to ensure accurate identification of those patients who will benefit from knee arthroscopy, to ensure they are not disadvantaged. Local implementation of existing position statements and guidelines A number of districts and individual facilities indicated that their surgical departments and services have adopted the position statement of the Australian Orthopaedic Association on arthroscopic surgery Appropriateness of Knee Arthroscopy: Strategies to ensure appropriate performance in NSW Appropriateness of Surgery: Knee Arthroscopy Strategies to ensure appropriate performance in NSW Surgical Services Taskforce Surgical Services Taskforce Appropriateness of Surgery: Knee Arthroscopy i AGENCY FOR CLINICAL INNOVATION Level 4, 67 Albert Avenue Chatswood NSW 2067 PO Box 699 Chatswood NSW
Arthroscopic hip surgery compared with personalised hip therapy in people over 16 years old with femoroacetabular impingement syndrome: UK FASHIoN RCT PROSPEROInternational prospective register of systematic reviews Print | PDFEffectiveness of carbohydrate restricted dietary patterns in adults with overweight or obesity, non-alcoholic fatty liver disease, or type 2 diabetes: A systematic review
Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy. Knee arthroscopy (KA) is a routine orthopedic procedure recommended to repair cruciate ligaments and meniscus injuries and in eligible patients, to assist the diagnosis of persistent knee pain. KA is associated with a small risk of thromboembolic events. This systematic review aims to assess
Periacetabular Osteotomy with Concomitant Hip Arthroscopy Shows Comparable Outcomes Compared to Isolated Hip Arthroscopy with Capsular Plication in Borderline Dysplastic Hips: A Propensity-Matched Study. To compare minimum 2-year outcomes of concomitant hip arthroscopy (HA) with periacetabular osteotomy (PAO) versus isolated HA with capsular plication in patients with borderline hip dysplasia
Analysis of the Incidence of Knee Arthroscopy, Total Knee Arthroplasty (TKA), and Readmission Rates for TKA After Previous Knee Arthroscopy in the Queensland (QLD) Population. In situations of osteoarthritis (OA), the therapeutic value of knee arthroscopy is still a topic of discussion that is ongoing. This study aims to produce data about the relevance of arthroscopy and total knee arthroplasty (TKA) in knee OA by assessing the overall rates of arthroscopy and subsequent conversion to TKA over a two-year period in QLD Australia within the time frame between 2008 and 2023. A retrospective cohort analysis was undertaken at Queensland (QLD) hospitals that underwent arthroscopy and TKA between 2008 and 2023. Research datasets obtained from the Centre for Health Record Linkage (CHeReL) were
First validated automated scoring system using the diagnostic arthroscopy skill score (DASS 2.0) for assessing proficiency in virtual reality arthroscopy. Proficiency-based simulator training is a promising approach for learning the complex motor skills required for arthroscopy. However, its implementation requires an objective assessment tool to assess residents' arthroscopic skills. To address this need, an automated diagnostic arthroscopy skill score (DASS) was developed and validated as a replacement for manual scoring. An automated measurement system of arthroscopic skills was developed, replacing the manual assessment parameters of the DASS with objective measurement criteria. Data from arthroscopies performed by 20 experts were used to establish threshold values for scoring. To validate
Arthroscopic injection of a bioadhesive hydrogel implant (JointRep) in conjunction with microfracture for treatment of osteochondral defects of the knee MSAC - 1578 - Arthroscopic injection of a bioadhesive hydrogel implant (JointRep™), in conjunction with microfracture, for treatment of osteochondral defects of the knee Skip to content Skip to site navigation Skip to local navigation Search * Application Page * Utilisation Monitoring Process * You are here: * Medical Services Advisory Committee / * MSAC Applications / * Application Page /1578 - Arthroscopic injection of a bioadhesive hydrogel implant (JointRep™), in conjunction with microfracture, for treatment of osteochondral defects of the knee Page last updated: 19 October 2021Application DetailDescription of Medical ServiceThe
Management Guidelines for Infection After ACL Reconstruction: Expert Opinion Statement Based on the Modified Delphi Survey of Indian Arthroscopy Surgeons Infection after anterior cruciate ligament (ACL) reconstruction, though rare, is a potentially devastating complication and the evidence-based recommendation on the various topics in its management is limited. The purpose of this study , to develop a consensus statement on the topics. Consensus statements could be prepared in eleven out of twenty-two topics including: the graft is retained at the first arthroscopic debridement, the graft is removed when repeated debridement are needed, and revision ACL reconstruction is needed only if the patient develops instability. Concurrence could be obtained in the topics including: longer duration
Efficacy of iliopsoas plane block for patients undergoing hip arthroscopy: a prospective, triple-blind, randomized, placebo-controlled trial Intraoperative stretching of the hip joint capsule often generates severe pain during the first 3 hours after hip arthroscopy. The short-lived severe pain mandates high opioid consumption, which may result in adverse events and delay recovery. The femoral nerve nociceptors are located anteriorly in the hip joint capsule. A femoral nerve block reduces pain and opioid demand after hip arthroscopy. It impedes, however, ambulation and home discharge after outpatient surgery. The iliopsoas plane block selectively anesthetizes the femoral sensory nerve branches innervating the hip joint capsule without compromising ambulation. We aimed to assess reduction
Total Intravenous Anesthesia with Propofol Reduces Discharge Times Compared with Inhaled General Anesthesia in Shoulder Arthroscopy: A Randomized Controlled Trial Shoulder arthroscopy is commonly performed at ambulatory surgical centers (ASCs) with use of an interscalene block and inhaled general anesthesia (IGA). However, an alternative option known as total intravenous anesthesia with propofol (TIVA-P) has shown promising results in reducing recovery time for other surgeries. The objective of this study was to assess whether there is a clinically meaningful difference in post-anesthesia care unit phase-I (PACU-I) time following shoulder arthroscopy between patients receiving an interscalene block with IGA and those receiving an interscalene block with TIVA-P. Patients who underwent shoulder
Hip Arthroscopy Versus Physical Therapy for the Treatment of Symptomatic Acetabular Labral Tears in Patients Older Than 40 Years: 24-Month Results From a Randomized Controlled Trial The indications for hip arthroscopy in patients aged ≥40 years remain controversial, as observational studies have suggested that advanced age portends poor functional outcomes, poor durability of improvement , and high rates of conversion to total hip arthroplasty. To compare hip arthroscopy versus nonoperative management for symptomatic labral tears in patients aged ≥40 years with limited radiographic osteoarthritis. Randomized controlled trial; Level of evidence, 1. This single-surgeon, parallel randomized controlled trial included patients aged ≥40 years with limited osteoarthritis (Tönnis grades 0-2) who
Association of intra-articular injection and knee arthroscopy prior to primary knee replacement with the timing and outcomes of surgery: Retrospective cohort study using data from the Clinical Practice Research Datalink GOLD database. Patients with symptomatic knee osteoarthritis may undergo non-surgical interventions such as intra-articular steroid injections and knee arthroscopy. This study and knee arthroscopy were identified. Hazard ratios (HRs) with 95% CIs were estimated for primary outcomes of revision and reoperation using Cox regression. Secondary outcomes included time from first diagnosis of ipsilateral knee osteoarthritis to knee replacement, 6-month post-operative Oxford Knee Scores (OKS), mortality (90-days and 3-months), and post-operative surgical site infection (SSI) (3
Patients Undergoing Postless Hip Arthroscopy Demonstrate Significantly Better Patient-Reported Outcomes and Clinically Significant Outcomes Compared to Conventional Post-Assisted Hip Arthroscopy at Short-Term Follow-Up. To prospectively compare the short-term clinical outcomes of patients undergoing hip arthroscopy with versus without the use of a perineal post. A prospective, single-surgeon cohort study was performed on a subset of patients undergoing hip arthroscopy between 2020 and 2022. A post-free hip distraction system was used at one center at which the senior author operates, and a perineal post was used at another surgical location. An electronic survey of Patient-Reported Outcome Measures (PROMs) was completed by each patient at a minimum of 1 year postoperatively. PROMs included
Primary Hip Arthroscopy is Associated with Earlier Achievement of Substantial Clinical Benefit Compared to Revision Hip Arthroscopy for Femoroacetabular Impingement Syndrome. To compare time to achievement of clinically significant outcomes (CSOs) between patients undergoing primary and revision hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS). Patients undergoing primary
Patients with a history of lumbar fusion have a higher risk of revision arthroscopy and conversion to total hip arthroplasty after primary hip arthroscopy. To characterize the risk of revision hip arthroscopy or conversion to total hip arthroplasty (THA) among patients with a history of lumbar fusion undergoing primary hip arthroscopy. We used the Statewide Planning and Research Cooperative System, an administrative database including all ambulatory and inpatient surgery encounters in New York (NY), to identify all patients who underwent hip arthroscopy for FAI between 2010-2020. Patients with prior lumbar fusion were identified using CPT and ICD 9th/10th Revision coding definitions. Patients with and without prior fusion were matched in a 1:5 ratio according to age and comorbidity burden
Editorial Commentary: Complete Cam Resection Results in Best Outcomes After Hip Arthroscopy for Femoroacetabular Impingement. An aspherical hip can mechanically damage the joint and lead to chondrolabral injury, functional pain, and potentially arthritis. Hip arthroscopy to address femoroacetabular impingement (FAI) and make the hip spherical, with treatment of concomitant labral pathology, can
Over-resection, or under-resection, of the femoral cam lesion in patients having hip arthroscopy for femoroacetabular impingement syndrome indicate different possible solutions. As surgeons, we strive to recognize and correct any mistakes that may occur before completing an operation, and importantly, do our best to avoid irreversible mistakes. Over-resection of the femoral cam lesion in patients having hip arthroscopy for femoroacetabular impingement syndrome has been considered irreversible. While cam under-resection is a technical complication of femoroacetabular impingement surgery to be avoided, avoiding this at the expense of over-resection of the proximal femur is of great concern. Despite the quest to avoid leaving the operating room before the ideal surgical plan has been executed
Innovative technique for inferior compartment arthroscopy of the temporomandibular joint: a safe and reproducible approach. Visualization of the inferior joint space of the temporomandibular joint (TMJ) by arthroscopy is still a challenge for many surgeons, because there are no standard references for how to approach it. This study describes the steps for performing a TMJ arthroscopy technique
Glenohumeral Arthrodesis in Brachial Plexus Palsies: Open Surgery or Arthroscopy? A Retrospective Comparative Study. The indications for glenohumeral arthrodesis are severe lesions of the supra-clavicular brachial plexus. This is a demanding surgery with numerous complications. To reduce morbidity, a few rare arthroscopic techniques have been developed. We compared arthroscopic shoulder arthrodesis with open arthrodesis. Our hypothesis is that the results of arthroscopic arthrodesis would be at least as good as open arthrodesis in terms of strength and mobility, and better in terms of complications. Sixteen patients underwent arthrodesis for sequelae of complete brachial plexus palsy between 2008 and 2022. The procedures were performed in our university hospital by experienced surgeons
Minimizing risk to the dorsal sensory branch of the ulnar nerve in wrist arthroscopy: an anatomical study. Wrist arthroscopic procedures using ulnar wrist portals, such as the 6-ulnar and direct foveal portals, have a risk of injuring the dorsal sensory branch of the ulnar nerve. This study investigated the anatomy of the dorsal sensory branch of the ulnar nerve and its positional changes during supination, neutral rotation and pronation at specific landmarks to find an optimal forearm position to minimize the risk of iatrogenic nerve injury during arthroscopy. The concept of 'nerve density' was introduced to quantify the likelihood of encountering the dorsal sensory branch of the ulnar nerve within different sectors, correlating to the risk of nerve injury. Our findings indicate that the sectors