthroscopy now allow for minimally invasive approaches that may prove to reduce complications and accelerate recovery. Various fixation methods, including compression screws, dorsal plates, staples, and Kirschner wires influence stability and...

Although radioscapholunate (RSL) and lunotriquetral (LT) fusions are less commonly performed than other limited carpal fusions, they can relieve pain, correct deformity, and restore function for appropriately selected patients with wrist arthritis or instability. Distal scaphoid excision and triquetrum excision may improve range of motion in patients undergoing RSL fusion. Although complete LT coalitions are often asymptomatic, LT fusion may be considered to eliminate motion at the...

Proximal row carpectomy (PRC) is a workhorse surgical procedure used to treat degenerative and traumatic wrist conditions to preserve wrist range of motion. Various modifications of grafts have been used to expand indications. As minimally invasive arthroscopic options become increasingly popular, the use of the wrist arthroscope as a possible adjunct to perform PRC has also come under scrutiny. While it has the potential advantages of minimal soft tissue injury with faster postoperative...

Total wrist arthrodesis or fusion (TWF) is a complex procedure that is indicated for advanced wrist arthritis. It is indicated for the management of advanced rheumatoid arthritis and posttraumatic arthritis such as scapholunate advanced collapse or scaphoid nonunion advanced collapse. At the expense of wrist motion, it provides adequate pain relief and therefore, patients should be carefully selected. Multiple techniques have been described through both open and arthroscopic approaches. In this...

An important challenge in the management of thumb carpometacarpal (CMC) joint arthritis is determining the most appropriate surgical approach for any given clinical scenario, once non-operative treatment has been exhausted. The variety of surgical procedures available highlights the fact that there is no general consensus on the optimal surgical treatment of this condition. With the advancement in wrist arthroscopy, the use of arthroscopic-assisted treatment for basilar joint arthritis has...

The surgical management of wrist arthritis in a young patient requires a detailed understanding of wrist anatomy and thoughtful surgical approach. The carpus can be accessed through open and arthroscopic techniques, allowing both visualization and assessment of volar and dorsal wrist anatomy. The chosen approach is guided by the pathology and exposure required to safely perform the necessary procedures.

CONCLUSIONS: Knee cartilage injury was highly prevalent in patients undergoing primary arthroscopy. Patellar and trochlear cartilage were the most frequently and most severely affected, respectively. Patella-related disorders carried the greatest risk of concomitant cartilage damage. Several potentially modifiable factors, including regular sports participation, were associated with injury occurrence, underscoring opportunities for prevention and early intervention.

Arthroscopic meniscal surgery remains controversial regarding optimal tissue management strategies. While partial meniscectomy provides immediate symptom relief, concerns persist about accelerated joint degeneration. Meniscal repair preserves tissue but requires technical expertise and prolonged rehabilitation. This study aims to comprehensively compare mid-term outcomes between arthroscopic meniscal repair and partial meniscectomy through multidimensional assessment of biochemical, functional,...

Hip arthroscopy femoroacetabular impingement syndrome continues to evolve, changing trends and constant pendulum swinging. While hip arthroscopy initially was performed with a capsulectomy, fastidious capsular management has became the norm over the last decade. Recently, the utility of routine capsular closure has again been called into question, with several studies finding minimal differences between repaired and unrepaired cohorts. Like most controversies in orthopaedics, the answer is...

CONCLUSIONS: When interportal capsulotomy was applied in hip arthroscopy, capsular repair did not show consistent superiority over nonrepair in femoroacetabular impingement patients at 2-year follow-up. No significant differences were observed in the modified Harris Hip Score and revision rates. Routine capsular closure cannot be universally recommended for interportal capsulotomy.

CONCLUSIONS: The study demonstrates the presence of floor and ceiling effects in the iHOT-12 for patients undergoing hip preservation surgery. The floor and ceiling effects were similar between patients undergoing hip arthroscopy or PAO. The study also suggests that some patients may experience greater improvement than reflected in post-operative iHOT-12 scores. Future research should focus on identifying patients at risk of floor and ceiling effects and explore modifications to PROMs to enhance...

CONCLUSION: Acetabular chondral involvement of ≥ 3 Ilizaliturri zones was associated with a lower probability of achieving clinically meaningful improvement after hip arthroscopy. Cartilage extent may provide prognostic information beyond lesion severity and should be considered during preoperative counseling and surgical decision-making.

CONCLUSIONS: Endoscopic GM repairs yield significant improvement in functional PROs at 5-year minimum follow-up with a high percentage of patients meeting clinically relevant thresholds. Moreover, patients showed continued improvement over time, with score enhancements observed from 2 to 5 years postsurgery. An 88.46% revision-free survival rate was observed, with all revision endoscopies being females who had high-grade to full-thickness GM tears.

CONCLUSIONS: ARCR + BCI was determined to be the dominant, cost-effective treatment strategy to reduce retears for symptomatic, medium-to-large rotator cuff tears based on the Monte Carlo microsimulation and probabilistic sensitivity analysis. Patients treated ARCR alone faced higher retear rates, leading to greater downstream costs that ultimately exceeded those of the ARCR + BCI group.

CONCLUSIONS: Arthroscopic SCR with acellular dermal allograft substantially improves patient-reported outcomes at midterm follow-up, with a low overall reoperation rate. However, structural deterioration, including decreased acromiohumeral distance and a high graft failure rate, suggests that SCR may not significantly alter the natural history of massive rotator cuff tears.

CONCLUSIONS: CAD and PAD significantly increase the risk of rotator cuff retear at 6 months, 1 year, and 4 years in addition to significantly increasing the risk of postoperative complications within 90 days following ARCR.

CONCLUSIONS: Posterior-approach repair of medial meniscal posterior horn ramp lesions using the all-inside meniscal repair devices resulted in superior healing compared with the anterior-approach.

CONCLUSIONS: Excellent clinical outcomes can be achieved in patients undergoing ABT with significant functional improvement and pain reduction in patients with massive, irreparable rotator cuff tears. These outcomes can be equally achieved in males and females, and in shoulders that are Hamada 1 to 3. Outcomes of patients with >2 years follow-up were similar to those with 1-year follow-up and 1 to 2 years follow-up.

CONCLUSION: Arthroscopic-assisted reduction and percutaneous proximal-row fixation without ligament repair appears feasible and safe, yielding excellent short-term functional and radiographic outcomes with minimal morbidity. Larger studies with longer follow-up are needed to determine long-term durability.

CONCLUSION: Dorsal wrist capsular impingement presents with chronic, extension-provoked dorsal-central wrist pain, often despite nondiagnostic imaging. Arthroscopy may aid diagnosis and management, with reported intraoperative findings and symptomatic improvement in selected patients. Current evidence is limited to small retrospective studies, and prospective research is needed to better define diagnostic criteria and outcomes.

CONCLUSION: Arthroscopic-assisted closed reduction and internal fixation with absorbable screws for Hawkins type Ⅱ talar neck fractures has the advantages of minimal trauma, precise screw placement, few complications, and avoiding secondary screw removal, with satisfactory effectiveness.