Arthroscopy News

KOLOA, Hawaii — In commenting on 40 years of developments in the orthopedic specialty, Jack M. Bert, MD, discussed advances in outpatient total joint arthroplasty, arthroscopic surgery and conservative care modalities to prolong surgery.

Patients with both femoroacetabular impingement and depression or anxiety had significantly greater opioid use and health care costs before and after hip arthroscopy than those who had femoroacetabular impingement alone, according to published results.

The FDA published a draft guidance document with recommendations on premarket notification 510(k) submissions for arthroscopy pump tubing sets intended for multiple patient use.

KOLOA, Hawaii — At Orthopedics Today Hawaii, Anthony A. Romeo, MD, highlighted important topics for orthopedic surgeons discussed at the meeting, such as sports medicine, trauma, total joint replacement, shoulder and elbow, and practice management.

Hip arthroscopy is a unique and novel specialty within the field of joint preservation. One of the most common indications for it, femoroacetabular impingement, was first coined in 1999. Initially, femoroacetabular impingement was commonly addressed with open surgical hip dislocation, a procedure described by Reinhold Ganz, MD, and colleagues in 2001, which was considered the gold standard for surgical treatment of femoroacetabular impingement for much of the following decade. Only in the last decade did hip arthroscopy become more commonly performed for this indication. However, the anatomic complexity of the hip joint, including the proximity of neurovascular structures and the relative inelasticity of the surrounding ligaments, yielded a significant learning curve. Inevitably, surgeons undertaking hip arthroscopies face a subset of patients with continued complaints, sometimes referred to as failed hip arthroscopy syndrome. The growing popularity of hip arthroscopy has necessitated the development of specialized referral centers, which must act as a resource to the surgeon facing a patient complaining of continued pain after primary hip arthroscopy.

KOLOA, Hawaii — Regardless of whether it is used inside or outside the office, the key to the best imaging modality to use for an articular knee condition, such as damaged articular cartilage, is how detailed the information it provides is, a speaker at Orthopedics Today Hawaii said.

One of the most interesting discussions in the last decade within orthopaedics is the controversy regarding conservative or surgical treatment of meniscal tears, which is also one of the most common procedures in orthopaedics. The conclusions that were made after level 1 studies about treatment of meniscal tears, especially among health authorities, sought to ban arthroscopic surgery for degenerative meniscus lesions. The pendulum in the management of degenerative meniscus lesions moved from eminence-based arthroscopy surgery to evidence-based conservative treatment. Have we made the correct move? The question more accurately is, “Can we solely rely on the results of level 1 studies when it comes to our clinical practice?”

Clinical improvement may still be achieved among patients with borderline hip dysplasia who undergo revision hip arthroscopy despite being less likely to achieve patient-acceptable symptom state metrics for several subjective outcomes, according to published results.

Published results showed good clinical and radiologic results at short-term follow-up among patients who underwent arthroscopic Latarjet, with a significant decrease in surgical time, frequency of complications and number of hardware problems after the first 30 cases.

Published results showed significant improvement in shoulder outcomes with reliable return to activity levels and low risk for complications among patients who underwent primary subpectoral open biceps tenodesis for superior labrum anterior and posterior tears or pathology of the long head of the biceps tendon.