ANALYSING THE INCIDENCE OF COMPLICATIONS ASSOCIATED WITH KNEE ARTHROSCOPY

J AHMED; A GHAFFAR; MU FAROOQUE; MR KIFAYATULLAH; S HUSSAIN; K ANWAR

doi:10.54112/bcsrj.v2024i1.795

Authors

J AHMED Indus Hospital and Health Network Badin, Pakistan
A GHAFFAR Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
MU FAROOQUE Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
MR KIFAYATULLAH Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
S HUSSAIN Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
K ANWAR Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.795

Keywords:

Arthroscopy, knee, complications, infections

Abstract

Knee arthroscopy is a minimally invasive surgical technique for diagnosing and treating knee conditions. While generally safe, complications can occur, ranging from minor infections to severe nerve damage or septic arthritis. Understanding these complications is essential for optimal patient care. Objective: To explore the occurrence of complications related to knee arthroscopy. Methods: After the ethical approval from the institutional review board, this retrospective cohort study was conducted at JPMC Karachi from 01/09/23 to 29/02/24. Through the non-probability consecutive sampling, patients between ages 18 and 50, either gender and patients undergoing elective arthroscopy procedures were included in the present study. Detailed documentation of difficulties during surgery and recovery, such as infections, blood clots, nerve damage, and mechanical issues, is crucial for assessing the frequency and seriousness of negative outcomes. Results: Synovectomy (79%) followed by Meniscectomy 78% was the common arthroscopic procedure performed. The incidence of complications after the arthroscopic procedure in the present study was 23%. Septic arthritis (33%), followed by Neural, vascular, or ligament injury and superficial infections (20%) were the complications observed in the present study. Conclusion: Arthroscopic knee surgeries are minimally invasive, generally safe procedures with low complication rates. Within this series were 15 (2%) complications, with five occurrences (33%) explicitly involving septic arthritis.

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References

Degen RM, Lebedeva Y, Birmingham TB, Marsh JD, Getgood AM, Giffin JR, et al. Trends in knee arthroscopy utilisation: a gap in knowledge translation. Knee Surgery, Sports Traumatology, Arthroscopy. 2020;28:439-47.

Gu A, Malahias M-A, Cohen JS, Richardson SS, Stake S, Blevins JL, et al. Prior knee arthroscopy is associated with an increased risk of revision after total knee arthroplasty. The Journal of Arthroplasty. 2020;35(1):100-4.

Hagino T, Ochiai S, Watanabe Y, Senga S, Wako M, Ando T, et al. Complications after arthroscopic knee surgery. Archives of orthopaedic and trauma surgery. 2014;134:1561-4.

Song X. Advancements in Minimally Invasive Techniques for Joint Replacement in Orthopedic Surgery. Journal of Innovations in Medical Research. 2023;2(11):16-23.

Bradsell HL, Lencioni A, Frank RM. Incidence and Prevention of Thromboembolic Complications for Sports and Arthroscopic-related Surgery: Evidence-based Recommendations. Sports Medicine and Arthroscopy Review. 2022;30(1):24-8.

Bhamber NS, Waterson B, Toms A. Aseptic complications of total knee replacement and treatment options. Orthopaedics and Trauma. 2021;35(1):2-7.

Sherman WF, Verzeaux NP, Freiberger C, Lee OC, Wilder JH, Flick TR, et al. Local and Systemic Complications of Knee and Hip Arthroscopy: A Matched-Cohort Study. Orthopaedic Journal of Sports Medicine. 2022;10(11):23259671221131059.

Khan M, Khanna V, Adili A, Ayeni OR, Bedi A, Bhandari M. Knee osteoarthritis: when arthroscopy can help. Pol Arch Intern Med. 2018;128(2):121-5.

Navarro RA, Adams AL, Lin CC, Fleming J, Garcia IA, Lee J, et al. Does knee arthroscopy for treatment of meniscal damage with osteoarthritis delay knee replacement compared to physical therapy alone? Clinics in Orthopedic Surgery. 2020;12(3):304.

Leopold SS. The new AAOS guidelines on knee arthroscopy for degenerative meniscus tears are a step in the wrong direction. Clinical Orthopaedics and Related Research®. 2022;480(1):1-3.

Jameson S, Dowen D, James P, Serrano-Pedraza I, Reed M, Deehan D. The burden of arthroscopy of the knee: a contemporary analysis of data from the English NHS. The Journal of Bone & Joint Surgery British Volume. 2011;93(10):1327-33.

Salzler MJ, Lin A, Miller CD, Herold S, Irrgang JJ, Harner CD. Complications after arthroscopic knee surgery. The American journal of sports medicine. 2014;42(2):292-6.

Martin CT, Pugely AJ, Gao Y, Wolf BR. Risk factors for thirty-day morbidity and mortality following knee arthroscopy: a review of 12,271 patients from the national surgical quality improvement program database. JBJS. 2013;95(14):e98.

Hetsroni I, Lyman S, Do H, Mann G, Marx R. Symptomatic pulmonary embolism after outpatient arthroscopic procedures of the knee: The incidence and risk factors in 418 323 arthroscopies. The Journal of Bone & Joint Surgery British Volume. 2011;93(1):47-51.

Bohensky MA, Desteiger R, Kondogiannis C, Sundararajan V, Andrianopoulos N, Bucknill A, et al. Adverse outcomes associated with elective knee arthroscopy: a population-based cohort study. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2013;29(4):716-25.