Arthroscopic visualization of the posterior compartments of the knee

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
James H LubowitzDan Guttmann

Abstract

The purpose of this study is to test the hypothesis that the efficacy of routine arthroscopic evaluation of the posterior compartments of the knee outweighs the morbidity or inefficiency. Prospective cohort analysis. One hundred consecutive knees underwent posteromedial and posterolateral evaluation according to an algorithm designed to maximize efficiency of technique. Loose bodies were defined as expected when preoperative imaging or arthroscopy of the rest of the knee revealed loose bodies. The number of attempts required for visualization or visualization not accomplished, morbidity (subjective femoral condylar scuffing or complications associated with the technique), and findings were recorded. With regard to posteromedial, directly inserting the camera (as opposed to an obdurator) resulted in instrument breakage. In this study, 82% of posteromedial compartments were visualized on the first attempt, and 3% were not visualized. We found that 66% of femoral condyles had no damage, 28% mild, 3% moderate, and 3% severe. Loose bodies were found in 4 of 11 (36%) when expected and 0 of 86 when not expected, a significant difference. Five other posteromedial positive findings were observed. With regard to posterolateral, 93% of co...Continue Reading

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Citations

Apr 1, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·B DunetT Fabre
Jun 4, 2014·Arthroscopy Techniques·Benjamin D Ward, James H Lubowitz
Jul 15, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·T MasquefaC Tournier
Mar 1, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Alejandro Espejo-BaenaFrancisco de la Torre-Solís
Jul 3, 2013·The American Journal of Sports Medicine·Konstantinos G MakridisPatrick Djian
Sep 15, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jin Hwan AhnSang Hak Lee
Feb 12, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P P Mariani
Dec 15, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jin Hwan AhnSeong Hwan Kim

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