Komplikationen der Arthroskopie

Abstract

This review is drawn from a total of 3,714 knee arthroscopies carried out on patients from six clinics. The diagnostic value of arthroscopy at this site is established for it can improve prognostication, prevention and treatment of derangements of the knee. The complications of the procedure, both theoretical and in practice, have been considered by subdividing them into four groups. Firstly, the infection rate following arthroscopy alone was nil. Secondly, minor articular cartilage damage attributable to the instrument occurred in just over 2% of cases. This complication is more common when the technique is first being learned and is usually avoidable when experience has been gained. Thirdly, complications of a general nature included four cases of subcutaneous emphysema produced by the insufflation of gas, and 22 instances of an allergic skin reaction to the disinfectant preparation. Finally, failures in the technique itself resulted from the instrument bending or breaking when negotiating the condyles. This occurred on 26 occasions. In a further seven instances the fat pad was entered and distended in error, thus preventing examination of the joint. Overall, the complication rate was acceptable low and confirmed that arthroscopy can be safely applied clinically.

Arthroscopy of the Knee: An Analysis of 588 Consecutive Knee Arthroscopies

“…In agreement with other authors (Jackson & Abe 1972, Gillquist et al 1977, Dick et al 1978 we found no complications caused by the arthroscopic instrumentation. The diagnostic accuracy has not, to our knowledge, been previously evaluated by means of the diagnostic specificity and sensitivity, which is the clinically most relevant method to evaluate a diaenostic test WecNumbers in brackets show the number of diagnoses missed at initial arthroscopy.…”

Experiences in diagnostic and surgical arthroscopy in the horse

“…The possible untoward sequelae to arthroscopic surgery include infection, iatrogenic damage to the articular cartilage, introduction of foreign material (including breaking of an instrument within the joint) and haemarthrosis (Dick et al 1978). Haemorrhage associated with cannulation or biopsy is minimal and insignificant.…”

Fire during arthroscopy — an unusual complication

“…The overall complication rate of arthroscopy is reported to be over 8% [12]. This includes the breakage of biopsy forceps and knife blades [4,6], plastic draping in the joint Correspondence to: M. Sadat-Ali [7], and neural and vascular injuries [2,8,11]. Fire mishaps initiated by the light source could be another complication during routine arthroscopy if appropriate care is not taken.…”