Synovial tissue was obtained during open joint replacement surgery or arthroscopic synovectomy from a total of 16 patients with the clinical diagnosis of RA (13 knee joints, one hip joint, one wrist, one metacarpo-phalangeal joint) as well as 21 patients with the clinical diagnosis of OA (all knee joints; Table 2 ) from the Department of Orthopedics, University of Leipzig, Germany, the Clinic of Orthopedics, Bad Düben, Germany, and the Clinic of Orthopedics, Eisenberg, Germany, as well as the Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA. All RA patients fulfilled the American Rheumatism Association criteria for RA [8 (link)]. The study was approved by the Ethics Committees of the University of Leipzig and the University of Jena, Germany, and the University of Michigan, MI, USA. One portion of each sample was immediately frozen in isopentane (Merck, Darmstadt, Germany), cooled in liquid nitrogen and stored at –70°C for immunohistochemistry. The remaining tissue was placed in cell culture medium at ambient temperature and subjected to tissue digestion within 2 h.
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Arthroscopy
Arthroscopy
Arthroscopy is a minimally invasive surgical procedure used to examine and treat various joint conditions.
It involves the use of a small camera (arthroscope) inserted through a small incision to visualize the interior of a joint, such as the knee, shoulder, or ankle.
Arthroscopy allows for the diagnosis and treatment of a wide range of joint problems, including torn menisci, ligament injuries, and cartilage damage.
This procedure can often be performed on an outpatient basis, reducing recovery time and minimizing the risk of complications compared to open surgical techniques.
Arthroscopy is a valuable tool for orthopedic surgeons, offering enhanced visualization and precision during joint assessments and interventions, while minimizing patient discomfort and trauma.
It involves the use of a small camera (arthroscope) inserted through a small incision to visualize the interior of a joint, such as the knee, shoulder, or ankle.
Arthroscopy allows for the diagnosis and treatment of a wide range of joint problems, including torn menisci, ligament injuries, and cartilage damage.
This procedure can often be performed on an outpatient basis, reducing recovery time and minimizing the risk of complications compared to open surgical techniques.
Arthroscopy is a valuable tool for orthopedic surgeons, offering enhanced visualization and precision during joint assessments and interventions, while minimizing patient discomfort and trauma.
Most cited protocols related to «Arthroscopy»
Arthroplasty, Replacement
Arthroscopy
Bones of Fingers
Cell Culture Techniques
Cells
Collagen Diseases
Culture Media
Diagnosis
Digestion
Ethics Committees
Freezing
Hip Joint
Immunohistochemistry
isopentane
Isotretinoin
Joints
Knee Joint
Nitrogen
Orthopedic Rehabilitation Surgery
Orthopedic Surgical Procedures
Patients
Synovectomy
Synovial Membrane
Tissues
Wrist Joint
The meniscal and bone evaluation was performed using the same sequences as for the cartilage assessment, as previously discussed [14 (link)]. Regardless, the FISP sequence enabled us to visualize the meniscal tissue and bone lesions with enough clarity to adequately and reliably perform the semi-quantitative scoring system [14 (link)]. A semi-quantitative lesion assessment of meniscal damage and bone edema was performed. Knee menisci and bone lesions were evaluated by an experienced radiologist (MJB) who was blinded to the time sequences and cartilage volumes, while the cartilage volume assessment was performed separately by two different readers who were blinded to the radiologist's grading.
Our scoring system for meniscal damage referred to the accepted MRI nomenclature for meniscal anatomy, which is in accordance with arthroscopic literature [25 ,26 ]. The proportion of the menisci affected by degeneration, tear, or extrusion was scored separately using the following semi-quantitative scale [14 (link)]: 0 = no damage; 1 = 1 out of 3 meniscal areas involved (anterior, middle, posterior horns); 2 = 2 out of 3 involved; 3 = all 3 areas involved. The extent of meniscal extrusion on the medial or lateral edges of the femoral tibial joint space, not including the osteophytes, was evaluated for the anterior, middle, and posterior horns of the menisci in which 0 = no extrusion, 1 = partial meniscal extrusion, and 2 = complete meniscal extrusion with no contact with the joint space.
For bone edema, the intensity and extent of the lesion was assessed in the medial and lateral tibio-femoral compartments with the following semi-quantitative scale: 0 = absence of edema; 1 = mild to moderate edema, meaning a small or medium-sized lesion; and 2 = severe edema, meaning a large one. The results are presented by either presence or absence of any edema (grade 1 or 2) and presence or absence of one severe edema lesion (grade 2 only), regardless of the presence of additional smaller lesions.
Reliability of our scoring system for meniscal and bone changes was excellent. The intra- and inter-reader correlation coefficient ranged from 0.86 to 0.96 for the meniscal tear, 0.85 to 0.92 for the meniscal extrusion and 0.88 to 0.93 for the bone marrow edema. Kappa statistics ranged from 0.79 to 0.89 for the meniscal changes and 0.78 to 0.87 for the bone marrow edema (data not shown).
Our scoring system for meniscal damage referred to the accepted MRI nomenclature for meniscal anatomy, which is in accordance with arthroscopic literature [25 ,26 ]. The proportion of the menisci affected by degeneration, tear, or extrusion was scored separately using the following semi-quantitative scale [14 (link)]: 0 = no damage; 1 = 1 out of 3 meniscal areas involved (anterior, middle, posterior horns); 2 = 2 out of 3 involved; 3 = all 3 areas involved. The extent of meniscal extrusion on the medial or lateral edges of the femoral tibial joint space, not including the osteophytes, was evaluated for the anterior, middle, and posterior horns of the menisci in which 0 = no extrusion, 1 = partial meniscal extrusion, and 2 = complete meniscal extrusion with no contact with the joint space.
For bone edema, the intensity and extent of the lesion was assessed in the medial and lateral tibio-femoral compartments with the following semi-quantitative scale: 0 = absence of edema; 1 = mild to moderate edema, meaning a small or medium-sized lesion; and 2 = severe edema, meaning a large one. The results are presented by either presence or absence of any edema (grade 1 or 2) and presence or absence of one severe edema lesion (grade 2 only), regardless of the presence of additional smaller lesions.
Reliability of our scoring system for meniscal and bone changes was excellent. The intra- and inter-reader correlation coefficient ranged from 0.86 to 0.96 for the meniscal tear, 0.85 to 0.92 for the meniscal extrusion and 0.88 to 0.93 for the bone marrow edema. Kappa statistics ranged from 0.79 to 0.89 for the meniscal changes and 0.78 to 0.87 for the bone marrow edema (data not shown).
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Arthroscopy
Bone Marrow
Bones
Cartilage
Edema
Femur
interleukin-24
Joints
Knee
Laceration
Meniscus
Osteophyte
Posterior Horn of Spinal Cord
Radiologist
Tibia
Tissues
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Aged
Arthroscopy
Conservative Treatment
Degenerative Arthritides
Diagnosis
Education of Patients
Gold
Ligaments
Online Learning
Operative Surgical Procedures
Orthopedic Surgeons
Patients
Physical Examination
Posterior Cruciate Ligament
Pregnancy, Prolonged
Reconstructive Surgical Procedures
Regeneration
Tears
Therapy, Physical
X-Rays, Diagnostic
Young Adult
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Adult
Antibodies
Antigens
Arthroscopy
Autopsy
Avidin
Biopsy
Biotin
Bone Marrow
Bones
Cartilage
Cartilages, Articular
Cells
Cell Shape
Clone Cells
Cloning Vectors
Collagen
Collagen Type I
Collagen Type II
Condyle
Eosin
Femur
Femur Heads
Fibrocartilage
Fibrosis
Formalin
Freezing
Frozen Sections
Glycosaminoglycans
Grafts
Homozygote
Hyaline Cartilage
Hyalin Substance
Hyaluronidase
Hybridomas
Immunoglobulins
Immunohistochemistry
Joints
Joints, Ankle
Knee
Light
Methanol
Mus
Needles
Nitrogen
Operative Surgical Procedures
Oryctolagus cuniculus
Paraffin
Paraffin Embedding
Patella
Pathologic Neovascularization
Patients
Peroxidase
Peroxides
Phosphates
Physiologic Calcification
Procollagen
PRSS2 protein, human
Rabbits
Saline Solution
Serum
Sodium Acetate
Sodium Chloride
Tissues
Tolonium Chloride
Tritium
Trypsin
Wound Healing
Twenty-eight patients, 22 males (mean age 26.2 ± 8.7 years) and 6 females (mean age 22.8 ± 6.4 years), participated. The detailed demographics are presented in Table 1 . All subjects were level I–II athletes prior to injury [12 (link)]. Inclusion criteria for the patients have been reported previously [14 ]. An arthroscopic ACLR with anteromedial portal technique was performed on all patients by the same 2 surgeons. Patients completed a rehabilitation programme at the same outpatient physical therapy clinic. In the first 6 weeks after surgery, rehabilitation goals were to reduce inflammation and swelling, restore full knee extension, gait training and neuromuscular training to facilitate quadriceps activity. After approximately 6 weeks, neuromuscular training continued with more advanced drills and muscle strengthening and endurance training were added. At 12 weeks, muscle hypertrophy strengthening was started and running activities and jumping tasks were added. In weeks 24–36, plyometric activities, running/cutting drills, followed by sport-specific agility drills on the field, were initiated. The patients performed the test battery on average 6.5 ± 1.0 months following ACLR. The study protocol was approved by the Medical Ethical Committee (ID 2012.362) of the University of Groningen, and informed consent was obtained from all subjects prior to data collection.
Descriptive data of included subjects (mean±)
| Age (years) | Weight (kg) | Type graft (n) | Time post-surgery (months) | Number of therapy sessions | Lysholm score | |
|---|---|---|---|---|---|---|
| All subjects (n = 28) | 25.5 ± 8.3 | 78.5 ± 12.7 | HT (19), PT (8), AG (1) | 6.5 ± 1.0 | 43.3 ± 13.8 | 67.6 ± 24.5 |
| Males (n = 22) | 26.2 ± 8.8 | 81.6 ± 11.3 | HT (14), PT (7), AG (1) | 6.5 ± 1.1 | 43.1 ± 14.7 | 63.9 ± 25.4 |
| Females (n = 6) | 22.8 ± 6.4 | 67.3 ± 11.8 | HT (5), PT (1) | 6.3 ± 0.6 | 44.2 ± 11.2 | 78.0 ± 18.1 |
HT hamstring tendon graft, PT bone-patellar tendon graft, AG allograft
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Allografts
Arthroscopy
Athletic Injuries
Bone Transplantation
Drill
Females
Grafts
Hamstring Tendons
Hypertrophy
Inflammation
Knee
Ligamentum Patellae
Males
Muscle Tissue
Operative Surgical Procedures
Patients
Quadriceps Femoris
Rehabilitation
Surgeons
Therapeutics
Therapy, Physical
Most recents protocols related to «Arthroscopy»
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Anesthesiologist
Arthroscopy
Chronic Condition
Elbow
Fellowships
Heart
Index, Body Mass
Lung
NCOA6 protein, human
Operative Surgical Procedures
Outpatients
Oxygen
Patients
Physician Executives
Physicians
Repeat Surgery
Shoulder
Sleep Apnea, Obstructive
Thromboembolism
Veterans
The following clinical parameters were collected: gender, age, height, weight, body mass index (BMI), affected side, systolic blood pressure (SBP), diastolic blood pressure (DBP), arterial pressure, inducement (non, fall down, sports, accident), underlying diseases (hypertension, diabetes), red blood cell count difference, hemoglobin count difference, hematocrit difference, platelet count difference, and intraoperative variables including type of postero-superior cuff tears and subscapularis tears, number of patients underwent acromiolpasty or long head of biceps tendon (LHBT) tenotomy, and duration of the surgery.
Classification of postero-superior cuff tears (C1, C2, C3, C4) and subscapularis tears (type 1, type 2, type 3, type 4, type 5) were performed according to the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification system (8 (link)).
Classification of postero-superior cuff tears (C1, C2, C3, C4) and subscapularis tears (type 1, type 2, type 3, type 4, type 5) were performed according to the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification system (8 (link)).
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Accidents
Arthroscopy
Diabetes Mellitus
Erythrocyte Count
Gender
Head
Hemoglobin
High Blood Pressures
Index, Body Mass
Knee
Operative Surgical Procedures
Patients
Platelet Counts, Blood
Pressure, Diastolic
Subscapularis
Systolic Pressure
Tears
Tendons
Tenotomy
Volumes, Packed Erythrocyte
A systematic search of 3 databases (the Medical Literature Analysis and Retrieval System Online (Medline), the Excerpta Medica Database (Embase), and Web of Science) and manual search of references was performed through April 4, 2022, by 2 reviewers (DLL and HAK) for literature related to arthroscopy in the context of TTC nail ankle fusion. The search terms included tibiotalocalcan*, arthrodesis, fusion, and arthroscopy. The complete search strategies can be found in Appendix 1 . The inclusion criteria for this review were (1) TTC fusion using an intramedullary rod, (2) arthroscopy or the use of minimally invasive arthroscopic portals to prepare the tibiotalar and/or subtalar joint, (3) studies available in English, (4) studies including at least 5 patients, (5) outcomes data provided, (6) 18 years and older, and (7) all levels of evidence. Exclusion criteria consisted of (1) open TTC nail fusion, (2) cadaveric studies, (3) biomechanical studies, (4) no follow-up/outcomes data reported, (5) pediatric population, and (6) systematic reviews. Both arthroscopic (using an arthroscope in particular) and arthroscopic portal (creating portals and using other adjuncts such as fluoroscopy and curettes) joint preparation prior to TTC nailing were included in this study because of the similar small incisions and minimal soft tissue disruption associated with the procedure. For the purposes of this review, both minimally invasive techniques using an arthroscope, or arthroscopic portals with fluoroscopy will be referred to as “transportal TTC nailing.”
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Arthrodesis
Arthroscopes
Arthroscopy
Fluoroscopy
Joints
Joints, Ankle
Nails
Patients
Subtalar Joint
Tissues
The data from each study was abstracted into predetermined tables using Google Sheets by 2 reviewers (D.L.L. and H.A.K.) and further reviewed by the third author (M.H.). The following data were abstracted from the studies if available: study characteristics (author, publication year, journal, level of evidence, study design, etc), number of patients, participants characteristics (i.e., age, sex, etc), follow-up length, details of the treatment performed (arthroscopic portals, TTC nail, etc), subjective outcomes (the American Orthopaedic Foot & Ankle Society [AOFAS] ankle-hindfoot score, visual analog scale for pain, etc) pain scale, and complications. Descriptions of the procedures, arthroscopy portals, patient positioning, and instruments used were summarized.
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Ankle
Arthroscopes
Arthroscopy
Foot
Nails
Pain
Patients
Visual Analog Pain Scale
The inclusion criteria were as follows: participants with suspected ALT who underwent MR before arthroscopy or surgery (not limited by age, race, and nationality); prospective or retrospective study design; direct or indirect availability of the results—true positive, false positive, false negative, and true negative.
The exclusion criteria were as follows: duplicate articles; articles with inconsistent research contents; non-English and non-Chinese articles; conference abstracts; case reports; and animal test.
Effect sizes included the pooled Sen, Spe, positive likelihood ratio (+LR), negative likelihood ratio (–LR), diagnosis odds ratio (DOR), summary receiver operating characteristics, area under the curve (AUC) of the summary receiver operating characteristic, and Q*.
The exclusion criteria were as follows: duplicate articles; articles with inconsistent research contents; non-English and non-Chinese articles; conference abstracts; case reports; and animal test.
Effect sizes included the pooled Sen, Spe, positive likelihood ratio (+LR), negative likelihood ratio (–LR), diagnosis odds ratio (DOR), summary receiver operating characteristics, area under the curve (AUC) of the summary receiver operating characteristic, and Q*.
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Animals
Arthroscopy
Chinese
Conferences
Diagnosis
Operative Surgical Procedures
Top products related to «Arthroscopy»
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Fetal Bovine Serum (FBS) is a cell culture supplement derived from the blood of bovine fetuses. FBS provides a source of proteins, growth factors, and other components that support the growth and maintenance of various cell types in in vitro cell culture applications.
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The TomoFix plate is a surgical implant designed for use in orthopedic procedures. It is a type of bone plate that is used to stabilize and support bone fragments during the healing process. The TomoFix plate is made of titanium alloy and is available in various sizes to accommodate different patient needs.
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The PushLock is a surgical implant device designed for use in orthopedic procedures. It is a bioabsorbable tack used to secure soft tissue to bone. The core function of the PushLock is to provide fixation and attachment of soft tissue structures during the healing process.
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The NanoScope is a high-resolution imaging system designed for detailed analysis of microscopic samples. It utilizes advanced electron microscopy technology to capture nanoscale-level images and data. The NanoScope provides precise visualization and measurement capabilities for a wide range of applications.
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The TightRope is a surgical implant device designed for use in various orthopedic procedures. It consists of a suture and a button component. The device is intended to provide fixation and stabilization of soft tissues and bone.
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The TightRope RT is a surgical implant designed for use in orthopedic procedures. It is composed of a high-strength suture material and can be used to secure and stabilize tissues during the healing process. The core function of the TightRope RT is to provide a secure and durable fixation point for medical procedures, though its specific applications should be determined by qualified medical professionals.
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The Endobutton is a piece of medical equipment used in surgical procedures. It is designed to secure soft tissue to bone during the repair of certain injuries or conditions. The Endobutton serves as an anchor point to facilitate the attachment of the tissue to the bone.
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Chondro-Gide is a collagen membrane developed by Geistlich Pharma for the repair and regeneration of cartilage.
More about "Arthroscopy"
Arthroscopy is a minimally invasive surgical procedure that allows orthopedic surgeons to examine and treat various joint conditions.
This procedure involves the use of a small camera called an arthroscope, which is inserted through a tiny incision to visualize the interior of a joint, such as the knee, shoulder, or ankle.
Arthroscopy is a valuable tool for diagnosing and treating a wide range of joint problems, including torn menisci, ligament injuries, and cartilage damage.
The benefits of arthroscopic surgery compared to open surgical techniques include reduced recovery time, minimized risk of complications, and enhanced visualization and precision during the procedure.
Arthroscopy can often be performed on an outpatient basis, making it a more convenient and less invasive option for patients.
In addition to the arthroscope, other specialized instruments and tools may be used during arthroscopic procedures, such as the FBS (fetal bovine serum), TomoFix plate, PushLock, NanoScope, TightRope, TightRope RT, and Endobutton.
These devices and materials can help orthopedic surgeons perform precise and targeted interventions to address joint issues.
The DMEM (Dulbecco's Modified Eagle Medium) is a commonly used cell culture medium that may be utilized in conjunction with arthroscopic procedures, particularly when dealing with cartilage or other tissue-related conditions.
Chondro-Gide is another specialized material that can be used to help repair and regenerate damaged cartilage during arthroscopic procedures.
Overall, arthroscopy is a cutting-edge and highly effective tool for orthopedic surgeons, offering enhanced visualization, precision, and minimally invasive treatment options for a wide range of joint conditions.
By leveraging the latest technologies and techniques, orthopedic specialists can provide their patients with improved outcomes and faster recovery times.
This procedure involves the use of a small camera called an arthroscope, which is inserted through a tiny incision to visualize the interior of a joint, such as the knee, shoulder, or ankle.
Arthroscopy is a valuable tool for diagnosing and treating a wide range of joint problems, including torn menisci, ligament injuries, and cartilage damage.
The benefits of arthroscopic surgery compared to open surgical techniques include reduced recovery time, minimized risk of complications, and enhanced visualization and precision during the procedure.
Arthroscopy can often be performed on an outpatient basis, making it a more convenient and less invasive option for patients.
In addition to the arthroscope, other specialized instruments and tools may be used during arthroscopic procedures, such as the FBS (fetal bovine serum), TomoFix plate, PushLock, NanoScope, TightRope, TightRope RT, and Endobutton.
These devices and materials can help orthopedic surgeons perform precise and targeted interventions to address joint issues.
The DMEM (Dulbecco's Modified Eagle Medium) is a commonly used cell culture medium that may be utilized in conjunction with arthroscopic procedures, particularly when dealing with cartilage or other tissue-related conditions.
Chondro-Gide is another specialized material that can be used to help repair and regenerate damaged cartilage during arthroscopic procedures.
Overall, arthroscopy is a cutting-edge and highly effective tool for orthopedic surgeons, offering enhanced visualization, precision, and minimally invasive treatment options for a wide range of joint conditions.
By leveraging the latest technologies and techniques, orthopedic specialists can provide their patients with improved outcomes and faster recovery times.