scholarly journals Radiofrequency energy in the arthroscopic treatment of knee chondral lesions: a systematic review

2017 ◽  
pp. 1-1 ◽  
Author(s):  
Rocco Papalia ◽  
Lorenzo Diaz Balzani ◽  
Guglielmo Torre ◽  
Michele Paciotti ◽  
Nicola Maffulli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Arthroscopic Treatment ◽  
Radiofrequency Energy ◽  
Chondral Lesions

scholarly journals Radiofrequency energy in the arthroscopic treatment of knee chondral lesions: a systematic review

2016 ◽  
Vol 117 (1) ◽  
pp. 149-156 ◽  
Author(s):  
Papalia Rocco ◽  
Diaz Balzani Lorenzo ◽  
Torre Guglielmo ◽  
Paciotti Michele ◽  
Maffulli Nicola ◽  
...  
Keyword(s):  
Systematic Review ◽  
Arthroscopic Treatment ◽  
Radiofrequency Energy ◽  
Chondral Lesions

scholarly journals Minimally Invasive Epicardial Surgical Ablation Alone Versus Hybrid Ablation for Atrial Fibrillation: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 6 (4) ◽  
pp. 202 ◽  
Author(s):  
Charles M Pearman ◽  
Shi S Poon ◽  
Laura J Bonnett ◽  
Shouvik Haldar ◽  
Tom Wong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Meta Analysis ◽  
Radiofrequency Energy ◽  
Complication Rates ◽  
Atrial Arrhythmias ◽  
Epicardial Ablation ◽  
Surgical Ablation ◽  
Meta Regression ◽  
Hybrid Ablation

Maintaining sinus rhythm in patients with non-paroxysmal AF is an elusive goal. Some suggest that hybrid ablation, combining minimally invasive epicardial surgical ablation with endocardial catheter ablation, may be more effective than either modality alone. However, randomised trials are lacking. We investigated whether hybrid ablation is more effective than epicardial ablation alone at preventing recurrent AF by performing a systematic review and meta-analysis. The review was prospectively registered with PROSPERO (CRD42016043389). MEDLINE and EMBASE were searched for studies of standalone minimally invasive epicardial ablation of AF and/or hybrid ablation, identifying 41 non-overlapping studies comprising 2737 patients. A random-effects meta-analysis, meta-regression and sensitivity analysis were performed. Single-procedure survival free from atrial arrhythmias without antiarrhythmic drugs was similar between epicardial-alone and hybrid approaches at 12 months (epicardial alone 71.5 %; [95 % CI 66.1–76.9], hybrid 63.2 %; [95 % CI 51.5–75.0]) and 24 months (epicardial alone 68.5 %; [95 % CI 57.7–79.3], hybrid 57.0 %; [95 % CI 33.6–80.4]). Freedom from atrial arrhythmias with AADs and rates of unplanned additional catheter ablations were also similar between groups. Major complications occurred more often with hybrid ablation (epicardial alone 2.9 %; [95 % CI 1.9–3.9], hybrid 7.3 %; [95 % CI 4.2–10.5]). Meta-regression suggested that bipolar radiofrequency energy and thoracoscopic access were associated with greater efficacy, but adjusting for these factors did not unmask any difference between epicardial-alone and hybrid ablation. Hybrid and epicardial ablation alone appear to be equally effective treatments for AF, although hybrid ablation may be associated with higher complication rates. These data derived from observational studies should be verified with randomised data.

Open and Arthroscopic Treatment of Adult Hip Dysplasia: A Systematic Review

2016 ◽  
Vol 32 (2) ◽  
pp. 374-383 ◽  
Author(s):  
Parth Lodhia ◽  
Sivashankar Chandrasekaran ◽  
Chengcheng Gui ◽  
Nader Darwish ◽  
Carlos Suarez-Ahedo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hip Dysplasia ◽  
Arthroscopic Treatment

scholarly journals Arthroscopic Treatment Results of Triangular Fibrocartilage Complex Tears in Adolescents: A Systematic Review

2021 ◽  
Vol 10 (11) ◽  
pp. 2363
Author(s):  
Florian Schachinger ◽  
Sebastian Farr
Keyword(s):  
Systematic Review ◽  
Return To Sport ◽  
Sports Participation ◽  
Triangular Fibrocartilage Complex ◽  
Wrist Pain ◽  
Arthroscopic Treatment ◽  
Wrist Arthroscopy ◽  
Cochrane Central Register ◽  
Level Of Evidence ◽  
Triangular Fibrocartilage

Introduction: Injury to the triangular fibrocartilage complex (TFCC) may cause chronic wrist pain and instability if left untreated. The current literature of adult cases suggests that arthroscopic treatment offers favorable outcomes and is associated with a low complication rate. This systematic review evaluated the outcomes of arthroscopic TFCC surgery in adolescents. Materials and Methods: A PRISMA-guided literature search of PubMed, Medline, Embase, Scopus, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Cochrane Clinical Answers was conducted in May 2020. All studies reporting on (1) arthroscopic TFCC repair or debridement in (2) patients under the age of 19 years with (3) a minimum case number of four patients were extracted by two independent observers. The level of evidence of each study was assessed according to the Oxford Centre for Evidence-Based Medicine, and study quality was graded according to the Modified Coleman Methodology Score and the MINORS criteria. Clinical outcome scores, functional parameters, and any complications were reviewed. Results: The selected search terms initially resulted in a total of 986 possible articles. The authors eventually identified eight papers (all LoE IV) for inclusion in this systematic review. A total of 254 patients with verified TFCC tears and a mean age of 16 years (range, 7–19) received arthroscopic repair (162 patients, 67.1% of total) or debridement (77 patients, 29.7% of total). Arthroscopic treatment resulted in low pain levels, high patient satisfaction, and a fast return to sport. Complications overall were sparse and consisted mainly of persistent wrist pain (n = 31) and temporary paresthesia (n = 6) of the dorsal sensory branch of the ulnar nerve. Recurrent tears were sparse, with only four reported cases due to sports participation. Conclusion: Wrist arthroscopy is a reliable surgical option for treating TFCC tears in adolescents. The results obtained are comparable to those published in the literature. However, the variety of repair techniques and the low level of evidence across all included articles demand further prospective studies.

scholarly journals Arthroscopic Management for Bipartite Patella: A Systematic Review

2021 ◽  
Vol 9 (8) ◽  
pp. 232596712110222
Author(s):  
Allison Loewen ◽  
Susan M. Ge ◽  
Yousef Marwan ◽  
Mark Burman ◽  
Paul A. Martineau
Keyword(s):  
Systematic Review ◽  
Journal Article ◽  
Case Series ◽  
Arthroscopic Treatment ◽  
Lateral Release ◽  
Return To Sports ◽  
Postoperative Rehabilitation ◽  
Arthroscopic Management ◽  
Bipartite Patella ◽  
Arthroscopic Excision

Background: Bipartite patella is a rare congenital condition that becomes painful following direct trauma or an overuse injury. If it remains painful despite nonoperative treatment, surgery may be warranted. The current gold standard is open fragment excision or lateral release; however, arthroscopic management is also possible. Purpose: To investigate the safety and efficacy of arthroscopic treatment of painful bipartite patella. Study Design: Systematic review; Level of evidence, 4. Methods: Using Medline and Embase, we systematically reviewed the literature as of March 8, 2020, using the subject headings “bipartite patella” and “arthroscopy” and related key terms. All levels of evidence involving human studies in English were included. Articles were excluded if only the abstract was published or the study was related to nonsurgical treatment or nonrelated diagnoses. Data related to journal/article information, demographic/clinical data, arthroscopic technique, length of follow-up, treatment outcomes, and complications were extracted. Results: Eleven articles with 43 patients were included in the review. Most patients (n = 34; 79%) underwent arthroscopic lateral release, while 16% (n = 7) had arthroscopic excision of the accessory fragment and 5% (n = 2) had arthroscopic excision and release. All patients except for one, who experienced postoperative trauma, were pain-free after arthroscopic treatment and were able to return to sports after a mean 2.6 months. Conclusion: This review demonstrated that arthroscopic management of painful bipartite patella is a safe and effective alternative to open surgical excision or release. However, all articles were case studies or small case series, owing to the rarity of the condition. In the future, higher-level studies comparing arthroscopic techniques and postoperative rehabilitation programs should be performed.

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