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Clinical Insights into Arthroscopic Surgery
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Clinical Insights into Arthroscopic Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 2319

Special Issue Editor

Dr. Andrea Volpin

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Guest Editor
Department of Trauma and Orthopaedics, NHS Grampian, University of Aberdeen, Aberdeen, UK
Interests: arthroscopic surgery; hip and knee arthroplasty; sport medicine; regenerative medicine

Special Issue Information

Dear Colleagues,

Due to continuous advances in instrumentation, optical technology and surgical techniques, arthroscopic surgery is now performed on all large joints and small joints of the limbs.

Arthroscopic surgery, with its superior diagnostic accuracy, has revolutionised orthopaedic surgery, leading to low morbidity rates and a short length of stay for patients compared to the previously utilised surgical procedures, which were performed through a large open incision. It is now considered the gold standard for many orthopaedic surgical procedures.

New arthroscopic techniques and devices have widened the scope of arthroscopy surgery to treat a greater variety of pathologies and conditions.

Furthermore, recent advances in tissue engineering and regenerative medicine have provided biological solutions for the regeneration/repair of tissue defects through arthroscopic techniques. These new therapeutic treatments have shown great potential; however, more research is needed to establish an optimal treatment protocol, long-term outcomes and its superiority over other therapies.

This Special Issue of the ‘Journal of Clinical Medicine’ aims to collect original articles, trials, systematic reviews and meta-analyses on clinical outcomes and recent developments/techniques in arthroscopic surgery.

Dr. Andrea Volpin
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • arthroscopic surgery
  • hip and knee arthroplasty
  • sport medicine
  • regenerative medicine
  • orthopaedic trauma

Published Papers (2 papers)

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Research

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12 pages, 2080 KiB  
Article
Postoperative Benefits of Soft Tissue Wrist Arthroscopy: Retro- and Prospective Analyses of Outcome Measures
by Wolfram Demmer, Emanuel Meyer, Denis Ehrl, Elias Volkmer, Bernhard Lukas, Nina F. Knie, Riccardo E. Giunta and Nikolaus Wachtel
J. Clin. Med. 2024, 13(8), 2280; https://doi.org/10.3390/jcm13082280 - 15 Apr 2024
Viewed by 435
Abstract
Background: Elective soft-tissue-only wrist arthroscopy is a standard procedure in hand surgery for the diagnosis and treatment of wrist pain. A number of pathologies can be treated arthroscopically, with the aim of pain reduction and improved wrist mobility. A postinterventional evaluation of [...] Read more.
Background: Elective soft-tissue-only wrist arthroscopy is a standard procedure in hand surgery for the diagnosis and treatment of wrist pain. A number of pathologies can be treated arthroscopically, with the aim of pain reduction and improved wrist mobility. A postinterventional evaluation of the treatment using objective and patient-reported outcome measures (PROMs) allows for an evidence-based statement about the benefits of soft-tissue-only wrist arthroscopy. Methods: A dual-center study combining retro- and prospective clinical analyses of patient outcomes after soft-tissue-only wrist arthroscopies was performed. The data were collected at two hospitals with departments specializing in hand surgery. The outcome was measured by assessing the range of motion of the wrist and its manual strength, as well as PROMs, including Disabilities of the Arm, Shoulder and Hand (DASH) scores. Results: A total of 154 soft interventions met the study criteria and could be included. Seven months after the elective soft-tissue-only wrist arthroscopies, mobility improved significantly for active extension and flexion, as well as the ulnar and radial abduction of the wrist. The grip strength also improved significantly, by an average of 6 kg, during this period. The DASH score improved significantly, from 35 points to 14 points. Additionally, wrist pain at rest was reduced significantly. Conclusions: After elective soft-tissue-only wrist arthroscopy, patients showed an overall functional improvement in their wrist, with a significant reduction in pain and improvement of mobility and grip strength. This study emphasizes the importance of wrist arthroscopy as a successful treatment option for soft tissue pathologies of the wrist. Full article
(This article belongs to the Special Issue Clinical Insights into Arthroscopic Surgery)
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11 pages, 753 KiB  
Systematic Review
Outcomes of Meniscal Repair in Patients Aged 40 and Above: A Systematic Review
by Rawan Jaibaji, Faisal Khaleel, Monketh Jaibaji and Andrea Volpin
J. Clin. Med. 2023, 12(21), 6922; https://doi.org/10.3390/jcm12216922 - 03 Nov 2023
Cited by 1 | Viewed by 1575
Abstract
Purpose: Meniscal injuries are increasingly common in older age groups. Age is often cited as a contraindication to undergoing meniscal repair due to concerns regarding failure rates. There has recently, however, been an increasing shift towards repair in older populations. The purpose of [...] Read more.
Purpose: Meniscal injuries are increasingly common in older age groups. Age is often cited as a contraindication to undergoing meniscal repair due to concerns regarding failure rates. There has recently, however, been an increasing shift towards repair in older populations. The purpose of this study was to review outcomes of meniscal repair in patients over the age of 40. Methods: A systematic search of the following databases was conducted of PubMed, SCOPUS, Web of Science, and Cochrane Library to identify studies reporting failure rates of patients over 40 with meniscal injuries undergoing repair. The definition of meniscus failure was noted for each study evaluated in this systematic review. Further data surrounding clinical and radiological outcomes were recorded and evaluated, when available. Results: Thirteen studies were included in this review, encompassing a total of 316 meniscal repairs in patients over the age of 40 years. The overall failure rate was found to be 15.5% (49/316) (range 0–33.3%). There was no difference in the failure rate in those over 40 vs. under 40, and the two groups had equivalent functional outcomes. Conclusions: Age should not be considered a contra-indication for meniscal repair. Appropriately selected older patients can have acceptably low failure rates with meniscal repair and similar functional outcomes to those under the age of forty. Meniscal repairs in those over 40 achieved better functional outcomes than patients of the same age group who underwent meniscectomy. Full article
(This article belongs to the Special Issue Clinical Insights into Arthroscopic Surgery)
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