Comparison of the Clinical Outcomes of Open Surgery Versus Arthroscopic Surgery for Chronic Refractory Lateral Epicondylitis of the Elbow

Background: Mucoid degeneration of the anterior cruciate ligament (MD-ACL) is a chronic degenerative process involving a hypertrophied ACL, which may lead to notch impingement syndrome. As a treatment method, there is consensus regarding arthroscopic resection for MD-ACL resulting in good clinical outcomes; however, additional notchplasty remains controversial. The purpose of this study was to investigate clinical outcomes after arthroscopic partial resection of the ACL and additional notchplasty performed to minimize volume reduction of the ACL. Study Design: Level IIIb retrospective cohort study. Methods: Of 1810 individuals who underwent knee arthroscopic surgery performed by the same surgeon between July 2011 and October 2020, 52 were included, while 10 were excluded due to a follow-up period of <1 year. Clinical data including pain location, terminal flexion or extension pain, range of motion (ROM), Lysholm knee score, and Hospital for Special Surgery (HSS) knee score were assessed pre- and postoperatively. Additionally, according to the resected volume of the ACL, patients were classified into two groups: <25% (Group 1), and 25–50% (Group 2). Clinical outcomes were compared between the two groups. Results: There were 17 (40.5%) men and 25 (59.5%) women with a mean age of 53.9 years (range, 16–81 years) at the time of surgery. The mean duration of symptoms before surgery was 14.4 months (range, 3–66 months). Arthroscopic partial resection of the MD-ACL was performed in all patients, and concomitant notchplasty was performed in 36 (81.8%). All clinical scores improved postoperatively, and were statistically significant (p < 0.01). However, there was no significant difference in clinical outcomes between groups 1 and 2 classified according to the resected ACL volume. Recurrence of MD-ACL was recorded in only one patient, 11 months after arthroscopic treatment. No patients underwent ACL reconstruction because of symptoms of anterior instability. Conclusion: Arthroscopic partial resection of the ACL and concomitant notchplasty yielded satisfactory outcomes for the treatment of MD-ACL. Notchplasty may be an alternative procedure to avoid total ACL resection and postoperative instability.

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A two-year clinical outcomes study of 400 patients, comparing open surgery and arthroscopy for rotator cuff repair

Bone and Joint Research ◽

10.1302/2046-3758.19.2000072 ◽

2012 ◽

Vol 1 (9) ◽

pp. 210-217 ◽

Cited By ~ 22

Author(s):

J. R. Walton ◽

G. A. C. Murrell

Keyword(s):

Rotator Cuff ◽

Clinical Outcomes ◽

Rotator Cuff Repair ◽

Open Surgery ◽

Outcomes Study ◽

Cuff Repair

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

10.21203/rs.3.rs-257594/v1 ◽

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

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Arthroscopic Treatment of Metacarpophalangeal Arthropathy in Haemochromatosis

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(94)90169-4 ◽

1994 ◽

Vol 19 (2) ◽

pp. 212-214 ◽

Cited By ~ 18

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.

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Characteristics and Clinical Outcomes of Open Surgery for Trigger Digits in Diabetes

Journal of Hand and Microsurgery ◽

10.1055/s-0038-1670927 ◽

2018 ◽

Vol 11 (02) ◽

pp. 080-083

Author(s):

Sean Wei Loong Ho ◽

Ching Yee Chia ◽

Vaikunthan Rajaratnam

Keyword(s):

Clinical Outcomes ◽

Open Surgery ◽

Clinical Presentation ◽

Clinical Severity ◽

High Rate ◽

Dominant Hand ◽

Diabetes Group ◽

Initial Surgery ◽

Patient Reported ◽

Surgical Release

Abstract Introduction Trigger digit is a common condition of the hand. Diabetes has a known association with the development of trigger digit. It is thought to influence the clinical presentation and efficacy of open surgical release. This study aimed to assess the differential characteristics of trigger digits and the clinical outcomes of open surgery for trigger digits in diabetics. Materials and Methods This was a retrospective study of all patients who underwent open surgical release of trigger digits in a single institution from 2012 to 2013. Patients were divided into two groups with group 1 consisting of all patients with a history of diabetes. Group 2 consisted of all patients without diabetes. Demographics and clinical presentation were reviewed. All patients were reviewed via a telephone questionnaire at least 2 years after the initial surgery and were assessed for patient-reported outcomes. Results There were 201 patients who met the inclusion criteria, of which 191 patients were recruited. This included 87 (45.5%) males and 104 (54.5%) females. A total of 260 open releases were performed. Sixty-one (31.9%) patients were diabetic, and 130 (68.1%) patients were nondiabetic. The diabetic group was significantly older than the nondiabetic group (p = 0.002). The dominant hand was not significantly more affected than the nondominant hand (p = 0.51). The middle finger was most commonly involved (43.5%), and the little finger was the least commonly involved (1.2%). There was no significant increase in multiple-digit presentation in the diabetic population when compared with the nondiabetic population (p = 0.52). There was a low complication rate and a high rate of postoperative satisfaction after open surgery in both groups. Conclusion Diabetes does not predispose patients to increased rates of multiple trigger digit presentation or increased clinical severity on presentation. Open surgery for trigger digit is an effective and safe treatment modality for diabetics.

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Clinical outcomes of two-stage total knee arthroplasty using articulating cement spacer in patients with infected arthritic knee: A comparison with arthroscopic surgery

The Knee ◽

10.1016/j.knee.2019.10.009 ◽

2020 ◽

Vol 27 (2) ◽

pp. 444-450 ◽

Cited By ~ 1

Author(s):

Seung-Suk Seo ◽

Chang-Wan Kim ◽

Chang-Rack Lee ◽

Dae-Hyun Park ◽

Yong-Uk Kwon ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Clinical Outcomes ◽

Knee Arthroplasty ◽

Arthroscopic Surgery ◽

Cement Spacer ◽

Two Stage ◽

Total Knee ◽

Arthritic Knee

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Arthroscopic Diagnosis and Treatment of Chronic Hip Pain After Total Hip Arthroplasty and the Role of Anterior Capsule Disruption in Iliopsoas Tendinopathy

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119854362 ◽

2019 ◽

Vol 7 (6) ◽

pp. 232596711985436 ◽

Cited By ~ 1

Author(s):

Mark R. Nazal ◽

Ali Parsa ◽

Scott D. Martin

Keyword(s):

Total Hip Arthroplasty ◽

Retrospective Analysis ◽

Clinical Outcomes ◽

Hip Arthroplasty ◽

Arthroscopic Surgery ◽

Strength Test ◽

Hip Pain ◽

Anterior Capsule ◽

The Mean

Background: The use of hip arthroscopic surgery in patients suffering from chronic hip pain after total hip arthroplasty (THA) has a limited presence in the literature, with most studies having limited follow-up. Purpose: The first goal of this study was to evaluate hip arthroscopic surgery in the diagnosis and management of patients with chronic hip pain after THA. The second goal was to describe a new cause of iliopsoas tendinopathy (IPT) involving disruption of the anterior capsule. Study Design: Case series; Level of evidence, 4. Methods: We conducted a retrospective analysis with prospectively collected clinical outcomes of patients after THA who underwent hip arthroscopic surgery for chronic hip pain without an identifiable cause. The patients were at least 18 years old and had a minimum follow-up of 24 months. Results: The retrospective analysis found that hip arthroscopic surgery led to new diagnostic information in 8 patients (80%). Of the 10 patients diagnosed with IPT, 4 (40%) lacked an anatomic cause; however, these patients had a history of difficult exposure of the anterior capsule and/or a lack of capsular repair during index THA. The mean modified Harris Hip Score (mHHS) was 71.9 ± 15.6, and the mean 6-month postoperative visual analog scale (VAS) pain score was 0.8 ± 2.2, which was significantly lower than preoperatively ( P = .0055). There was also significantly improved forward flexion range of motion ( P = .0183) and straight leg raise (SLR) strength test results ( P = .0263). Hip arthroscopic surgery resulted in 8 patients (80%) continuing to be pain-free at a mean follow-up of 6.8 ± 1.4 years, while 2 patients (20%) progressed to revision arthroplasty. There were no major or minor complications. Conclusion: Hip arthroscopic surgery was found to have an important role in the diagnostic and therapeutic management of patients with chronic hip pain after THA, with good clinical outcomes at a mean follow-up of 6.8 years and no complications. We believe that disruption of the anterosuperior acetabular capsule, including the reflected head of the rectus femoris, can allow the iliopsoas tendon to move intra-articularly and precipitate IPT. This disruption may be appreciated on the SLR strength test. Although this study presents a small sample size that cannot substantiate a cause-effect relationship, orthopaedic surgeons performing THA should consider minimizing disruption and/or ensuring repair of the anterior capsule to decrease this potential cause of IPT.

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