Time and cost savings in arthroscopic subacromial decompression: the use of bipolar versus monopolar radiofrequency.

Abstract:

:There is currently an increased interest in the use of electro surgery in arthroscopy. Since the introduction of the bipolar arthroscopic radiofrequency (RF) wand, it has started to replace the classic Bovie monopolar probe on the assumption that the new technology provides multifunctional devices, combining both tissue removal and haemostasis into one instrument. The more efficient tissue ablation and precise haemostasis achieved with these instruments should result in a significant reduction in the operative time and cost. We ran a prospective comparative randomised study to test this hypothesis. Forty patients underwent arthroscopic subacromial decompression, randomised into two groups. The group treated with bipolar RF was associated with an average operative time saving of 8 min (P < 0.0001) and an average cost saving of pound 83 (euro 111) per case (P < 0.003), compared to monopolar RF. Bipolar RF is the instrument of choice in arthroscopic shoulder surgery, as it saves time and money.

journal_name

Int Orthop

authors

Diab MA,Fernandez GN,Elsorafy K

doi

10.1007/s00264-008-0541-z

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

175-9

issue

1

eissn

0341-2695

issn

1432-5195

journal_volume

33

pub_type

杂志文章,随机对照试验
  • Glenoid defect associated with anterior shoulder instability: results of open Bankart repair.

    abstract::The purpose of the study was to analyse the clinical results of an open Bankart repair for anterior instability in patients with a glenoid defect and those without a glenoid defect, and to identify factors related to the glenoid defect associated with anterior instability. The prospective study involved 20 patients wi...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-006-0234-4

    authors: Rhee YG,Lim CT

    更新日期:2007-10-01 00:00:00

  • [Long-term results of 2 uncemented acetabular cup components in total hip prosthesis].

    abstract::We have followed up 227 total hip replacements using a cementless minimadreporic prosthesis for an average of 9 1/2 years. Special attention was paid to the acetabular component, of which 2 types were used; 77 incorporated screw rings and 134 were stabilised by spikes. The screw prostheses were evaluated at an average...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00180454

    authors: Schmitt D,Bigard O,Bresler F,Molé D,Bernard P

    更新日期:1993-12-01 00:00:00

  • Outcomes after knee arthroplasty in extra-articular deformity.

    abstract:PURPOSE:To assess functional outcomes in patients undergoing total knee arthroplasty (TKA) without previous corrective osteotomy for treatment of knee osteoarthritis associated with extra-articular deformity. METHODS:From January to December 2016, patients with knee osteoarthritis with extra-articular deformities who ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-4147-9

    authors: Loures FB,Correia W,Reis JH,Pires E Albuquerque RS,de Paula Mozela A,de Souza EB,Maia PV,Barretto JM

    更新日期:2019-09-01 00:00:00

  • Reliability and validity of the Hartofilakidis classification system of congenital hip disease in adults.

    abstract::The reliability and validity of the Hartofilakidis et al. classification system in adults with congenital hip disease (CHD) were examined. The radiographs of 102 adult patients (158 hips) with CHD were independently assessed by three senior surgeons. Interobserver variability was assessed by examining the agreement be...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0472-0

    authors: Yiannakopoulos CK,Xenakis T,Karachalios T,Babis GC,Hartofilakidis G

    更新日期:2009-04-01 00:00:00

  • Extracorporeal shockwave therapy for the treatment of knee osteoarthritis: a meta-analysis.

    abstract:PURPOSE:Extracorporeal shockwave therapy (ESWT) has become a common practice for treating knee osteoarthritis (OA). However, the effectiveness and safety of this treatment are still questionable. This meta-analysis is aimed at determining the degree of pain reduction and functional outcome after ESWT for knee OA. METH...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-020-04489-x

    authors: Hsieh CK,Chang CJ,Liu ZW,Tai TW

    更新日期:2020-05-01 00:00:00

  • Infectious versus non-infectious loosening of implants: activation of T lymphocytes differentiates between the two entities.

    abstract:PURPOSE:Loosening of implants occurs mainly for two reasons: bacterial infection of the implant or "aseptic loosening" presumably due to wear particles derived from the implant. To gain further insight into the pathomechanism, we analysed activation of the T cell response in these patients. METHODS:Activation of perip...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2310-5

    authors: Dapunt U,Giese T,Prior B,Gaida MM,Hänsch GM

    更新日期:2014-06-01 00:00:00

  • Replacement arthroplasty using the Charnley prosthesis in old tuberculosis of the hip.

    abstract::This report is based upon a retrospective study of a consecutive series of twenty patients who had tuberculosis of the hip in quiescent state. Two patients had only a short history but were included in this study. An interesting feature at the time of operation was that in many cases the bone showed old features of tu...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266330

    authors: Kim YY,Ko CU,Lee SW,Kwak BM

    更新日期:1979-01-01 00:00:00

  • Prevalence of radiographic primary hip and knee osteoarthritis in a representative Central European population.

    abstract::The aim of our study was to determine the radiographic prevalence of hip and knee osteoarthritis and compare our results with prevalence data reported by other studies, as no similar study had been performed in Hungary previously. Our aim was also to investigate the usefulness of the different radiological scoring met...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-1069-6

    authors: Horváth G,Koroknai G,Ács B,Than P,Bellyei Á,Illés T

    更新日期:2011-07-01 00:00:00

  • Two-stage surgical procedure for treating pelvic malunions.

    abstract::When surgically treated, pelvic-ring deformities due to post-traumatic malunions in adults usually require invasive three-stage (prone/supine/prone or supine/prone/supine) procedures. A standardised two-stage prone/supine procedure was developed by the authors. Technical points and first clinical results are presented...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-006-0089-8

    authors: Rousseau MA,Laude F,Lazennec JY,Saillant G,Catonné Y

    更新日期:2006-10-01 00:00:00

  • Viability of loose body fragments in osteochondritis dissecans of the knee. A series of cases.

    abstract::The purpose of this study was to determine if the cartilage from loose osteochondral fragments remains viable. Five patients with OCD of the knee who had undergone surgical treatment (arthroscopic reduction and internal fixation of the loose body) were included. The average age of patients was 13 years (range 10-14 ye...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-0951-6

    authors: Pascual-Garrido C,Tanoira I,Muscolo DL,Ayerza MA,Makino A

    更新日期:2010-08-01 00:00:00

  • A comparison of three lateral approaches in primary total hip replacement.

    abstract::Three different lateral approaches for a Charnley total hip replacement were studied in 264 operations. The transtrochanteric approach was used in 94, the Liverpool in 88 and the Hardinge in 82. The mean follow up was 2.6 years (range 2 to 3 years). The clinical result was the same in each group. Radiographs showed th...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章

    doi:10.1007/s002640050193

    authors: Pai VS

    更新日期:1997-01-01 00:00:00

  • Healing of osteotomy sites applying either piezosurgery or two conventional saw blades: a pilot study in rabbits.

    abstract:PURPOSE:The purpose of this study was to compare bone healing of experimental osteotomies applying either piezosurgery or two different oscillating saw blades in a rabbit model. METHODS:The 16 rabbits were randomly assigned into four groups to comply with observation periods of one, two, three and five weeks. In all a...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1908-3

    authors: Ma L,Stübinger S,Liu XL,Schneider UA,Lang NP

    更新日期:2013-08-01 00:00:00

  • Endoscopic spine discectomy: indications and outcomes.

    abstract:PURPOSE:Percutaneous endoscopic discectomy is an effective minimally invasive spine surgery (MISS) for soft disc herniations. The objective of this review was to describe the current indications, surgical techniques, and clinical outcomes of endoscopic spine surgery. METHODS:A narrative review was performed with a foc...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-018-04283-w

    authors: Ahn Y

    更新日期:2019-04-01 00:00:00

  • No need for broad-spectrum empirical antibiotic coverage after surgical drainage of orthopaedic implant infections.

    abstract:PURPOSE:Empirical broad-spectrum antibiotic treatment for orthopaedic implant infections after surgical lavage is common practice while awaiting microbiological results, but lacks evidence. METHODS:This was a single-centre cohort study from 1996 to 2010 with a follow-up of two years. RESULTS:We retrieved 342 implant ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1924-3

    authors: Schindler M,Gamulin A,Belaieff W,Francescato M,Bonvin A,Graf V,Hoffmeyer P,Wyssa B,Uçkay I

    更新日期:2013-10-01 00:00:00

  • A comparative study of trochanteric fractures treated with the Gamma nail or the proximal femoral nail.

    abstract::The aim of the present paper is to compare the results obtained using two osteosynthesis systems developed for the surgical treatment of fractures of the trochanteric region of the femur, based on the principles of closed intramedullary nailing: the Gamma nail and the proximal femoral nail (PFN). A prospective study i...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00264-002-0389-6

    authors: Herrera A,Domingo LJ,Calvo A,Martínez A,Cuenca J

    更新日期:2002-01-01 00:00:00

  • Congenital absence of the radius.

    abstract::Between 1971 and 1987, we treated 26 patients with congenital absence of the radius which had produced a club hand; 37 hands were affected. Treatment before the age of 8 months was by gentle manipulation and serial plasters. If a functional position was not obtained, and in patients over 8 months, surgical reduction w...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00194186

    authors: Fernandez-Palazzi F,Bendahan J,Rivas S

    更新日期:1993-01-01 00:00:00

  • Three-in-one protocol reduces mortality of patients with haemodynamically unstable pelvic fractures-a five year multi-centred review in Hong Kong.

    abstract:PURPOSE:The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review t...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00264-018-3842-x

    authors: Cheng M,Lee KY,Chang AL,Ho HF,Chan LS,Lee KB,Kwok PH,Lee AW,Wong KK,Kam CW,Leung GK,Wong JS,Cheung NK,Yeung JH,Tang N,Choi SH,Lau TW,Wong HT,Leung M

    更新日期:2018-10-01 00:00:00

  • Co-cultivated mesenchymal stem cells support chondrocytic differentiation of articular chondrocytes.

    abstract:PURPOSE:This study investigated which of the reciprocal stimuli between articular chondrocytes (ACs) and mesenchymal stem cells (MSCs) played the more important role in enhancing cartilage matrix formation, and examined the relative importance of physical contact and soluble factors in the co-culture system. METHODS:R...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1782-z

    authors: Zuo Q,Cui W,Liu F,Wang Q,Chen Z,Fan W

    更新日期:2013-04-01 00:00:00

  • Predictive factors for thirty day mortality in geriatric patients with hip fractures: a prospective study.

    abstract:PURPOSE:The study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors. METHODS:A prospective multicentric study was performed. All patients aged ≥ 65 years, with fragility hip fractures, consecutively admitted in two Italian hospitals...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-4057-x

    authors: Forni C,Gazineo D,D'Alessandro F,Fiorani A,Morri M,Sabattini T,Ambrosi E,Chiari P

    更新日期:2019-02-01 00:00:00

  • Functional limitations after lateral column lengthening osteotomy of the calcaneus are associated with lower quality of life.

    abstract:PURPOSE:The purpose of this study was to quantify limitations in sagittal ankle range of motion (ROM) at least two years after lateral column lengthening osteotomy of the calcaneus (LLC) and their implications regarding quality of life. METHODS:Fifteen patients with a mean follow-up of 80 ± 27 months after LLC and 15 ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04526-9

    authors: Nüesch C,Schmid AK,Byrnes SK,Krenn P,Horisberger M,Mündermann A,Leumann A

    更新日期:2020-06-01 00:00:00

  • Reconstructive versus non-reconstructive treatment of anterior cruciate ligament insufficiency. A retrospective matched-pair long-term follow-up.

    abstract::In this retrospective case series 80 patients divided in 40 matched pair groups with an arthroscopically proven ACL insufficiency were followed up for 15 years. One half was reconstructed using an autologous BTB patella graft, the other half was treated by a conservative physiotherapeutic based rehabilitation program....

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-1174-6

    authors: Streich NA,Zimmermann D,Bode G,Schmitt H

    更新日期:2011-04-01 00:00:00

  • The kinematic relationship between sitting and standing posture and pelvic inclination and its significance to cup positioning in total hip arthroplasty.

    abstract:PURPOSE:The aim of this study is to describe the influence of sitting and standing posture on sagittal pelvic inclination in total hip replacement patients to assist with correct acetabular component positioning. METHODS:Lateral radiographs of the pelvis and lumbar spine in sitting and standing positions were extracte...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2491-y

    authors: Stephens A,Munir S,Shah S,Walter WL

    更新日期:2015-03-01 00:00:00

  • Factors affecting range of motion after total knee arthroplasty in patients with more than 120 degrees of preoperative flexion angle.

    abstract:PURPOSE:The postoperative flexion angle reportedly shows a positive correlation with the preoperative flexion angle, but in some cases, the postoperative flexion angle decreases in patients with a large preoperative flexion angle. The purpose of this study was to investigate factors affecting the range of motion after ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2710-1

    authors: Sugitani K,Arai Y,Takamiya H,Terauchi R,Nakagawa S,Ueshima K,Kubo T

    更新日期:2015-08-01 00:00:00

  • Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: a review with an emphasis on rim plating via modified anterolateral approach.

    abstract:PURPOSE:To review available approaches and fixation methods for posterolateral fracture fragment (PLF) in tibial plateau fracture, and to propose an algorithm to treat various types of plateau fractures which all involve the PLF. METHODS:This article reviews multiple surgical approaches for PLF and suggests an algorit...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-017-3563-6

    authors: Cho JW,Kim J,Cho WT,Kim JK,Samal P,Gujjar PH,Kent WT,Oh JK

    更新日期:2017-09-01 00:00:00

  • Presence of interleukin-17C in the tissue around aseptic loosened implants.

    abstract:PURPOSE:The most common long-term complication of joint arthroplasty is aseptic loosening. The proinflammatory cytokines secreted by macrophages are involved in aseptic loosening. Recently, a novel proinflammatory cytokine IL-17C was reported to participate in inflammatory diseases by synergising with proinflammatory c...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1812-x

    authors: Hou C,Zhang Y,Yu S,Li Z,Zhai Q,Li Z,Zhang X,Xiao J,Sheng P

    更新日期:2013-05-01 00:00:00

  • Early-stage osteonecrosis of the femoral head: where are we and where are we going in year 2018?

    abstract::Osteonecrosis of the femoral head (ONFH) is a devastating condition affecting relatively young patients whereby the femoral head is necrotic, resulting in significant pain, articular surface collapse, and eventual osteoarthritis. This condition has been highly associated with chronic steroid use, alcoholism, and hip t...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-018-3917-8

    authors: Larson E,Jones LC,Goodman SB,Koo KH,Cui Q

    更新日期:2018-07-01 00:00:00

  • Remission of secondary Raynaud phenomenon using intra-arterial prostaglandin E1 infusion. A case report.

    abstract::A man, aged 52 years, who had a secondary Raynaud phenomenon affecting the left hand and index finger had been treated unsuccessfully with intravenous prostaglandin E1 and amputation of the finger was proposed. He was given intra-arterial prostaglandin E1 for 10 days and amputation was not necessary. He recovered almo...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00187085

    authors: Seemann J,Scholz J,Sielwicz M

    更新日期:1994-01-01 00:00:00

  • Effects of sagittal tibial osteotomy on frontal alignment of the knee and patellar height.

    abstract:AIM OF THE STUDY:The aim of this study was to evaluate the radiographic effect of sagittal tibial osteotomy (STO), flexion tibial osteotomy (FTO) and deflexion tibial osteotomy (DTO) around the knee. It has been hypothesized that proximal STO modifies patellar height and could cause varus/valgus changes of the anatomic...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04580-3

    authors: Luceri F,Basilico M,Batailler C,Randelli PS,Peretti GM,Servien E,Lustig S

    更新日期:2020-11-01 00:00:00

  • The microbiology of the infected knee arthroplasty.

    abstract::We describe the results of a retrospective analysis of patients with microbiologically proven infection, who underwent revision TKA between 1994 and 2008. Of the 121 patients included in the study, 61 (50%) were male and 60 (50%) were female. The mean age was 71 (range 42-88) years. The most common organisms identifie...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-009-0797-y

    authors: Nickinson RS,Board TN,Gambhir AK,Porter ML,Kay PR

    更新日期:2010-04-01 00:00:00

  • Avascular necrosis of the femoral head: inter- and intraobserver variations of Ficat and ARCO classifications.

    abstract::Diagnosis of avascular necrosis (AVN) of the femoral head depends on the combination of clinical symptoms and evaluation of radiographs and/or magnetic resonance imaging (MRI). To evaluate the evolution of AVN, the Ficat and the Association Research Circulation Osseous (ARCO) classification are commonly used to assess...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0320-2

    authors: Schmitt-Sody M,Kirchhoff C,Mayer W,Goebel M,Jansson V

    更新日期:2008-06-01 00:00:00