Two hundred and eight consecutive elbow arthroscopies – indications and complications analysis

Objectives: Elbow arthroscopy is a technically demanding procedure susceptible to complications. This study aims to analyse patient databases for indications and complications of elbow arthroscopy procedures performed in the Department of Orthopaedic Surgery of the University Hospital Centre Zagreb....

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Autores principales: Ivan Bojanić, Marko Krpeljević, Igor Knežević, Damjan Dimnjaković, Tomislav Smoljanović
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Publicado: Hrvatski liječnički zbor 2021
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Acceso en línea:https://doaj.org/article/2a90afa84e4b4a52b733c2aa6e224717
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spelling oai:doaj.org-article:2a90afa84e4b4a52b733c2aa6e2247172021-12-01T13:09:24ZTwo hundred and eight consecutive elbow arthroscopies – indications and complications analysis10.26800/LV-143-1-2-30024-34771849-2177https://doaj.org/article/2a90afa84e4b4a52b733c2aa6e2247172021-02-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/dvjesto-osam-uzastopnih-artroskopija-lakta-analiza-indikacija-i-komplikacija/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177Objectives: Elbow arthroscopy is a technically demanding procedure susceptible to complications. This study aims to analyse patient databases for indications and complications of elbow arthroscopy procedures performed in the Department of Orthopaedic Surgery of the University Hospital Centre Zagreb. The obtained results are compared to outcomes published in the relevant literature. Methods: This retrospective study examines 208 consecutive elbow arthroscopy procedures performed by a single surgeon in a consistent manner during a 10-year period. Available records were systemically reviewed to determine the main diagnosis and postoperative complications by an examiner not involved in the patients’ care. Results: In the period from 1st of January 2008 to 1st of January 2018, a total of 191 patients underwent surgery, including 135 males (70.68%). Seven patients (two males and five females) underwent elbow arthroscopy of both arms. Mean age at the time of the procedure was 38.86 years (range 4 – 70 years). A total of 198 cases pertained to primary arthroscopic procedures, while the other ten procedures were referred to reoperations of the same elbow. Predominant main diagnosis for the procedure in 25.76% of the patients was posttraumatic elbow contracture followed by primary elbow osteoarthritis in 22.73% of the patients. Complications rate based on the available information during the period was 9.59%. There were four minor and 15 major complications. All of the major complications required revision surgeries, which in seven cases meant repeating the arthroscopic procedure and in eight cases prompted an open elbow surgery. Conclusion: The results of this study, substantiated by literature examples, show that elbow arthroscopy is a reliable and effective surgical method in treating various elbow conditions when performed in a consistent fashion. Complications rates after an elbow arthroscopy in the observed patient group are low and completely comparable with the results of other published studies.Ivan BojanićMarko KrpeljevićIgor Knežević Damjan DimnjakovićTomislav SmoljanovićHrvatski liječnički zborarticlearthroscopy- complicationsmethods; elbow joint – injuriessurgery; contracture – etiology; osteoarthritis – surgery; joint diseases – etiologyMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 1-2, Pp 14-24 (2021)
institution DOAJ
collection DOAJ
language EN
HR
topic arthroscopy- complications
methods; elbow joint – injuries
surgery; contracture – etiology; osteoarthritis – surgery; joint diseases – etiology
Medicine (General)
R5-920
spellingShingle arthroscopy- complications
methods; elbow joint – injuries
surgery; contracture – etiology; osteoarthritis – surgery; joint diseases – etiology
Medicine (General)
R5-920
Ivan Bojanić
Marko Krpeljević
Igor Knežević
Damjan Dimnjaković
Tomislav Smoljanović
Two hundred and eight consecutive elbow arthroscopies – indications and complications analysis
description Objectives: Elbow arthroscopy is a technically demanding procedure susceptible to complications. This study aims to analyse patient databases for indications and complications of elbow arthroscopy procedures performed in the Department of Orthopaedic Surgery of the University Hospital Centre Zagreb. The obtained results are compared to outcomes published in the relevant literature. Methods: This retrospective study examines 208 consecutive elbow arthroscopy procedures performed by a single surgeon in a consistent manner during a 10-year period. Available records were systemically reviewed to determine the main diagnosis and postoperative complications by an examiner not involved in the patients’ care. Results: In the period from 1st of January 2008 to 1st of January 2018, a total of 191 patients underwent surgery, including 135 males (70.68%). Seven patients (two males and five females) underwent elbow arthroscopy of both arms. Mean age at the time of the procedure was 38.86 years (range 4 – 70 years). A total of 198 cases pertained to primary arthroscopic procedures, while the other ten procedures were referred to reoperations of the same elbow. Predominant main diagnosis for the procedure in 25.76% of the patients was posttraumatic elbow contracture followed by primary elbow osteoarthritis in 22.73% of the patients. Complications rate based on the available information during the period was 9.59%. There were four minor and 15 major complications. All of the major complications required revision surgeries, which in seven cases meant repeating the arthroscopic procedure and in eight cases prompted an open elbow surgery. Conclusion: The results of this study, substantiated by literature examples, show that elbow arthroscopy is a reliable and effective surgical method in treating various elbow conditions when performed in a consistent fashion. Complications rates after an elbow arthroscopy in the observed patient group are low and completely comparable with the results of other published studies.
format article
author Ivan Bojanić
Marko Krpeljević
Igor Knežević
Damjan Dimnjaković
Tomislav Smoljanović
author_facet Ivan Bojanić
Marko Krpeljević
Igor Knežević
Damjan Dimnjaković
Tomislav Smoljanović
author_sort Ivan Bojanić
title Two hundred and eight consecutive elbow arthroscopies – indications and complications analysis
title_short Two hundred and eight consecutive elbow arthroscopies – indications and complications analysis
title_full Two hundred and eight consecutive elbow arthroscopies – indications and complications analysis
title_fullStr Two hundred and eight consecutive elbow arthroscopies – indications and complications analysis
title_full_unstemmed Two hundred and eight consecutive elbow arthroscopies – indications and complications analysis
title_sort two hundred and eight consecutive elbow arthroscopies – indications and complications analysis
publisher Hrvatski liječnički zbor
publishDate 2021
url https://doaj.org/article/2a90afa84e4b4a52b733c2aa6e224717
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AT igorknezevic twohundredandeightconsecutiveelbowarthroscopiesindicationsandcomplicationsanalysis
AT damjandimnjakovic twohundredandeightconsecutiveelbowarthroscopiesindicationsandcomplicationsanalysis
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