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.
Brain Sciences, Free Full-Text
The minimally invasive endoscopic technique for the treatment of symptomatic benign bone lesions: Preliminary results from a retrospective study - ScienceDirect
Pubmed Boneadhesi Set, PDF, Extracellular Matrix
Arthroscopic locking plate removal after proximal humeral fractures
Arthroscopic removal of an intramedullary nail in the humerus
First dualPortal endscopic spine procedure performed - Spinal News International
Spinal endoscopy: evidence, techniques, global trends, and future
3D Endoscope – Endoscopic Spine Surgery : Destandau's Technique Dr
a Osteosynthesis with anterior tibial T-buttress plate was carried out
Endoscopic Carpal Tunnel Surgery Overland Park
Endoscopic-assisted epitympanic approach: a feasible technique for
Biportal Endoscopic Spine Surgery (BESS) • eBooks •
Current literature on implant removal and the incidence of
