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Bailout Options for Intra-operative Implant and Instrumentation Related Incidents and Complications During Arthroscopic Knee Surgery—A Retrospective Study

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Abstract

Background

Arthroscopic knee procedures are one amongst the common surgical interventions for problems in the knee. It is technically more demanding than an open procedure and is associated with several potential complications. During arthroscopy procedures, several technical challenges may arise, and even experienced surgeons may encounter new issues. However, careful attention to the surgical technique can help prevent or resolve them.

Methodology

The study was conducted on all patients who underwent knee arthroscopy procedure during study period. We recorded details of the implants used and any unexpected situations related to them, as well as how they were managed. Instrumentation-related parameters such as screwdriver issues, radiofrequency ablator issues, scope damages, shaver complications, probe complications, and meniscus suture passing devices were also assessed.

Results

In total, there were 12 (3.73%) implant and instrument-related incidents and complications, of which 5 (1.55%) were implant-related and 7 (2.17%) were instrument related. Among the instrumentation-related incidents and complications, two (0.62%) were screwdriver breakage incidents, two (0.62%) were radiofrequency ablator-related incidents, one was arthroscopic probe (0.31%) related incident, one (0.31%) was meniscus suture passing device related complication and one (0.31%) was arthroscope related incident.

Conclusion

Surgeons must be ready to anticipate and effectively manage any technical difficulties that may arise during the procedure, maintaining composure in the face of unexpected challenges and guiding the team. In most cases, incidents can be addressed intra operatively and may not have long-term effects on patient outcomes. It is crucial to have multiple implant and instrument backup options available for successful surgery.

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Data availability

Not applicable.

Abbreviations

ACL:

Anterior cruciate ligament

PCL:

Posterior cruciate ligament

LET:

Lateral extra-articular tenodesis

PMC:

Posteromedial corner

PLC:

Posterolateral corner

RF:

Radio frequency

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Acknowledgements

We thank St Johns Medical College, Bangalore for the support and help in conducting the study.

Funding

This research did not receive any specific grant from the funding agencies in the form of public, commercial or not-for -profit sectors.

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Authors and Affiliations

  1. Department of Orthopaedics, Dr Chandramma Dayananda Sagar Institute of Medical Education and Research, CDSIMER, Unit of Dayananda Sagar University, Bangalore, India

    Sunil Lakshmipura Krishnamurthy

  2. Department of Orthopaedics, Aster Whitefield Hospital, Bangalore, India

    Rahul Shah

  3. Department of Orthopaedics, St Gregorios Medical Mission Hospital, Parumala, Pathanamthitta, Kerala, India

    Rinju Krishnan

  4. Department of Orthopaedics, Apollo Clinic, Sarjapur Road, Bangalore, India

    Abhey Wasdev

  5. Department of Orthopaedics, Deepak Hospital, Jayanagar, Bangalore, India

    Y. S. Kaushik

  6. Department of Orthopaedics, St Johns Medical College, Bangalore, India

    Mevin Mathew Nedumparampil

  7. Division of Sports Injury, Arthroscopy and Regenerative Medicine, Department of Orthopaedics, St Johns Medical College and Hospital, Bangalore, Karnataka, India

    Rajkumar S. Amaravathi

Authors
  1. Sunil Lakshmipura Krishnamurthy
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  2. Rahul Shah
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  3. Rinju Krishnan
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  4. Abhey Wasdev
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  6. Mevin Mathew Nedumparampil
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  7. Rajkumar S. Amaravathi
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Corresponding author

Correspondence to Rajkumar S. Amaravathi.

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Conflict of interest

Dr Rajkumar S Amaravathi, Dr Sunil lakshmipura Krishnamurthy, Dr Rahul Shah, Dr Rinju Krishnan, Dr Abhey wasdev, Dr Kaushik Y S, Dr Mevin Mathew declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human or animal subjects performed by the any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Krishnamurthy, S.L., Shah, R., Krishnan, R. et al. Bailout Options for Intra-operative Implant and Instrumentation Related Incidents and Complications During Arthroscopic Knee Surgery—A Retrospective Study. JOIO 58, 289–297 (2024). https://doi.org/10.1007/s43465-023-01086-z

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  • DOI: https://doi.org/10.1007/s43465-023-01086-z

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