A novel implant removal technique by endoscopy

Background Routine implant removal after fracture healing remains controversial. However, it has been suggested that implant removal should be performed in cases of joint impingement, painful scar adhesion, and implant malposition. Entrance selection is relatively critical in patients with poor soft tissue conditions or sloughing coverage. We propose an innovative technique using endoscopy. Methods Consecutive surgeries of endoscopic implant removal performed between 2005 and 2016 by a single experienced arthroscopic surgeon were included. Overall, 73 patients were enrolled; 44 were not eligible for inclusion and were excluded from the study. Results Twenty-nine patients, including 32 surgical sites, were included. Twenty-four plates and 166 screws were removed using this technique. There were five complications during the follow-up period (range, 0.5 to 104 months; mean, 8.8), including one broken screw, one persistent knee joint contracture, and three wound dehiscence. There were no infections or neurovascular injuries. Conclusion Implant removal using endoscopy is a minimally invasive surgery that ensures that the screw axis does not strip, and treats the intra-articular pathology concomitantly. This innovative technique may be considered as an alternative to the traditional open method in cases with good surgical indications.

Endoscopic Decompression Combined with Percutaneous Pedicle Screw

PDF) Reasons for Implant Removal after Distal Radius Fractures

Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture

Materials, Free Full-Text

Gasless endoscopic transaxillary subcutaneous mastectomy and

The minimally invasive endoscopic technique for the treatment of symptomatic benign bone lesions: Preliminary results from a retrospective study - ScienceDirect

Subacromial impingement (right X-ray). Intra-articular protruding screw

A) When viewing the distal part of the plate from the posterior

Diagnostics, Free Full-Text

Endoscopic Gastro-Jejunostomy- A Novel Procedure for Intestinal

Spinal endoscopy: evidence, techniques, global trends, and future