Arthroscopic Debridement

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Selene G. Parekh - One of the best experts on this subject based on the ideXlab platform.

  • Arthroscopic Debridement: effective treatment for impingement after total ankle arthroplasty
    Current reviews in musculoskeletal medicine, 2012
    Co-Authors: Andrew B. Richardson, James K. Deorio, Selene G. Parekh
    Abstract:

    Total ankle arthroplasty has been gaining significant popularity for the treatment of ankle arthritis. Subsequent rates of revision surgery secondary to symptomatic bony impingement have been reported in 6–45 % of cases. Arthroscopic Debridement of bony impingement following total ankle has been recently reported as an effective therapy. An Arthroscopic technique has been recently published by one of the senior authors. In this paper, we expand this technique and retrospectively review our experience with Arthroscopic Debridement of twenty ankles in twenty patients with symptomatic bony impingement following total ankle arthroplasty.

Toshihiko Kasashima - One of the best experts on this subject based on the ideXlab platform.

  • clinical results of treatment of triangular fibrocartilage complex tears by Arthroscopic Debridement
    Journal of Hand Surgery (European Volume), 1996
    Co-Authors: Akio Minami, Naoki Suenaga, Junichi Ishikawa, Toshihiko Kasashima
    Abstract:

    In order to determine indications for Arthroscopic Debridement and the management of triangular fibrocartilage complex (TFCC) tears, we reviewed 16 wrists retrospectively. The mean patient age was 30 years, with a range of 20 to 53 years. The follow-up period averaged 35 months. Two groups were identified: post-traumatic tears (n=11) and degenerative tears (n=5). The results of Arthroscopic Debridement were compared and analyzed based on the preoperative and postoperative evaluation of pain, range of motion, grip strength, return to work, patient acceptance, and complications. Failures were further evaluated to determine identifiable lesions or anatomic defects associated with poor results. Patients with positive ulnar variance and lunotriquetral interosseous ligament tears had a poor clinical outcome. Good results correlated with grip strength; all patients with post-traumatic TFCC tears had excellent results, while those with degenerative TFCC tears did poorly.

Akio Minami - One of the best experts on this subject based on the ideXlab platform.

  • Arthroscopic Debridement with continuous irrigation for septic arthritis of the shoulder joint
    European Orthopaedics and Traumatology, 2011
    Co-Authors: Tomoya Matsuhashi, Naoki Suenaga, Naomi Oizumi, Norimasa Iwasaki, Akio Minami
    Abstract:

    Purpose The purpose of this study was to investigate the outcome of Arthroscopic Debridement with continuous irrigation in patients with septic arthritis of the shoulder joint. Methods Ten patients (four men, six women) with septic arthritis of the shoulder joint were treated with a combination of Arthroscopic Debridement and continuous irrigation. All patients were followed for a minimum of 4 years. The average age was 61.7 years with a range of 25 to 86. The etiology of infection was determined to be a subacromial injection in six cases, EMG needle puncture in one, hematogenous in two, and unknown in one case. Causative bacteria, follow-up period, recurrence, shoulder pain, University of California, Los Angeles (UCLA) shoulder score, and radiographic findings were evaluated. Result Staphylococcus aureus was cultured in six cases, and Staphylococcus epidermidis , in four cases. The average follow-up period was 103.3 months with a range of 48 to 199. The infection was eradicated completely with a single Arthroscopic Debridement with continuous irrigation in nine patients. One patient required a second operation. In all patients, severe pain before operation improved. The average UCLA shoulder score increased from 5.7 points prior to the operation to a post-operation score of 26.4 points. In standard radiographic findings, five cases had aggravated osteoarthritis in the affected joint. Conclusion This study shows that Arthroscopic Debridement with continuous irrigation for septic arthritis of the shoulder joint improves shoulder pain, functional scores, and subjective outcome and prevents recurrence in many cases.

  • Arthroscopic Debridement with continuous irrigation for septic arthritis of the shoulder joint
    European Orthopaedics and Traumatology, 2011
    Co-Authors: Tomoya Matsuhashi, Naoki Suenaga, Naomi Oizumi, Norimasa Iwasaki, Akio Minami
    Abstract:

    Purpose The purpose of this study was to investigate the outcome of Arthroscopic Debridement with continuous irrigation in patients with septic arthritis of the shoulder joint.

  • clinical results of treatment of triangular fibrocartilage complex tears by Arthroscopic Debridement
    Journal of Hand Surgery (European Volume), 1996
    Co-Authors: Akio Minami, Naoki Suenaga, Junichi Ishikawa, Toshihiko Kasashima
    Abstract:

    In order to determine indications for Arthroscopic Debridement and the management of triangular fibrocartilage complex (TFCC) tears, we reviewed 16 wrists retrospectively. The mean patient age was 30 years, with a range of 20 to 53 years. The follow-up period averaged 35 months. Two groups were identified: post-traumatic tears (n=11) and degenerative tears (n=5). The results of Arthroscopic Debridement were compared and analyzed based on the preoperative and postoperative evaluation of pain, range of motion, grip strength, return to work, patient acceptance, and complications. Failures were further evaluated to determine identifiable lesions or anatomic defects associated with poor results. Patients with positive ulnar variance and lunotriquetral interosseous ligament tears had a poor clinical outcome. Good results correlated with grip strength; all patients with post-traumatic TFCC tears had excellent results, while those with degenerative TFCC tears did poorly.

Andrew B. Richardson - One of the best experts on this subject based on the ideXlab platform.

  • Arthroscopic Debridement: effective treatment for impingement after total ankle arthroplasty
    Current reviews in musculoskeletal medicine, 2012
    Co-Authors: Andrew B. Richardson, James K. Deorio, Selene G. Parekh
    Abstract:

    Total ankle arthroplasty has been gaining significant popularity for the treatment of ankle arthritis. Subsequent rates of revision surgery secondary to symptomatic bony impingement have been reported in 6–45 % of cases. Arthroscopic Debridement of bony impingement following total ankle has been recently reported as an effective therapy. An Arthroscopic technique has been recently published by one of the senior authors. In this paper, we expand this technique and retrospectively review our experience with Arthroscopic Debridement of twenty ankles in twenty patients with symptomatic bony impingement following total ankle arthroplasty.

F.h. Savoie - One of the best experts on this subject based on the ideXlab platform.

  • Management of rotator cuff tears: A comparison of Arthroscopic Debridement and surgical repair.
    Journal of shoulder and elbow surgery, 1994
    Co-Authors: Thomas J. Montgomery, Buford Yerger, F.h. Savoie
    Abstract:

    In a prospective study, 87 consecutive patients with 88 chronic, full-thickness tears of the rotator cuff were randomly assigned to either open surgical tendon repair and anterior acromioplasty (50 shoulders) or Arthroscopic Debridement and subacromial decompression (38 shoulders). All patients were reexamined 2 to 5 years after the operation with the University of California at Los Angeles 35-Point Scale for Pain and Function of the Shoulder. The average ratings were 30.5 (rotator cuff repair) and 25.1 (arthoscopic Debridement/decompression) for each group. The open surgical repair group faired significantly better than the Arthroscopic Debridement group (p = .0028). Thirteen required subsequent procedures, four with tendon repair and nine with decompression. Five in the decompression group experienced cuff tear arthropathy. Surgical repair of full-thickness rotator cuff tears provided results superior to those of Arthroscopic Debridement and subacromial decompression.