Successful Knee Arthroscopy: Techniques

Ang, Chia-Liang

doi:10.5772/intechopen.79268

Cited by 3 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The success of meniscal resection in clinical settings depends on many factors, including visualization of the surgical field [3,8]. Based on this, it can be assumed that reducing the number of meniscus resection cycles and, as a result, the number of meniscus fragments, will have a positive effect on the outcome of the procedure.…”

Section: Research Results and Discussionmentioning

confidence: 99%

“…Дослідження проведено на 30 макропрепаратах менісків колінного суглоба людини, отриманих під час тотального ендопротезування колінного суглоба, які були розподілені на дві групи: 1 група -15 макропрепаратів, часткову резекцію яких виконували за допомогою артроскопічного викусувача, а контури поверхні меніска після резекції обробляли радіочастотним аблятором; 2 група -15 макропрепаратів, часткову резекцію яких виконували за допомогою інструмента для радіочастотної резекції меніска «Meniscus Resector». В обох групах резекції піддавався однаковий об'єм меніска -500 мм 3 . Візуалізація та хронометраж виконувалися за допомогою артроскопічної системи (Smith & Nephew, США; Loran, Китай).…”

Section: дослідженняunclassified

“…Manual resection instruments such as punchers are used for controlled resection, and motorized instruments are used to remove fragments and create a smooth edge [2]. A radiofrequency ablator is also used to give the meniscus surface a smooth contour after resection [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Experimental Study Comparing the Duration of Partial Meniscus Resection Using Arthroscopic Punchers, Radiofrequency Ablator and Radiofrequency Instrument for Meniscus Resection "Meniscus Resector"

Gryshchuk,

Boiko

2023

Clin. and prev. med.

View full text Add to dashboard Cite

Introduction. An experimental study comparing the duration of partial resection of 500 mm3 of meniscus by a combination of arthroscopic punchers with a radiofrequency ablator and a radiofrequency resection tool "Meniscus Resector" was conducted in isolated laboratory conditions. The aim of the study. To determine and compare the duration of partial meniscus resection using arthroscopic punchers, radiofrequency ablator and Meniscus Resector radiofrequency resection tool in isolated laboratory conditions. Materials and methods. The study was conducted on 30 macropreparations of human knee menisci obtained during total knee arthroplasty, which were divided into two groups: Group 1 – 15 macroscopic specimens, partial resection of which was performed using an arthroscopic biter, and the contours of the meniscus surface after resection were treated with a radiofrequency ablator; Group 2 – 15 macroscopic specimens, partial resection of which was performed using the Meniscus Resector radiofrequency resection tool. In both groups, the same volume of meniscus was resected – 500 mm3. Visualization and timing were performed using an arthroscopic system (Smith & Nephew, USA; Loran, China). Statistical processing of the study data was performed using the licensed software IBM SPSS Statistics Base v 22. MedCalc (Healthcare Technology, USA). Results and Discussion. In group 1, the mean duration (median, interquartile range) of partial resection of a 500 mm3 fragment was 11.8 (10.2-12.9) seconds, in group 2, the mean duration of partial resection of a 500 mm3 fragment was 1.9 (1.4-2.3) seconds (p=0.000061). Thus, the use of the Meniscus Resector (group 2) contributed to an average of 6.2 times faster partial meniscus resection compared to arthroscopic punchers and radiofrequency ablator (group 1). Conclusions. The study suggests that the use of the Meniscus Resector provides a faster method of radiofrequency meniscus resection compared to arthroscopic punchers and radiofrequency ablators. Further studies and trials are needed to confirm these results and evaluate safety in different clinical settings.

show abstract

Section: Research Results and Discussionmentioning

confidence: 99%

Section: дослідженняunclassified

See 1 more Smart Citation

Experimental Study Comparing the Duration of Partial Meniscus Resection Using Arthroscopic Punchers, Radiofrequency Ablator and Radiofrequency Instrument for Meniscus Resection "Meniscus Resector"

Gryshchuk,

Boiko

2023

Clin. and prev. med.

View full text Add to dashboard Cite

show abstract

“…Arthroscopy debridement is a technique where selected structures of the knee are contoured or removed mechanically through small knee portals with modern instrumentation [ 31 ]. The selection of the shaver, velocity, irrigation, suction, and magnitude of the debridement is crucial for the development of an anatomic procedure [ 31 – 33 ]. The risks may include infection, bleeding, injury, formation of a blood clot, and nerve or blood vessel damage and stiffness [ 31 ].…”

Section: Theorymentioning

confidence: 99%

“…The selection of the shaver, velocity, irrigation, suction, and magnitude of the debridement is crucial for the development of an anatomic procedure [ 31 – 33 ]. The risks may include infection, bleeding, injury, formation of a blood clot, and nerve or blood vessel damage and stiffness [ 31 ].…”

Section: Theorymentioning

confidence: 99%

A Balanced Arthroscopic Debridement of the Inner Layer of the Knee Retinaculum Increases the Tibiofemoral Joint Space Width

Yáñez-Diaz

Strömbäck

Vergara

et al. 2022

Advances in Orthopedics

View full text Add to dashboard Cite

Introduction. Traditional techniques can enlarge the medial tibiofemoral joint space width (JSW) for meniscal repairs, but a remnant ligament laxity may be developed. Alternatively, the debridement of the inner retinaculum layer may result in a balanced JSW without causing extra-ligament damage (retinaculum layers II and collateral ligament). Purpose. The purpose of this study was to determine whether a concentric arthroscopic debridement of the inner retinaculum layer increases the tibiofemoral JSW in patients with meniscal injuries. Secondarily, we determine whether the increase in JSW is symmetrical between compartments and describe the rate of complications and patient satisfaction. Method. Twenty middle-aged (15 male and five female) patients diagnosed with acute meniscal injury aged 36 ± 12 years were enrolled. The patients were submitted to an arthroscopic debridement of the inner layer of the knee retinaculum for both the medial and lateral compartments. The tibiofemoral JSW was measured intra-articularly using a custom instrument. A two-way ANOVA for repeated measures was used to compare the JSW. A Bland–Altman analysis and test-retest analysis were performed. Results. The JSW increased following the debridement of the inner retinaculum layer, for both the medial and lateral compartments p < 0.001 . No complications were identified, and the patients were satisfied with the intervention. The minimal detectable change and bias of the custom instrument were 0.06 mm and 0.02 mm, respectively. Conclusion. The debridement allows a clinically important (>1 mm) symmetric tibiofemoral JSW enlargement. The technique suggests favoring the diagnosis of meniscus injuries and manipulating arthroscopic instruments without secondary complications after one year.

show abstract