Comparison of visibility in needle arthroscopy of the ankle according to surgical experience: A cadaveric study.

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI:10.1016/j.fas.2024.05.005

Jumpei Inoue, Youichi Yasui, Jun Sasahara, Tetsuya Takenaga, Myongsu Ha, Wataru Miyamoto, Hirotaka Kawano, Hideki Murakami, Masahito Yoshida

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Abstract

Background: Literature regarding the feasibility of inexperienced surgeons using needle arthroscopy is limited. The present study aimed to clarify the feasibility of performing ankle needle arthroscopy for inexperienced surgeons.

Methods: Diagnostic needle arthroscopy was performed for 10 cadaveric ankles by two surgeons with different levels of experience in ankle arthroscopy (inexperienced and expert surgeons). The visibility of arthroscopy was assessed based on a 15-point checklist and compared between surgeons. In addition, iatrogenic articular cartilage injury created by the inexperienced surgeon was investigated.

Results: The number of visible points was significantly larger for the expert surgeon than for the inexperienced surgeon (14.1 ± 1.0 vs. 13.7 ± 1.0, P = 0.035). The location of cartilage injury was greatest on the medial talar dome when viewing from the anteromedial portal at a rate of 30%.

Conclusion: Ankle needle arthroscopy may be an option for surgeons in the future, however, differences in surgeon experience may impact effective visualization.

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根据手术经验比较针式踝关节镜检查的可见度：尸体研究。

背景：关于经验不足的外科医生使用针式关节镜的可行性文献有限。本研究旨在阐明经验不足的外科医生进行踝关节针关节镜检查的可行性：方法：由两名在踝关节镜检查方面具有不同经验的外科医生（无经验外科医生和专家外科医生）对 10 个尸体踝关节进行诊断性针关节镜检查。根据 15 点检查表对关节镜检查的可视性进行评估，并对不同外科医生进行比较。此外，还对经验不足的外科医生造成的先天性关节软骨损伤进行了调查：结果：专家外科医生的可见点数明显多于经验不足的外科医生（14.1 ± 1.0 vs. 13.7 ± 1.0，P = 0.035）。从前内侧入口观察时，软骨损伤部位以距骨内侧穹隆最多，占30%：结论：踝关节针关节镜检查可能是外科医生未来的一个选择，但外科医生经验的差异可能会影响有效的可视化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.