Arthroscopic Treatment of Metacarpophalangeal Arthropathy in Haemochromatosis

1994 ◽  
Vol 19 (2) ◽  
pp. 212-214 ◽  
Author(s):  
G. DECLERCQ ◽  
G. SCHMITGEN ◽  
J. VERSTREKEN
Keyword(s):  
Open Surgery ◽  
Arthroscopic Surgery ◽  
Arthroscopic Treatment ◽  
Small Joint ◽  
Detailed Technique ◽  
Arthroscopic Operations

A 37-year-old sports teacher suffering from idiopathic haemochromatosis with arthropathy of the MP joints has been treated and followed-up by us for 4 years. Three out of four affected MP joints were treated with arthroscopic operations; one of these had been treated elsewhere previously by arthrotomy. This article presents a brief review of the condition and its treatment by arthroscopic surgery with detailed technique. We believe that MP joint arthroscopy in certain cases is an alternative to open surgery and gives excellent results. No specific instruments are needed apart from a standard small joint arthroscopy set.

scholarly journals Arthroscopic Treatment of Symptomatic Congenital Lunotriquetral Coalition

2018 ◽  
Vol 07 (04) ◽  
pp. 341-343 ◽  
Author(s):  
Benoit Mariotte ◽  
Gilles Candelier ◽  
Thomas Apard
Keyword(s):  
Conservative Treatment ◽  
Cancellous Bone ◽  
Bone Grafting ◽  
Open Surgery ◽  
Arthroscopic Treatment ◽  
Cancellous Bone Grafting ◽  
Left Wrist

AbstractSymptomatic lunotriquetral coalition is very rare and need open surgery after failure of conservative treatment. We report a case of a symptomatic congenital lunotriquetral coalition type 1 according to the Minaar classification, at the left wrist of a 14-year-old boy. We performed an arthroscopic treatment with two compression screws and without cancellous bone grafting. Healing was obtained at 2 months postoperatively.

scholarly journals Radiological Classification and Clinical Results of Arthroscopic and Open Surgical Release for Elbow Osteoarthritis: A Two-Center Comparative Case Series

2021 ◽  
Author(s):  
Masahiro Tatebe ◽  
Akimasa Morita ◽  
Toshikazu Kurahashi ◽  
Hitoshi Hirata
Keyword(s):  
Range Of Motion ◽  
Open Surgery ◽  
Arthroscopic Surgery ◽  
Intraclass Correlation ◽  
Case Series ◽  
Clinical Results ◽  
Ectopic Ossification ◽  
Surgery Group ◽  
Elbow Osteoarthritis ◽  
Group A

Abstract Background This study aimed to compare the image classification and clinical results in cases of debridement arthroplasty for elbow osteoarthritis and to compare between open and arthroscopic surgery performed at two independent facilities. Methods Of the 51 patients who underwent surgery for elbow osteoarthritis performed by two doctors, 36 patients whom we were able to observe for more than 6 months were included. One doctor performed open surgery at one hospital, while another doctor performed arthroscopic surgery at the other hospital. There were 15 cases of open surgery (group O) and 21 cases of arthroscopic surgery (group A). All patients were examined for the range of motion, Hand20 score, and pain. The degree of osteoarthritis was examined using the Broberg and Morrey classification and Hastings and Rettig classification. The intra- and interobserver degree of agreement of the two classifications were analyzed using intraclass correlation coefficients.ResultsThe range of motion improved in both groups. There were no significant differences between the two groups with respect to incidence of ulnar symptoms, operation time, postoperative Hand20 score, postoperative pain, and degree of radiological osteoarthritis. The intra- and interobserver degree of agreement for radiological classifications were moderate to substantial and moderate, respectively. There was no correlation between the clinical results and radiological classifications. One patient in group A showed ectopic ossification but no serious complications or adverse events, such as nerve damage, were observed in either group. ConclusionsAt the time of the final follow-up, nearly the same results were observed in both groups. No relationship was found between symptoms and radiological osteoarthritis classification scores. Level of EvidenceTreatment study Level III

scholarly journals Arthroscopic Treatment of Septic Arthritis of the Elbow in a 4-Year-Old Girl

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Masashi Koide ◽  
Yuichi Tojo ◽  
Yoshihiro Hagiwara ◽  
Souichi Nakajima ◽  
Minoru Tanaka ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Clinical Condition ◽  
Arthroscopic Surgery ◽  
Arthroscopic Treatment ◽  
Joint Aspiration ◽  
Good Clinical Condition ◽  
Open Arthrotomy

Pediatric septic arthritis is uncommon and has been traditionally treated by joint aspiration or open arthrotomy. There are some reports about arthroscopic surgery in pediatric septic arthritis of the knee, hip, and shoulder. However, there is no report for the case of elbow. We report a case of pediatric septic arthritis of elbow treated with arthroscopically with good clinical condition at 3-year follow-up. This paper is based on a report first published in Japanese (Tojo (2012)).

Outcomes of Hip Arthroscopic Surgery in Patients With Tönnis Grade 1 Osteoarthritis at a Minimum 5-Year Follow-up: A Matched-Pair Comparison With a Tönnis Grade 0 Control Group

2017 ◽  
Vol 45 (10) ◽  
pp. 2294-2302 ◽  
Author(s):  
Benjamin G. Domb ◽  
Edwin O. Chaharbakhshi ◽  
Danil Rybalko ◽  
Mary R. Close ◽  
Jody Litrenta ◽  
...  
Keyword(s):  
Arthroscopic Surgery ◽  
Arthroscopic Treatment ◽  
Matched Pair ◽  
Harris Hip Score ◽  
Control Group ◽  
Pair Comparison ◽  
Labral Tears ◽  
Vas Scores ◽  
Tönnis Grade

Background: Studies on midterm outcomes of the arthroscopic treatment of femoroacetabular impingement (FAI) and labral tears with mild osteoarthritis (OA) are limited. Purpose: To evaluate outcomes of the arthroscopic treatment of FAI and labral tears in patients with mild preoperative OA (Tönnis grade 1) at a minimum 5-year follow-up, and to perform a matched-pair comparison to a control group with Tönnis grade 0. Study Design: Cohort study; Level of evidence, 3. Methods: Data were prospectively collected on patients who underwent hip arthroscopic surgery between February 2008 and April 2011. Inclusion criteria were arthroscopic treatment for FAI and labral tears and having preoperative patient-reported outcome (PRO) scores, including the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), and Hip Outcome Score–Sports-Specific Subscale (HOS-SSS), and visual analog scale (VAS) scores for pain. Exclusion criteria were workers’ compensation claims, preoperative Tönnis grade ≥2, and previous hip conditions (ipsilateral surgery, slipped capital femoral epiphysis, avascular necrosis, and dysplasia). Patients with minimum 5-year outcomes were eligible for matching on a 1:1 ratio (Tönnis grade 0 vs 1) based on age ±5 years, body mass index ±5 kg/m2, sex, labral treatment, and capsular treatment. Results: Of 356 eligible hips, 292 hips had minimum 5-year outcomes (82%). Eighty-five hips with Tönnis grade 1 were evaluated. At 5-year follow-up, patients with Tönnis grade 1 had significant improvements in all PRO and VAS scores ( P < .0001). The overall satisfaction score was 8.2. The survivorship rate with respect to conversion to total hip arthroplasty for the Tönnis grade 1 group was 69.4% at 5 years, while in the Tönnis grade 0 group, it was 88.4% ( P = .0002). Sixty-two hips with Tönnis grade 0 were matched to 62 hips with Tönnis grade 1. Both groups demonstrated improvements in all PRO and VAS scores from preoperatively to postoperatively ( P < .0001). No significant differences existed between preoperative or postoperative scores or survivorship between the groups. Conclusion: The arthroscopic treatment of FAI and labral tears in patients with Tönnis grade 1 had good results at 5-year follow-up. After controlling for other variables using a matched-pair comparison, patients with Tönnis grade 1 had similar, durable improvements to those with Tönnis grade 0. While strict surgical indications and appropriate expectations are recommended for patients with mild OA, Tönnis grade 1 alone should not be considered a contraindication to hip arthroscopic surgery.

scholarly journals ANALYSIS OF THE SPECIFIC FEATURES OF THE USE OF PHYSIOTHERAPEUTIC METHODS IN PATIENTS WHO UNDERWENT ARTHROSCOPIC OPERATIONS ON THE KNEE JOINT IN 2018–2019 AT THE MEDICAL UNIT OF THE MINISTRY OF INTERNAL AFFAIRS OF RUSSIA IN THE REPUBLIC OF TATARSTAN

2021 ◽  
Vol 14 (5) ◽  
pp. 51-55
Author(s):  
TATIANA G. SAKOVETS ◽  
◽  
ENVER I. BOGDANOV ◽  
GULNARA R. KHUZINA ◽  
ELENA N. BARYSHEVA ◽  
...  
Keyword(s):  
Knee Joint ◽  
Arthroscopic Surgery ◽  
Joint Damage ◽  
Physical Factors ◽  
Medical Unit ◽  
Clinical Hospital ◽  
Physiotherapy Department ◽  
Internal Affairs ◽  
The Republic ◽  
Arthroscopic Operations

Background. Diseases of the musculoskeletal system are the most common cause of disability in the modern world, and the prevalence of these diseases is increasing at an alarming rate. Currently, various types of arthroscopic operations on the knee joint are performed – for meniscus damage (including meniscus suture), instability of the knee joint, damage to the cruciate complex, articular cartilage, patellar instability, free joint bodies, pathological folds, synovitis, knee arthrosis, and rheumatoid arthritis. Medical rehabilitation after arthroscopic surgery traditionally includes administration of nonsteroidal anti-inflammatory drugs, opioids, local anesthetics, therapeutic exercise using isometric active exercises, hydrokinesis therapy, and various physical therapy methods. Aim. Study of the use of physiotherapeutic methods in the treatment of patients who underwent atroscopic surgery on the knee joint in the physiotherapy department at the Ministry of Internal Affairs of Russia for the Republic of Tatarstan Clinical Hospital in 2018–2019. Material and methods. The frequency of prescription of therapeutic physical factors for patients who underwent arthroscopic surgeries on the knee joint at the physiotherapy department at the Medical Unit of Ministry of Internal Affairs of Russia for the Republic of Tatarstan Clinical Hospital in 2018–2019 was investigated. The patients were accordingly divided into two groups: in 2018, 37 patients were prescribed physiotherapeutic procedures, in 2019 there were 48 patients. The age of the patients in 2018 was (33,9±9,4) years, in 2019 it was (34,2±9,1) years. Statistica 6 software package by StatSoft was used for statistical processing. Differences were considered statistically significant at p<0,05. Results and discussion. Paraffin therapy, treatment using Nuga-Best bed, amplipulse therapy, UHF therapy, cryotherapy, oxygen cocktails containing medicinal herbs were prescribed with less frequency in the treatment of patients operated for knee joint injuries in 2018 than in 2019. Despite the proven effectiveness of whirlpool baths and darsonvalization in treating musculoskeletal disorders were not prescribed for the rehabilitation of patients who underwent atroscopic surgeries at the physiotherapy department of Medical Unit of Ministry of Internal Affairs of Russia for the Republic of Tatarstan Clinical Hospital in 2019. Conclusion. When rehabilitating patients who have undergone arthroscopic intervention on the knee joint, it is advisable to thoroughly consider the use of therapeutic physical factors to improve the operation of the physiotherapy department.

scholarly journals Clinical effectiveness and cost-effectiveness of open and arthroscopic rotator cuff repair [the UK Rotator Cuff Surgery (UKUFF) randomised trial]

2015 ◽  
Vol 19 (80) ◽  
pp. 1-218 ◽  
Author(s):  
Andrew J Carr ◽  
Cushla D Cooper ◽  
Marion K Campbell ◽  
Jonathan L Rees ◽  
Jane Moser ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Open Surgery ◽  
Open Repair ◽  
Arthroscopic Surgery ◽  
Clinical Effectiveness ◽  
Arthroscopic Repair ◽  
Cuff Repair ◽  
Repair Group

BackgroundUncertainty exists regarding the best management of patients with degenerative tears of the rotator cuff.ObjectiveTo evaluate the clinical effectiveness and cost-effectiveness of arthroscopic and open rotator cuff repair in patients aged ≥ 50 years with degenerative rotator cuff tendon tears.DesignTwo parallel-group randomised controlled trial.SettingNineteen teaching and district general hospitals in the UK.ParticipantsPatients (n = 273) aged ≥ 50 years with degenerative rotator cuff tendon tears.InterventionsArthroscopic surgery and open rotator cuff repair, with surgeons using their usual and preferred method of arthroscopic or open repair. Follow-up was by telephone questionnaire at 2 and 8 weeks after surgery and by postal questionnaire at 8, 12 and 24 months after randomisation.Main outcome measuresThe Oxford Shoulder Score (OSS) at 24 months was the primary outcome measure. Magnetic resonance imaging evaluation of the shoulder was made at 12 months after surgery to assess the integrity of the repair.ResultsThe mean OSS improved from 26.3 [standard deviation (SD) 8.2] at baseline to 41.7 (SD 7.9) at 24 months for arthroscopic surgery and from 25.0 (SD 8.0) at baseline to 41.5 (SD 7.9) at 24 months for open surgery. When effect sizes are shown for the intervention, a negative sign indicates that an open procedure is favoured. For the intention-to-treat analysis, there was no statistical difference between the groups, the difference in OSS score at 24 months was –0.76 [95% confidence interval (CI) –2.75 to 1.22;p = 0.452] and the CI excluded the predetermined clinically important difference in the OSS of 3 points. There was also no statistical difference when the groups were compared per protocol (difference in OSS score –0.46, 95% CI –5.30 to 4.39;p = 0.854). The questionnaire response rate was > 86%. At 8 months, 77% of participants reported that shoulder problems were much or slightly better, and at 24 months this increased to 85%. There were no significant differences in mean cost between the arthroscopic group and the open repair group for any of the component resource-use categories, nor for the total follow-up costs at 24 months. The overall treatment cost at 2 years was £2567 (SD £176) for arthroscopic surgery and £2699 (SD £149) for open surgery, according to intention-to-treat analysis. For the per-protocol analysis there was a significant difference in total initial procedure-related costs between the arthroscopic group and the open repair group, with arthroscopic repair being more costly by £371 (95% CI £135 to £607). Total quality-adjusted life-years accrued at 24 months averaged 1.34 (SD 0.05) in the arthroscopic repair group and 1.35 (SD 0.05) in the open repair group, a non-significant difference of 0.01 (95% CI –0.11 to 0.10). The rate of re-tear was not significantly different across the randomised groups (46.4% and 38.6% for arthroscopic and open surgery, respectively). The participants with tears that were impossible to repair had the lowest OSSs, the participants with re-tears had slightly higher OSSs and the participants with healed repairs had the most improved OSSs. These findings were the same when analysed per protocol.ConclusionIn patients aged > 50 years with a degenerative rotator cuff tear there is no difference in clinical effectiveness or cost-effectiveness between open repair and arthroscopic repair at 2 years for the primary outcome (OSS) and all other prespecified secondary outcomes. Future work should explore new methods to improve tendon healing and reduce the high rate of re-tears observed in this trial.Trial registrationCurrent Controlled Trials ISRCTN97804283.FundingThis project was funded by the National Institute for Health Research Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 19, No. 80. See the NIHR Journals Library website for further project information.

scholarly journals A comparison between arthroscopic and open surgery for treatment outcomes of chronic lateral ankle instability accompanied by osteochondral lesions of the talus

2019 ◽  
Author(s):  
Can Xu ◽  
Mingqing Li ◽  
Chenggong Wang ◽  
Hua Liu
Keyword(s):  
Complication Rate ◽  
Ankle Instability ◽  
Arthroscopic Surgery ◽  
Arthroscopic Treatment ◽  
Functional Score ◽  
Lateral Ankle ◽  
Chronic Lateral Ankle Instability ◽  
Arthroscopic Procedure ◽  
Lateral Ankle Instability

Abstract Background : The present study aimed to examine the efficacy and safety of concurrent arthroscopic treatment of osteochondral lesion of talus (OLT) and lateral ankle instability. It was hypothesized that the outcome of all arthroscopic surgery was no worse than that of the combined open and arthroscopic surgery for treating chronic lateral ankle instability accompanied by OLT. Methods : All the patients diagnosed of chronic lateral ankle instability accompanied by OLT who were surgically treated between May 2015 and May2017 were targeted for inclusion. A total of 32 patients received concurrent arthroscopic treatment of OLT and lateral ankle instability, and 35 patients received arthroscopic treatment of OLT and open lateral ankle stabilization. All these patients were followed up using Karlsson Ankle Functional Score, visual analog scale (VAS) scores, Tegner activity score, and American Orthopaedic Foot and Ankle Society Score (AOFAS). The satisfaction and complication rate was evaluated and compared. Results : At 24-month follow-up, the Karlsson score, VAS score, Tegner score and AOFAS score were significantly improved in both groups in relation to the pre-operative condition. The two groups did not differ significantly from each other in terms of functional outcomes, satisfaction and complication rate. Conclusion : In comparison with the open lateral ankle stabilization and arthroscopic treatment of OLT, the all arthroscopic procedure showed no difference in clinical outcome at 24-month follow-up for treating chronic lateral ankle instability accompanied by OLT. With the benefits of minimal invasive arthroscopic procedure and an aggressive rehabilitation protocol, the treatment efficacy for the patients with chronic lateral ankle instability accompanied by OLT was still inferior to that for the patients with chronic ankle instability. Trial registration : The present study was carried out with the retrospectively registered data starting from May 28, 2015

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