Can bedside needle arthroscopy of the ankle be an accurate option for intra-articular delivery of injectable agents?  

作　　者：Tobias Stornebrink Sjoerd A S Stufkens Nathaniel P Mercer John G Kennedy Gino M M J Kerkhoffs 

机构地区：[1]Department of Orthopedic Surgery,Amsterdam UMC,University of Amsterdam,Amsterdam Movement Sciences,Amsterdam 1105AZ,Netherlands [2]Academic Center for Evidence based Sports Medicine,Amsterdam 1105AZ,Netherlands [3]Amsterdam Collaboration for Health and Safety in Sports,International Olympic Committee Research Center Amsterdam UMC,Amsterdam 1105AZ,Netherlands [4]Department of Orthopedic Surgery,NYU Langone Health,New York,NY 10010,United States

出　　处：《World Journal of Orthopedics》2022年第1期78-86,共9页世界骨科杂志（英文版）

摘　　要：BACKGROUND Bedside needle arthroscopy of the ankle under local anesthesia has been proposed for intra-articular delivery of injectable agents.Accuracy and tolerability of this approach in the clinical setting–including patients with end-stage ankle pathology and/or a history of prior surgery–is not known.AIM To assess clinical accuracy and tolerability of bedside needle arthroscopy as a delivery system for injectable agents into the tibiotalar joint.METHODS This was a prospective study that included adult patients who were scheduled for an injection with hyaluronic acid to the tibiotalar joint.In our center,these injections are used as a last resort prior to extensive surgery.The primary outcome was injection accuracy,which was defined as injecting through the arthroscopic cannula with intra-articular positioning confirmed by a clear arthroscopic view of the joint space.Secondary outcome measures included a patientreported numeric rating scale(NRS,0-10)of pain during the procedure and willingness of patients to return for the same procedure.NRS of ankle pain at rest and during walking was collected at baseline and at 2-wk follow-up.Complications were monitored from inclusion up to a 2-wk control visit.RESULTS We performed 24 inspection-injections.Eleven(46%)participants were male,and mean age was 46.8±14.5 years.Osteoarthritis was the indication for injection in 20(83%)cases,of which 8(33%)patients suffered from osteoarthritis Kellgren-Lawrence grade IV,and 10(42%)patients from Kellgren-Lawrence grade III.An osteochondral defect was the indication for injection in 4(17%)cases.A history of ankle surgery was present in 14(58%)participants and a history of multiple ankle surgeries in 11(46%)participants.It was possible to confirm accuracy in 21(88%)procedures.The 3(12%)participants where needle arthroscopy did not reach a clear view of the joint space all suffered from Kellgren-Lawrence grade IV osteoarthritis.Pain during the procedure was reported with a median of 1[interquartile ranges(IQR):0–2].Willingness

关 键 词：Ankle arthroscopy NanoScope Needle arthroscopy INJECTIONS Proof of concept Patient experience 

分 类 号：R684.3[医药卫生—骨科学]