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Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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-inflammatory medication, and long-term activity modification. 1 Literature describes many different surgical procedures for elbow OA, both arthroscopic and open, including arthroscopic debridement with or without radial head resection, 4 – 20 open debridement
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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removed during lavage and debridement. If there is suspected joint extension and secondary septic arthritis (either clinically or by arthrocentesis), joint lavage (usually arthroscopic) should be performed. Antibiotic therapy should ideally begin once
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successfully treated in the short term with arthroscopic debridement alone, whereas grade 3 tears (> 6 mm depth) should be repaired. 1 , 2 However, PBRCTs should be approached more aggressively, with debridement for grade 1 tears only and with repair for
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arthropathy of the elbow. 19 The rate of reported complications is between 12.5% and 85%. 20 – 23 The rate of reported revisions is between 12.5% and 37.5%. 24 , 25 Knee arthropathy Arthroscopic debridement should be considered in the
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of choice would be a total knee arthroplasty; however, this involves removing healthy joint surfaces. Arthroscopic debridement in the osteoarthritic knee has fallen out of favour due to poor clinical results. 1 Recently, a trend has developed
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effect of the remaining cuff and to optimize periscapular function and lateral deltoid strengthening ( 20 ). Surgical approach MRCTs surgical treatment may have different goals according to patient needs and there are different arthroscopic
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arthroscopic treatment. The minimum follow-up was one year; the average KSS knee score improved from 63.8 to 90.9, whereas the average KSS function score improved from 65.4 to 90.4. There was no recurrence. Arthroscopic debridement for soft-tissue impingement
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(MIPO) is the most accepted technique, when applicable; 1 other options are the classical open reduction and internal fixation (ORIF), fluoroscopy-assisted procedures, and arthroscopically-assisted reduction and internal fixation (ARIF). Fluoroscopy
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stability in limiting internal rotation during sports such as martial arts, ballet, soccer, golf and kicking in American football. 73 When compared with ligamentum teres reconstruction, patients treated with arthroscopic debridement achieve better
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Introduction With the improvement of arthroscopic knee surgery techniques and equipment, a wider range of knee joint problems can be treated with arthroscopic techniques. However, using only anterior portals creates significant limitations in