Percutaneous Anterior Cruciate Ligament Repair With Needle Arthroscopy and Biological Augmentation

Daggett, Matthew; Busch, Kyle; Ferretti, Andrea; Monaco, Edoardo; Bruni, Giorgio; Saithna, Adnan

doi:10.1016/j.eats.2020.10.006

Cited by 11 publications

(10 citation statements)

References 30 publications

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“…Others have demonstrated its use for more complicated procedures, such as meniscal repair or as an adjunct to anterior cruciate ligament repair. 13,14 Having consistently good visualization of the tibial footprint can potentially decrease technical difficulty and lessen surgical time.…”

Section: Discussionmentioning

confidence: 99%

Concurrent Needle and Standard Arthroscopy for Posterior Cruciate Ligament Reconstruction

Shubert¹,

DeFroda

Nuelle

2022

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

Concurrent Needle and Standard Arthroscopy for Posterior Cruciate Ligament Reconstruction

Shubert¹,

DeFroda

Nuelle

2022

Arthroscopy Techniques

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“…However, many deficiencies have also been reported. [6,[13][14][15] We hypothesized that contemporary ACL suture repair techniques [35][36][37] could be effective alternative treatments for ACL injury.…”

Section: Discussionmentioning

confidence: 99%

Early outcomes of primary repair versus reconstruction for acute anterior cruciate ligament injury: A systematic review and meta-analysis

Shen

Chen

et al. 2022

Medicine

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Background: Contemporary techniques for repair of acute anterior cruciate ligament (ACL) rupture have been receiving renewed interest recently because of reports of good outcomes. Methods: A literature search of PUBMED, MEDLINE, EMBASE, and the Cochrane Library was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Only RCTs published in English and comparing clinical outcomes of ACL repair versus reconstruction were included. Outcomes were evaluated using the International Knee Documentation Committee subjective score, Lysholm score, Tegner activity scale, visual analog scale pain score, anterior laxity, Lachman test, hop tests, knee injury and osteoarthritis outcome score, extension deficit, revision rate, and re-rupture rate. Statistical analysis was performed with Review Manager 5.4 and Stata 14.0. Two-tailed P < .05 was considered statistically significant. Results: Four RCTs (with a total of 293 patients) that met the eligibility criteria were included in this review. Over short-term follow-up, none of the studies found significant differences between the repair groups and reconstruction groups with respect to International Knee Documentation Committee, Lysholm, Tegner, visual analog scale, anterior laxity, Lachman test, re-rupture rate, extension deficit, and performance of 3 hop tests ( P > .05). In both groups, the hop tests scores were >90%. Conclusion: ACL repair and ACL reconstruction appear to provide comparable short-term outcomes. The low revision rate after primary repair is encouraging. For patients with ACL injury, current repair techniques such as dynamic intraligamentary stabilization and bridge-enhanced ACL repair may be an effective alternative to reconstruction.

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“…Local anaesthesia with lidocaine was sufficient for a well‐tolerable intervention. Needle arthroscopy has been successfully performed under local anaesthesia before [17], and various interventional techniques are emerging – including repair of cruciate ligaments and meniscal tears [4, 14]. Yet, whether more extensive debridement including synovectomy is tolerable for the patient as well, is a subject for future research.…”

Section: Discussionmentioning

confidence: 99%

Bacterial arthritis of native joints can be successfully managed with needle arthroscopy

et al. 2021

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Purpose To assess the feasibility of needle arthroscopy for management of suspected bacterial arthritis in native joints. Methods During a pilot period, patients presenting with symptoms suggestive of native joint bacterial arthritis were eligible for initial management with needle arthroscopy. Procedures were performed in the operating theatre or at the patient bedside in the emergency department or inpatient ward. As our primary outcome measure, it was assessed whether needle arthroscopic lavage resulted in a clear joint. In addition, the need for conversion to standard arthroscopy or arthrotomy, the need for conversion from local to general anaesthesia, complications and the need for additional surgical intervention at follow-up during admission were recorded. Results Eleven joints in 10 patients (four males, age range 35 – 77) were managed with needle arthroscopy. Needle arthroscopic lavage resulted in a clear joint in all cases. Conversion to standard arthroscopy or arthrotomy was not needed. Seven procedures were performed at the patient bedside using local anaesthesia. These procedures were well tolerated and conversion to general or spinal anaesthesia was not required. There were no procedure complications. One patient received multiple needle arthroscopic lavages. No further surgical interventions beside the initial needle arthroscopic lavage were required for successful management in other cases. Conclusions Needle arthroscopy can be a feasible tool in the initial management of complaints suggestive for native joint bacterial arthritis, providing an effective, quick and well-tolerable intervention in the operating theatre or at the patient bedside, with the potential to relief health systems from need for scarce operating theatre time.

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Percutaneous Anterior Cruciate Ligament Repair With Needle Arthroscopy and Biological Augmentation

Cited by 11 publications

References 30 publications

Concurrent Needle and Standard Arthroscopy for Posterior Cruciate Ligament Reconstruction

Concurrent Needle and Standard Arthroscopy for Posterior Cruciate Ligament Reconstruction

Early outcomes of primary repair versus reconstruction for acute anterior cruciate ligament injury: A systematic review and meta-analysis

Bacterial arthritis of native joints can be successfully managed with needle arthroscopy

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