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Background Arthroscopic knee surgeries are among the most prevalent surgical therapies for knee disorders. It is more technically challenging than an open surgery and is linked to many possible complications. Arthroscopy procedures may present many technical hurdles, and even seasoned surgeons may face novel complications. Nevertheless, meticulous attention to the surgical procedure can aid in preventing or rectifying them. Arthroscopic knee surgery relies on precise instrumentation and implant placement, yet intraoperative complications remain a concern. This study analyzed implant and instrumentation-related incidents in patients undergoing knee arthroscopy. Out of 322 patients, only 12 experienced complications, accounting for 3.73% of the total cases. Implant-related issues (1.55%) and instrumentation-related complications (2.17%) were documented, including screwdriver breakage (0.62%), radio frequency (RF) ablator failures (0.62%), arthroscopic probe malfunction (0.31%), meniscus suture passing device failure (0.31%), and arthroscope-related complications (0.31%).

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Managing Intraoperative Implant and Instrumentation Complications in Arthroscopic Knee Surgery: Bailout Strategies and Solutions

  • 章节

  • 发表日期：

    2026年

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  • Rajkumar S. Amaravati,
  • Sunil Lakshmipura Krishnamurthy,
  • Rahul Shah,
  • Rinju Krishnan,
  • Abhey Wasdev,
  • Y. S. Kaushik,
  • N. Mevin Mathew

摘要

Background Arthroscopic knee surgeries are among the most prevalent surgical therapies for knee disorders. It is more technically challenging than an open surgery and is linked to many possible complications. Arthroscopy procedures may present many technical hurdles, and even seasoned surgeons may face novel complications. Nevertheless, meticulous attention to the surgical procedure can aid in preventing or rectifying them. Arthroscopic knee surgery relies on precise instrumentation and implant placement, yet intraoperative complications remain a concern. This study analyzed implant and instrumentation-related incidents in patients undergoing knee arthroscopy. Out of 322 patients, only 12 experienced complications, accounting for 3.73% of the total cases. Implant-related issues (1.55%) and instrumentation-related complications (2.17%) were documented, including screwdriver breakage (0.62%), radio frequency (RF) ablator failures (0.62%), arthroscopic probe malfunction (0.31%), meniscus suture passing device failure (0.31%), and arthroscope-related complications (0.31%).