Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
-
Injury to the saphenous nerve accounts for the majority of neurovascular complications during arthroscopic meniscal repairs. Although the anatomy of the infrapatellar branch has been studied, the location of the sartorial branch at the level of the joint line has not been defined adequately. The purpose of this study was to define the location of the sartorial branch in relation to surrounding structures at the level of the knee joint/meniscus. ⋯ Understanding the anatomy of the sartorial branch at the level of the joint line and its relationships to surrounding structures will help to minimize the risk of injury to the nerve during common surgical procedures at the posteromedial corner of the knee.
-
To determine joint fluid temperatures at different time intervals during treatment with radiofrequency energy (RFE) applied in intermittent and continuous treatment manners under flow or no-flow conditions using a simulated shoulder joint model. ⋯ Articular cartilage of the humeral head may suffer potential thermal injury from heating of joint fluid during RFE thermal capsulorrhaphy.
-
Randomized Controlled Trial Comparative Study
Clinical evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: patellar tendon versus gracilis and semitendinosus autograft.
To evaluate the clinical results of anterior cruciate ligament (ACL) reconstruction in patients with ACL-deficient knee in 2 similar groups of patients. ⋯ Level I, Randomized Controlled Trial.
-
Rotator cuff failure by suture-bone or suture anchor pull-out, suture breakage, knot slippage, and tendon pull-out are well described. I report a case of early disintegration of a bioabsorbable suture anchor. ⋯ Arthroscopy revealed disintegration of the suture loop from the anchor. Open rotator cuff repair was then performed with transosseous suture and metallic anchors.
-
Randomized Controlled Trial
Intra-articular ropivacaine 0.75% and bupivacaine 0.50% for analgesia after arthroscopic knee surgery: a randomized prospective study.
Intra-articular administration of local anesthetic solution provides analgesia after arthroscopic knee surgery. Bupivacaine is considered the gold standard local anesthetic in this indication, but ropivacaine, which is less toxic than bupivacaine, can consequently be administered in higher doses, potentially increasing the duration of analgesia. We compared the analgesic effect of intra-articular injection of ropivacaine 225 mg and bupivacaine 150 mg in patients undergoing arthroscopic surgery. ⋯ Level I.