scholarly journals Open versus arthroscopic surgery in acromioclavicular separation

2018 ◽  
Vol 3 (2) ◽  
pp. 82-87
Author(s):  
Tudor Gavrilă ◽  
◽  
Ștefan Cristea
Keyword(s):  
Arthroscopic Surgery ◽  
Acromioclavicular Separation ◽  
Open Versus

scholarly journals Open versus arthroscopic surgery for diffuse tenosynovial giant-cell tumours of the knee: a systematic review

2020 ◽  
Vol 5 (6) ◽  
pp. 339-346
Author(s):  
Maria Beatriz Quaresma ◽  
José Portela ◽  
Joaquim Soares do Brito
Keyword(s):  
Giant Cell ◽  
Arthroscopic Surgery ◽  
Surgical Techniques ◽  
Standard Of Care ◽  
High Complication Rate ◽  
Arthroscopic Excision ◽  
Giant Cell Tumours ◽  
Total Knee ◽  
Open Versus ◽  
Very High

Diffuse-type tenosynovial giant-cell tumours of the knee (D-TGCT) have a very high complication rate. The recurrence rate for D-TGCT is mainly dependent on an initially successful resection of the lesion. The standard of care for this disease involves early surgery with synovectomy. Available surgical techniques may include an arthroscopic or open surgery; however, there is a lack of consensus on which technique should be used, and when. Arthroscopic excision is effective in minimizing morbidity and surgery-related complications, while an open surgical technique provides a more successful resection with a lower incidence of local recurrence. We could not conclude with confidence which of the surgical techniques is better at stopping a progression towards osteoarthritis and the need for a total knee arthroplasty. Cite this article: EFORT Open Rev 2020;5:339-346. DOI: 10.1302/2058-5241.5.200005

scholarly journals Does Open versus Arthroscopic Surgical Technique Affect the Union Rate of Tibiotalar Arthrodesis?

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0009
Author(s):  
Julie Neumann ◽  
Maxwell Weinberg ◽  
Charles Saltzman ◽  
Alexej Barg
Keyword(s):  
Surgical Technique ◽  
Arthroscopic Surgery ◽  
Wound Complication ◽  
Ankle Arthrodesis ◽  
Rate Of Return ◽  
Union Rate ◽  
Significant Difference ◽  
Tibiotalar Arthrodesis ◽  
Open Versus

Category: Arthroscopy Introduction/Purpose: To date, there are only a handful of studies directly comparing outcomes of open versus arthroscopic ankle arthrodesis. Major limitations of these studies are small patient cohorts, lack of long-term follow-up, lack of assessment pre-operative patient demographics and imaging, and post-operatively evaluation of clinical outcomes but not union rates. The purpose of this clinical study is to compare the rate of union in ankle fusions in patients that underwent open arthrodesis to those that underwent arthroscopic arthrodesis. The hypothesis of this study was that there would be no difference in union rate in patients that underwent open versus arthroscopic arthrodesis. Methods: This is a retrospective review of 521 consecutive patients from October 2002 to April 2016. One hundred twenty-five ankles from 121 patients met inclusion criteria. These patients underwent primary tibiotalar arthrodesis without the use of autograft. Fifty-nine patients underwent open tibiotalar arthrodesis and 66 patients underwent arthroscopic tibiotalar arthrodesis. Age, gender, body mass index, smoking, and preoperative radiographic deformity were controlled. The primary outcome measure was union rate of tibiotalar arthrodesis. Secondary outcome measures were time to union, rate of wound complications, rate of return to operating room, and rate of development of post-operative deep vein thrombosis (DVT). Results: One hundred twenty-one patients (125 ankles) were available for final follow-up. Average age of the patients was 55.3 +/- 17.2 years. Mean follow-up time was 35.4 months. Unions were assessed on routine post-operative radiographs. If there was a concern for nonunion, computerized tomography scan was utilized for further assessment. Nonunion rate of patients who had open surgery was 10/59 (17%) and nonunion rate of those who had arthroscopic surgery was 13/66 (20%) (p=0.69) [Table 1]. There was a statistically significant difference between those who had open versus arthroscopic surgery in wound complication rate (39% vs 6%, p=<0.001) and DVT rate (7% vs 0%, p=0.047). There was no statistically significant difference in rate of return to the operating room. No major complications occurred in this study. Conclusion: This study is the largest study to directly compare union rate and complications in patients who had open versus arthroscopic ankle arthrodesis. In this study, no significant association was found between surgical technique and union rate in patients undergoing ankle arthrodesis. Additionally, use of the arthroscopic technique has significantly lower rates of wound complication and post-operative DVTs.

scholarly journals Risk Factors Associated with Self-Removal of Shoulder Braces After Rotator Cuff Repair

2021 ◽  
Author(s):  
Yoo-Sun Won ◽  
Jae Sung Lee ◽  
Hyoung-Seok Jung ◽  
Ye-Hoon Jang ◽  
Chan-Woo Jung ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Surgery ◽  
Poor Compliance ◽  
Factors Affecting ◽  
Repair Site ◽  
Group A ◽  
Open Versus ◽  
Cuff Repair

Abstract Background: Rotator cuff repair is a widely performed surgery, with the re-tear rate reportedly above 20%. To protect the repair site, patients are instructed to wear braces for 4-6 weeks, but the compliance is known to be poor. This study aimed to identify the risk factors for poor compliance and to determine whether poor compliance leads to complications such as re-tears. Additionally, we planned to determine the patients’ subjective factors for self-removal of the brace.Method: This study included 101 patients who underwent rotator cuff repair between June 2019 and August 2020. The patients could select from two types of braces, namely, the sling-type and hard-type abduction brace. They were then instructed to wear the brace for 6 weeks postoperatively. During the follow-up, ultrasonography was performed to evaluate the repair site, and a questionnaire was administered to evaluate the compliance. Result: The participants were categorized into three groups (Groups A, B, and C) according to the degree of self-removal. Compliance was found to be poor, and only 35 patients met the standard of Group A. There were no statistically significant patient factors affecting the compliance. Re-tears were noted in 4 patients. Only the surgery type (open versus arthroscopic surgery) was a statistically significant factor for re-tears. Among the subjective factors, discomfort while sleeping was the most common complaint and the most common reason for the actual removal of the brace.Conclusion: Although the risk factors for self-removal of the braces could not be identified clearly and statistically, catastrophic re-tears requiring re-operation were observed in patients with poor compliance. For better compliance, the postoperative guidelines and education of the patients should be reviewed. Furthermore, the braces need to be modified to a more comfortable design.

Open Versus Endovascular AAA Repair in Patients Who Are Morphological Candidates for Endovascular Treatment

2002 ◽  
Vol 9 (3) ◽  
pp. 255-261 ◽  
Author(s):  
Bradley B. Hill ◽  
Yehuda G. Wolf ◽  
W. Anthony Lee ◽  
Frank R. Arko ◽  
Cornelius Olcott ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Open Versus
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