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Arthroscopy

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https://www.readbyqxmd.com/read/29238824/effect-of-perioperative-gabapentin-on-postoperative-pain-resolution-and-opioid-cessation-in-a-mixed-surgical-cohort-a-randomized-clinical-trial
#1
Jennifer Hah, Sean C Mackey, Peter Schmidt, Rebecca McCue, Keith Humphreys, Jodie Trafton, Bradley Efron, Debra Clay, Yasamin Sharifzadeh, Gabriela Ruchelli, Stuart Goodman, James Huddleston, William J Maloney, Frederick M Dirbas, Joseph Shrager, John Costouros, Catherine Curtin, Ian Carroll
Importance: Guidelines recommend using gabapentin to decrease postoperative pain and opioid use, but significant variation exists in clinical practice. Objective: To determine the effect of perioperative gabapentin on remote postoperative time to pain resolution and opioid cessation. Design, Setting, and Participants: A randomized, double-blind, placebo-controlled trial of perioperative gabapentin was conducted at a single-center, tertiary referral teaching hospital...
December 13, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29238178/clinical-application-of-arthroscopy-assisted-minimally-invasive-therapy-in-chinese-elderly-with-type-iii-pilon-fracture
#2
Peiming Liu, Yong Guo, Ying Wen, Wei Wang
Objective: Pilon fracture is so complex that its therapy poses a great challenge to surgeons. Few studies have compared arthroscopy-assisted minimally invasive therapy and external fixation combined with limited internal fixation (EFLIF), and an optimal choice of surgical therapy remains unclear in patients with type III Pilon fracture. Moreover, to our knowledge, very few studies have specifically evaluated arthroscopy-assisted minimally invasive therapy in Chinese elderly with type III Pilon fracture...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29238126/should-venous-doppler-ultrasonography-be-routinely-applied-before-lower-extremity-major-orthopedic-surgery
#3
Hasan Göçer, Ali Kemal Yazici, Ahmet Veysel Polat
Background: Hip-knee arthroplasty and knee arthroscopy (KA) is frequently applied in the orthopaedic surgery. The approach does not exist related with the preoperative asymptomatic deep venous thrombosis (DVT). In this study, the patients who would undergo surgery lower extremity were screened for asymptomatic DVT, using the venous Doppler ultrasonography (USG). Patients and Methods: DVT was screened by venous Doppler USG in the patients who would undergo hip-knee arthroplasty and KA between the dates of November 2013 and September 2015...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238105/relationship-between-patellar-mobility-and-patellofemoral-joint-cartilage-degeneration-after-anterior-cruciate-ligament-reconstruction
#4
Susumu Ota, Kazutoshi Kurokouchi, Shigeo Takahashi, Masaki Yoda, Ryuichiro Yamamoto, Tadahiro Sakai
Patellofemoral cartilage degeneration is a potential complication of anterior cruciate ligament reconstruction (ACLR) surgery. Hypomobility of the patella in the coronal plane is often observed after ACLR. Few studies, however, have examined the relationship between cartilage degeneration in the patellofemoral joint and mobility after ACLR. The present study investigated 1) the coronal mobility of the patella after ACLR, 2) the relationship between patellar mobility and cartilage degeneration of the patellofemoral joint, and 3) the relationship between patellar mobility and knee joint function after ACLR...
November 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29234651/dorsal-capsulodesis-associated-with-arthoscopy-assisted-scapholunate-ligament-reconstruction-using-a-palmaris-longus-tendon-graft
#5
Victor Bignatto Carvalho, Carlos Henrique Vieira Ferreira, Andresa Ramires Hoshino, Viviane Alves Bernardo, Gustavo Mantovani Ruggiero, Márcio Aurélio Aita
Objectives: To measure the quality of life, the time to work return, and clinical, functional, and radiographic parameters of patients treated with dorsal capsulodesis associated with scapholunate (SL) reconstruction, assisted by arthroscopy. Methods: From January 2015 to September 2016, 14 adult patients with SL dissociation underwent surgical treatment with the SL reconstruction procedure assisted by arthroscopy, using the new technique proposed in this study...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29233760/recovery-after-shoulder-arthroscopy-inpatient-versus-outpatient-management
#6
M Boissard, V Crenn, T Noailles, S Campard, F Lespagnol
INTRODUCTION: Shoulder arthroscopy is particularly suited to outpatient surgery, thanks to advances in anesthetic and analgesic techniques. The main goal of this study was to compare postoperative recovery after shoulder arthroscopy between outpatient and inpatient management.HypothesisThere is no difference in functional recovery between inpatient and outpatient management. MATERIALS AND METHOD: A single-center, single-operator prospective study was conducted. Both groups received patient-controlled analgesia via an interscalene catheter...
December 9, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29229416/comparison-of-arthroscopic-and-conservative-treatments-for-knee-osteoarthritis-a-5-year-retrospective-comparative-study
#7
Xiangzheng Su, Chunbao Li, Weixiong Liao, Jianheng Liu, Hao Zhang, Ji Li, Zhongli Li
PURPOSE: To compare the effectiveness of arthroscopic and conservative treatments in patients with knee osteoarthritis (KOA) with 5 years of follow-up. METHODS: Patients diagnosed with Kellgren-Lawrence grade 2 to 4 KOA who underwent arthroscopic or conservative treatment from May 2005 to May 2012 were included. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score was collected 1, 2, 3, 4, and 5 years after the initial treatment, and the number of patients who underwent total knee arthroplasty (TKA) at every time point was recorded...
December 8, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29229415/return-to-sports-after-tibial-tubercle-osteotomy-for-patellofemoral-pain-and-osteoarthritis
#8
Joseph N Liu, Hao-Hua Wu, Grant H Garcia, Irene L Kalbian, Sabrina M Strickland, Beth E Shubin Stein
PURPOSE: To determine the rate of return to sports and clinical outcomes after anteromedialization (AMZ) tibial tubercle osteotomy (TTO) for patients with patellofemoral pain and/or osteoarthritis. METHODS: This study is a retrospective case series of consecutive patients who underwent unilateral or staged bilateral AMZ TTO for a primary diagnosis of patellofemoral pain or arthritis. Included were all patients with minimum 1-year follow-up. The indication for surgery was failure of at least 6 months of nonoperative treatment...
December 8, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29225426/incidence-and-predictors-of-total-knee-arthroplasty-following-knee-arthroscopy
#9
Tristan Camus, Jiho Han, Feroz Osmani, Norman Scott, William J Long
Objective: The purpose of this study was to determine the effectiveness of knee arthroscopy (KA) in patients with symptomatic meniscal tears or mechanical symptoms and OA, by using conversion to TKA as a final outcome measure. Methods: Retrospective review of all patients with OA who underwent KA in our practice. Results: 1215 KAs were reviewed; 3.9% underwent conversion to TKA at an average of 3.2 years. Conclusion: KA plays a role in delaying TKA in knees with meniscal tears and mechanical symptoms with concurrent OA...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29219019/quantitative-mri-of-human-cartilage-in-vivo-relationships-with-arthroscopic-indentation-stiffness-and-defect-severity
#10
Tuomas Svärd, Martti Lakovaara, Harri Pakarinen, Marianne Haapea, Ilkka Kiviranta, Eveliina Lammentausta, Jukka Jurvelin, Osmo Tervonen, Risto Ojala, Miika Nieminen
Objective To investigate the association of cartilage defect severity, as determined by the International Cartilage Repair Society (ICRS) grading with indentation stiffness and T2 relaxation time of magnetic resonance imaging (MRI), a biomarker for the integrity of articular cartilage. Design Twenty-one patients scheduled for arthroscopic were included in the study. Prior to arthroscopy, subjects underwent quantitative MRI of articular cartilage, namely T2 relaxation time mapping at 1.5 T. Within 2 months, subjects underwent arthroscopy, which also included ICRS grading and measurement of arthroscopic indentation stiffness...
January 2018: Cartilage
https://www.readbyqxmd.com/read/29217304/warming-of-irrigation-fluids-for-prevention-of-perioperative-hypothermia-during-arthroscopy-a-systematic-review-and-meta-analysis
#11
REVIEW
Victoria M Steelman, Sena Chae, Jed Duff, Michael J Anderson, Adnan Zaidi
PURPOSE: To determine whether warming of irrigation fluids (32°C-40°C) compared with using room-temperature irrigation fluids (20°C-22°C) decreases the risk of perioperative hypothermia (<36°C) for patients undergoing shoulder, hip, or knee arthroscopy. METHODS: One reviewer, with the assistance of a medical librarian, searched the following databases: PubMed, Embase, Cochrane Central, SPORTDiscus, Web of Science, and CINAHL (Cumulative Index to Nursing and Allied Health Literature)...
December 4, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29216699/-diagnostic-value-of-a-predictive-model-for-complete-ruptures-of-the-rotator-cuff-associated-to-subacromial-impingement
#12
I R Águila-Ledesma, J L Córdova-Fonseca, O Medina-Pontaza, D A Núñez-Gómez, C Calvache-García, J M Pérez-Atanasio, R Torres-González
Pathology related to the rotator cuff remains among the most prevalent musculoskeletal diseases. There is an increasing need for imaging studies (MRI, US, arthroscopy) to test the diagnostic performance of the medical history and physical examination. OBJECTIVE: To prove the diagnostic value of a clinical-radiographic predictive model to find complete ruptures of the rotator cuff. MATERIAL AND METHODS: Descriptive, observational, prospective, transversal and analytical study...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29215382/initial-treatment-in-septic-arthritis-medical-versus-surgical-approach-an-8-year-single-center-in-spain-experience
#13
Bryan Josué Flores-Robles, Mercedes Jiménez Palop, Abel Alejandro Sanabria Sanchinel, Robert Francis Andrus, Ana Royuela Vicente, Marta Isabel Sanz Pérez, María Espinosa Malpartida, Consuelo Ramos Giráldez, Carolina Merino Argumanez, Luis Fernando Villa Alcázar, José Luis Andréu Sánchez, Hildegarda Godoy Tundidor, José Campos Esteban, Jesús Sanz Sanz, Carmen Barbadillo Mateos, Carlos Isasi Zaragoza, Juan Mulero Mendoza
OBJECTIVE: The aim of this study was to compare the functional results of 2 different procedure types, medical or surgical, which are used in treating native joint septic arthritis. METHODS: In this retrospective cohort study, we reviewed clinical registries of patients admitted to a single third-level hospital with the diagnosis of septic arthritis during the period of January 1, 2008, to January 31, 2016. RESULTS: A total of 63 cases of septic arthritis were identified in which the initial approach for 49 patients was medical (arthrocentesis), whereas the initial approach for 14 patients was surgical (arthroscopy or arthrotomy)...
December 5, 2017: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29212679/complications-following-arthroscopic-surgery-of-the-hip-a-systematic-review-of-36-761-cases
#14
REVIEW
N Nakano, L Lisenda, T L Jones, D T Loveday, V Khanduja
AIMS: The number of patients undergoing arthroscopic surgery of the hip has increased significantly during the past decade. It has now become an established technique for the treatment of many intra- and extra-articular conditions affecting the hip. However, it has a steep learning curve and is not without the risk of complications. The purpose of this systematic review was to determine the prevalence of complications during and following this procedure. MATERIALS AND METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used in designing this study...
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29212435/adhesive-capsulitis-of-the-hip
#15
Hee Joong Kim, Jeong Joon Yoo, Hong Suk Kwak, Hyung Jun Jeong, Min Nyeon Kim, Wonyeong Seo
PURPOSE: Adhesive capsulitis of the hip (ACH) is not a well-defined disease entity. We evaluated the change in the clinical features of patients whose chief complaint was inability to sit cross-legged on the floor. All patients had painful limitation in hip joint motion. Based on the diagnosis of ACH, active stretching exercise (ASE) was recommended. METHODS: In February 2013 and June 2014, a total of 44 patients (50 hips), who visited outpatient clinic in 2011, were evaluated by telephone interviews...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29211703/intra-articular-findings-during-the-modified-brostrom-procedure-for-lateral-instability-of-the-pediatric-ankle
#16
Brady T Evans, Frances A Tepolt, Emily Niu, Dennis E Kramer, Mininder S Kocher
The purpose of this study was to identify the rates of chondral injury, soft tissue impingement, and bony impingement in pediatric patients undergoing the modified Brostrom procedure with ankle arthroscopy for lateral ankle instability. A retrospective review of all patients undergoing a modified Brostrom procedure with ankle arthroscopy performed by two surgeons at a tertiary care children's hospital between October 2002 and April 2014 was performed. Data were collected regarding demographics, history and initial presentation, nonoperative management, surgical procedure and arthroscopic findings, and clinical follow-up...
January 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29211625/anterior-inferior-iliac-spine-deformity-as-a-cause-for-extra-articular-hip-impingement-in-young-athletes-after-an-avulsion-fracture-a-case-report
#17
Eduardo N Novais, Mark F Riederer, Aaron J Provance
Extra-articular hip impingement from prior traumatic injury to the anterior inferior iliac spine (AIIS) is an uncommon cause of groin pain in young athletes. Currently, the most common treatment for this injury is arthroscopic decompression. However, hip arthroscopy is not universally available and requires advanced skills. We report 2 cases of the development of extra-articular hip impingement from unusual bony exostoses off the AIIS after traumatic injury in 2 young athletes who underwent open surgical resection...
December 1, 2017: Sports Health
https://www.readbyqxmd.com/read/29208201/-osteochondritis-dissecans
#18
Per Gorm Jørgensen, Per Hölmich
Osteochondritis dissecans (OCD) has been known for more than 100 years. Several reasons have been suggested as the major cause for developing OCD: trauma/microtrauma, ischaemic or genetic reasons. OCD is primarily located in the knee. In adolescent patients with knee symptoms, X-ray of the affected knee and often a subsequent MRI scan is indicated. Depending on the findings, an arthroscopy can be performed. Conservative treatment can be quiet regime or bracing. Operative treatment can be transchondral/retrograde drilling for the in situ lesion or fixation of the unstable lesion...
November 27, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29207986/risk-of-total-subtotal-meniscectomy-for-respective-medial-and-lateral-meniscus-injury-correlation-with-tear-type-duration-of-complaint-age-gender-and-acl-rupture-in-6034-asian-patients
#19
Dong Jiang, Xiao Luo, Yingfang Ao, Xi Gong, Yong-Jian Wang, Hai-Jun Wang, Yu Miao, Nan Li, Ji-Ying Zhang, Jia-Kuo Yu
BACKGROUND: To evaluate the risk factor associated with total or subtotal meniscectomy for respective medial and lateral meniscus injury. METHODS: The data of all the meniscus injured patients undergoing arthroscopy in our institute between January 15th, 2000 and December 31st, 2008 was collected and 6034 patients with 7241 injured menisci met the inclusion criteria. The mean patient age was 33.6 ± 14.9 years and there were 4785 males and 2456 females with 3568 medial and 3673 lateral menisci...
December 5, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29206803/clinical-indicators-of-the-need-for-telemetry-postoperative-monitoring-in-patients-with-suspected-obstructive-sleep-apnea-undergoing-total-knee-arthroplasty
#20
Kethy M Jules-Elysée, Natasha A Desai, Yan Ma, Wei Zhang, Thuyvan H Luu, Stavros G Memtsoudis, Gregory A Liguori
BACKGROUND AND OBJECTIVES: Obstructive sleep apnea is associated with increased complication rates postoperatively. Current literature does not provide adequate guidance on management of these patients. This study used the STOP-Bang questionnaire to diagnose patients with possible obstructive sleep apnea (score ≥3). We hypothesized that a STOP-Bang score of 3 or greater would significantly correlate with the number of oxygen desaturation episodes during the first 48 hours after total knee arthroscopy...
December 4, 2017: Regional Anesthesia and Pain Medicine
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