Incisionless Knee Synovectomy and Biopsy With Needle Arthroscope and Autologous Tissue Collector

Lavender, Chad; Patel, Tyag; Adil, Syed Ali Sina; Oliashirazi, Ali

doi:10.1016/j.eats.2020.05.002

Cited by 12 publications

(6 citation statements)

References 6 publications

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“…Further indications are repair and debridement of meniscal tears 6 and partial synovectomy. 7 Of course, this procedure is not limited to the knee. Safety and effectiveness of ankle arthroscopy 8 and tendoscopy 9 have been demonstrated recently in two cadaver studies.…”

Section: Discussionmentioning

confidence: 99%

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Minimally invasive arthroscopy of the knee using a new 2 mm device

Konrads

Notheisen

Döbele

2022

Clinical Case Reports

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Arthroscopy has been evolving over the last decades, whereas arthroscopic devices have not changed much. Smaller diameter arthroscopes would potentially reduce the intraoperative trauma for cartilage and soft tissues. Two‐millimeter‐diameter arthroscopy demonstrated very good visualization and reach of intraarticular structures—similar to knee arthroscopy using a standard arthroscopic system.

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Section: Discussionmentioning

confidence: 99%

“…The NanoScope might also be helpful for visualization of the reduction in intraarticular fractures during open or closed reduction and fixation. Further indications are repair and debridement of meniscal tears 6 and partial synovectomy 7 …”

Section: Discussionmentioning

confidence: 99%

Minimally invasive arthroscopy of the knee using a new 2 mm device

Konrads

Notheisen

Döbele

2022

Clinical Case Reports

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“…5 This innovation has fueled the use of needle arthroscopy, with diagnostic and interventional indications arising in the ankle, knee, and shoulder. [6][7][8] Needle arthroscopy seems to be perfectly suited for repair of isolated meniscal tears. To the patient, a meniscal suture may sound like a relatively simple operation.…”

Section: Discussionmentioning

confidence: 99%

Needle Arthroscopic All-Inside Repair of Meniscal Tears Under Local Anesthesia

Stornebrink

Dijck

Douven

et al. 2021

Arthroscopy Techniques

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Needle arthroscopy has experienced a substantial increase in image quality due to technical innovation, which has brought needle arthroscopic interventional possibilities along. Repair of meniscal tears is gaining popularity relative to meniscectomy and may be such a procedure that is suitable for needle arthroscopy. We here present a needle arthroscopic technique for all-inside repair of meniscal tears in the red zone and redewhite zone. With the use of local anesthesia only, the procedure is easy to perform for the surgeon and well-tolerable for the patient. Compared with conventional approaches to meniscal repair, needle arthroscopy may result in improved patient experience, decreased soft-tissue trauma, speedier recovery, and less need for personnel and hospital facilities. Combined, the advantages may lead to decreased overall costs as well.A meniscal tear is a common problem. In the United States alone, approximately 1 million meniscal surgeries are performed each year. 1 This rather large demand necessitates an effort to innovate and try to provide increased quality of care at lower costs. Indeed, surgical treatment of meniscal injuries has evolved from open resection in the past to arthroscopic repair in the present. 2 Needle arthroscopy now offers adequate image quality 3 and provides the opportunity to further innovate the delivery of care. We here describe a technique for needle arthroscopic, all-inside repair of meniscal tears in the red zone and redewhite zone, as it is performed by one of the senior authors (R.v.D.). This approach can be performed under local anesthesia and in the procedure room. The study was conducted in agreement with the 1964 Helsinki Declaration and its later amendments and was approved by the Medical Ethics Committee of the University of Amsterdam (AMC), with reference number W20_357 # 20.412.

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“…Combined with the preoperative score, a total of 6 points or greater was considered an infection; a score between 4 and 5 points, inconclusive; and a score of 3 points or less, no infection. [3][4][5] In patients with a score of 2 to 5 points, or "possible infection," according to the Musculoskeletal Infection Society criteria, the use of an updated technique catered to prosthetic joints, similar to that previously described in native knees by Lavender et al, 6 is appropriate. In this article, we describe a technique in which a NanoScope and GraftNet are used to obtain synovial and bone tissue samples in a patient with prior total knee arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Incisionless Synovium and Bone Biopsy of a Painful Total Knee Arthroplasty

Lavender

Adil

Patel

et al. 2021

Arthroscopy Techniques

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Knee arthroscopy has evolved greatly from its inception in the 20th century. Arthroscopic synovectomy is performed in the case of infection or significant synovitis. We continue to develop more minimally invasive procedures, and the NanoScope (Arthrex, Naples, FL) has provided a new generation of possibilities. The system does not require the use of a standard incision or portal, and using the GraftNet (Arthrex), we can harvest tissue with a standard shaver for further evaluation. This technique provides an option to perform a synovial and bone biopsy in a painful total knee arthroplasty without the use of standard arthroscopy portals through an incisionless approach. This technique provides distinct advantages over a more open approach in the setting of a prosthetic joint. Specifically, this technique is useful for a difficult-to-diagnose painful total knee arthroplasty.

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Incisionless Knee Synovectomy and Biopsy With Needle Arthroscope and Autologous Tissue Collector

Cited by 12 publications

References 6 publications

Minimally invasive arthroscopy of the knee using a new 2 mm device

Minimally invasive arthroscopy of the knee using a new 2 mm device

Needle Arthroscopic All-Inside Repair of Meniscal Tears Under Local Anesthesia

Incisionless Synovium and Bone Biopsy of a Painful Total Knee Arthroplasty

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