Bacterial arthritis of native joints can be successfully managed with needle arthroscopy
Abstract Purpose To assess the feasibility of needle arthroscopy for management of suspected bacterial arthritis in native joints. Methods During a pilot period, patients presenting with symptoms suggestive of native joint bacterial arthritis were eligible for initial management with needle arthrosc...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-021-00384-5 |
| _version_ | 1797321254987890688 |
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| author | Tobias Stornebrink Stein J. Janssen Arthur J. Kievit Nathaniel P. Mercer John. G. Kennedy Sjoerd A. S. Stufkens Gino M. M. J. Kerkhoffs |
| author_facet | Tobias Stornebrink Stein J. Janssen Arthur J. Kievit Nathaniel P. Mercer John. G. Kennedy Sjoerd A. S. Stufkens Gino M. M. J. Kerkhoffs |
| author_sort | Tobias Stornebrink |
| collection | DOAJ |
| description | Abstract Purpose To assess the feasibility of needle arthroscopy for management of suspected bacterial arthritis in native joints. Methods During a pilot period, patients presenting with symptoms suggestive of native joint bacterial arthritis were eligible for initial management with needle arthroscopy. Procedures were performed in the operating theatre or at the patient bedside in the emergency department or inpatient ward. As our primary outcome measure, it was assessed whether needle arthroscopic lavage resulted in a clear joint. In addition, the need for conversion to standard arthroscopy or arthrotomy, the need for conversion from local to general anaesthesia, complications and the need for additional surgical intervention at follow‐up during admission were recorded. Results Eleven joints in 10 patients (four males, age range 35 – 77) were managed with needle arthroscopy. Needle arthroscopic lavage resulted in a clear joint in all cases. Conversion to standard arthroscopy or arthrotomy was not needed. Seven procedures were performed at the patient bedside using local anaesthesia. These procedures were well tolerated and conversion to general or spinal anaesthesia was not required. There were no procedure complications. One patient received multiple needle arthroscopic lavages. No further surgical interventions beside the initial needle arthroscopic lavage were required for successful management in other cases. Conclusions Needle arthroscopy can be a feasible tool in the initial management of complaints suggestive for native joint bacterial arthritis, providing an effective, quick and well‐tolerable intervention in the operating theatre or at the patient bedside, with the potential to relief health systems from need for scarce operating theatre time. |
| first_indexed | 2024-03-08T04:55:55Z |
| format | Article |
| id | doaj.art-d2b887b6345940beb986d3740fe2907f |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T04:55:55Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-d2b887b6345940beb986d3740fe2907f2024-02-07T15:16:42ZengWileyJournal of Experimental Orthopaedics2197-11532021-01-0181n/an/a10.1186/s40634-021-00384-5Bacterial arthritis of native joints can be successfully managed with needle arthroscopyTobias Stornebrink0Stein J. Janssen1Arthur J. Kievit2Nathaniel P. Mercer3John. G. Kennedy4Sjoerd A. S. Stufkens5Gino M. M. J. Kerkhoffs6Department of Orthopedic SurgeryAmsterdam UMCUniversity of AmsterdamAmsterdam Movement SciencesMeibergdreef 91105 AZAmsterdamThe NetherlandsDepartment of Orthopedic SurgeryAmsterdam UMCUniversity of AmsterdamAmsterdam Movement SciencesMeibergdreef 91105 AZAmsterdamThe NetherlandsDepartment of Orthopedic SurgeryAmsterdam UMCUniversity of AmsterdamAmsterdam Movement SciencesMeibergdreef 91105 AZAmsterdamThe NetherlandsDepartment of Orthopaedic SurgeryNYU Langone HealthNew YorkNYUSADepartment of Orthopaedic SurgeryNYU Langone HealthNew YorkNYUSADepartment of Orthopedic SurgeryAmsterdam UMCUniversity of AmsterdamAmsterdam Movement SciencesMeibergdreef 91105 AZAmsterdamThe NetherlandsDepartment of Orthopedic SurgeryAmsterdam UMCUniversity of AmsterdamAmsterdam Movement SciencesMeibergdreef 91105 AZAmsterdamThe NetherlandsAbstract Purpose To assess the feasibility of needle arthroscopy for management of suspected bacterial arthritis in native joints. Methods During a pilot period, patients presenting with symptoms suggestive of native joint bacterial arthritis were eligible for initial management with needle arthroscopy. Procedures were performed in the operating theatre or at the patient bedside in the emergency department or inpatient ward. As our primary outcome measure, it was assessed whether needle arthroscopic lavage resulted in a clear joint. In addition, the need for conversion to standard arthroscopy or arthrotomy, the need for conversion from local to general anaesthesia, complications and the need for additional surgical intervention at follow‐up during admission were recorded. Results Eleven joints in 10 patients (four males, age range 35 – 77) were managed with needle arthroscopy. Needle arthroscopic lavage resulted in a clear joint in all cases. Conversion to standard arthroscopy or arthrotomy was not needed. Seven procedures were performed at the patient bedside using local anaesthesia. These procedures were well tolerated and conversion to general or spinal anaesthesia was not required. There were no procedure complications. One patient received multiple needle arthroscopic lavages. No further surgical interventions beside the initial needle arthroscopic lavage were required for successful management in other cases. Conclusions Needle arthroscopy can be a feasible tool in the initial management of complaints suggestive for native joint bacterial arthritis, providing an effective, quick and well‐tolerable intervention in the operating theatre or at the patient bedside, with the potential to relief health systems from need for scarce operating theatre time.https://doi.org/10.1186/s40634-021-00384-5NanoScopeNeedle arthroscopyBacterial arthritis |
| spellingShingle | Tobias Stornebrink Stein J. Janssen Arthur J. Kievit Nathaniel P. Mercer John. G. Kennedy Sjoerd A. S. Stufkens Gino M. M. J. Kerkhoffs Bacterial arthritis of native joints can be successfully managed with needle arthroscopy Journal of Experimental Orthopaedics NanoScope Needle arthroscopy Bacterial arthritis |
| title | Bacterial arthritis of native joints can be successfully managed with needle arthroscopy |
| title_full | Bacterial arthritis of native joints can be successfully managed with needle arthroscopy |
| title_fullStr | Bacterial arthritis of native joints can be successfully managed with needle arthroscopy |
| title_full_unstemmed | Bacterial arthritis of native joints can be successfully managed with needle arthroscopy |
| title_short | Bacterial arthritis of native joints can be successfully managed with needle arthroscopy |
| title_sort | bacterial arthritis of native joints can be successfully managed with needle arthroscopy |
| topic | NanoScope Needle arthroscopy Bacterial arthritis |
| url | https://doi.org/10.1186/s40634-021-00384-5 |
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