176 research outputs found
Open questions in the treatment of anterior shoulder instability in Anterior Shoulder Instability
No full textEducational DVD regarding the treatment of anterior shoulder instabilit
sj-pdf-1-ajs-10.1177_03635465221083324 – Supplemental material for Arthroscopic Rotator Cuff Repair Augmentation With Autologous Microfragmented Lipoaspirate Tissue Is Safe and Effectively Improves Short-term Clinical and Functional Results: A Prospective Randomized Controlled Trial With 24-Month Follow-up
No full textSupplemental material, sj-pdf-1-ajs-10.1177_03635465221083324 for Arthroscopic Rotator Cuff Repair Augmentation With Autologous Microfragmented Lipoaspirate Tissue Is Safe and Effectively Improves Short-term Clinical and Functional Results: A Prospective Randomized Controlled Trial With 24-Month Follow-up by Pietro S. Randelli, Davide Cucchi, Chiara Fossati, Linda Boerci, Elisabetta Nocerino, Federico Ambrogi and Alessandra Menon in The American Journal of Sports Medicine</p
Intra-articular loose body removal during hip arthroscopy
No full textLoose bodies are common findings in hip arthroscopy. Loose body removal can be challenging because of the inner position of the acetabulum in which the loose bodies tend to accumulate. Moreover, the standard removal procedure of a considerable number of loose bodies may need a long time under limb traction, thereby increasing the risk of complications. This article describes a new easy method for intra-articular loose body removal. A flexible endotracheal catheter, connected with suction system, is inserted via the anterior or midanterior portal. The catheter can easily be directed toward the inner parts of the joint in proximity of loose bodies. The suction system allows the loose body to be captured in contact with the tip of the catheter, which is then retrieved carrying the loose body outside the cannula. We performed this technique on 4 consecutive patients with synovial chondromatosis. Patients were evaluated preoperatively and 1 month postoperatively by completing self-administered questionnaires. The technique effectiveness was evaluated in terms of overall surgery time, traction time, radiographic appearance of loose bodies left in situ, and postoperative complications. Mean overall surgery time and central time was 175 and 78 minutes, respectively. All patients showed improvement in the operated hip. All radiographs showed hip joint space free of osteochondral loose bodies. No patients reported paraesthesia, nerve palsy, or other postoperative complications.This technique allows for retrieval of a greater amount of loose bodies in a short time, reducing the possibility of undesirable complications
DS_10.1177_0363546519865529 – Supplemental material for Long-term Results of Arthroscopic Rotator Cuff Repair: Initial Tear Size Matters: A Prospective Study on Clinical and Radiological Results at a Minimum Follow-up of 10 Years
No full textSupplemental material, DS_10.1177_0363546519865529 for Long-term Results of Arthroscopic Rotator Cuff Repair: Initial Tear Size Matters: A Prospective Study on Clinical and Radiological Results at a Minimum Follow-up of 10 Years by Pietro Simone Randelli, Alessandra Menon, Elisabetta Nocerino, Alberto Aliprandi, Francesca Maria Feroldi, Manuel Giovanni Mazzoleni, Sara Boveri, Federico Ambrogi and Davide Cucchi in The American Journal of Sports Medicine</p
Guidelines and concluding remarks
No full textAs stated in Chap. 1, an orthopaedic surgeon needs to be a homo universalis with obtaining arthroscopic skills being just one of the features that need to be trained into proficiency. In terms of technical skills, arthroscopic surgery has become the leading operative therapy for a growing number of injuries, due to its success in patient health care (Modi et al. 2010; Tuijthof et al. 2010). Since arthroscopy requires such a different manual handling compared to everyday life interactions with instruments (e.g. cutting paper with scissors or tightening a screw), it takes considerable time to become proficient. This implicates an increased risk of surgical errors during the early stages of the learning curv
Fluoroscopy- vs ultrasound-guided aspiration techniques in the management of periprosthetic joint infection: which is the best?
No full textBackground: Fluid samples obtained from an affected joint still play a central role in the diagnosis of periprosthetic joint infection (PJI). It is the only preoperative test able to discover the causative microbiological agent. In the hip, fluid aspiration can be performed through fluoroscopy, ultrasound, or, less commonly, computed tomography. However, there is still a lack of consensus on which method is preferable in terms of efficacy and costbenefit. Purposes: We, therefore, asked whether (1) the benefits in terms of sensitivity and specificity and (2) the costs were comparable between fluoroscopy- and ultrasound-guided joint aspirations in a suspicious of hip PJI. Methods: Between 2013 and 2016, 52 hip aspirations were performed on 49 patients with clinical, radiological, or serological suspicion of PJI, waiting for a revision surgery. The patients were divided in two groups: fluoroscopy- (n = 26) vs ultrasound-guided hip aspiration group (n = 26). These groups were also divided in control and infected patients. The criteria of MusculoSkeletal Infection Society (MSIS) were used, as gold standard, to define PJI. Results: (1) Ultrasound-guided aspiration revealed valid sensitivity (89% vs 60%) and specificity (94% vs 81%) in comparison with fluoroscopic-guided aspiration. (2) The cost analysis was also in favor of ultrasound-guided aspiration (125.30â¬) than fluoroscopic-guided aspiration (343.58â¬). Conclusions: We concluded that ultrasound-guided hip aspiration could represent a valid, safe, and less expensive diagnostic alternative to fluoroscopic-guided aspiration in hip PJI
What Arthroscopic Skills Need to Be Trained Before Continuing Safe Training in the Operating Room?
No full textThe purpose of this study was to generate consensus among experienced surgeons on "what skills a resident should possess before continuing safe training in the operating room (OR)." An online survey of 65 questions was developed and distributed to surgeons in the European community. A total of 216 responded. The survey included 15 questions regarding generic and specific skills; 16 on patient and tissue manipulation, 11 on knowledge of pathology and 6 on inspection of e-anatomical structures; 5 methods to prepare residents; and 12 on specific skills exercises. The importance of each question (arthroscopic skill) was evaluated ranging from 1 (not important at all) to 6 (very important). Chi-square test, respondent agreement, and a qualitative ranking method were determined to identify the top ranked skills (p 134, p 0.85, and all " high priority" level). The top ranked 2 specific arthroscopic skills were " portal placement" and " triangulating the tip of the probe with a 30-degree scope" (chi-square test > 176, p <0.001, excellent agreement, and assigned high priority). The online survey identified consensus on skills that are considered important for a trainee to possess before continuing training in the OR. Compared with the Canadian colleagues, the European arthroscopy community demonstrated similar rankin
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