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Clinical Applications and Advances in Arthroscopic, Endoscopic, and Minimally Invasive Techniques in Orthopaedics

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 31 March 2027 | Viewed by 347

Editor


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Guest Editor
1. Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece
2. Department of Orthopaedic II, General Hospital of Thessaloniki “G. Gennimatas”, 54635 Thessaloniki, Greece
Interests: degenerative disease; spine surgery; minimally invasive spine surgery; endoscopic spine surgery; spine endoscopy

Special Issue Information

Dear Colleagues,

Orthopaedic surgery is changing rapidly. Arthroscopic, endoscopic, and minimally invasive techniques are now used across many areas of the field. These approaches aim to reduce soft tissue damage, improve visualization, and limit perioperative morbidity. They may also support faster recovery, earlier return to daily activities and sports, and better patient-centered outcomes.

Their use now extends beyond traditional arthroscopy. Minimally invasive and endoscopic techniques are increasingly applied in sports medicine, joint surgery, spine surgery, trauma, and reconstructive procedures. However, their wider adoption also raises important questions. These include patient selection, indications, technical limitations, learning curves, complications, and long-term outcomes compared with open surgery.

New developments in imaging, navigation, robotics, biologics, implant design, and rehabilitation continue to shape modern orthopaedic practice. Still, high-quality clinical evidence is needed. It remains important to define which patients benefit most, which techniques are truly effective, and how these approaches can be used safely in daily practice.

This Special Issue aims to provide a platform for current evidence, technical insights, clinical experience, and future perspectives in this evolving field.

We welcome original research articles and reviews on arthroscopic, endoscopic, and minimally invasive techniques across orthopaedic subspecialties. We sincerely invite researchers, clinicians, and experts in related fields to contribute their latest findings, innovations, and practical experiences.

Prof. Dr. Stylianos Kapetanakis
Guest Editor

Manuscript Submission Information

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Keywords

  • arthroscopy
  • endoscopic surgery
  • minimally invasive surgery
  • orthopaedic surgery
  • sports medicine
  • spine surgery
  • surgery
  • robotics

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Published Papers (1 paper)

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Research

15 pages, 2411 KB  
Article
Adjunctive Intravenous Dexmedetomidine’s Effect on Surgical Visualization and Analgesia in Arthroscopic Bankart Repair: A Retrospective Cohort Study
by Resul Bircan, Semih Yaş, Selin Bağcaz, İrfan Güngör, Gökçen Emmez and Ulunay Kanatlı
J. Clin. Med. 2026, 15(15), 5907; https://doi.org/10.3390/jcm15155907 - 29 Jul 2026
Viewed by 203
Abstract
Background/Objectives: Optimizing surgical visualization via controlled hypotension and managing postoperative pain remain challenging in arthroscopic Bankart repair. While interscalene brachial plexus block (ISBPB) is effective, pharmacological adjuncts may further improve hemodynamics and prolong analgesia. The aim of this study was to assess [...] Read more.
Background/Objectives: Optimizing surgical visualization via controlled hypotension and managing postoperative pain remain challenging in arthroscopic Bankart repair. While interscalene brachial plexus block (ISBPB) is effective, pharmacological adjuncts may further improve hemodynamics and prolong analgesia. The aim of this study was to assess the impact of intraoperative intravenous dexmedetomidine on visual clarity, hemodynamics, and postoperative pain during arthroscopic Bankart repair. Methods: This retrospective, single-center cohort study evaluated 63 patients undergoing isolated anterior Bankart repair under ISBPB. The dexmedetomidine group (Group D, n = 33) received an intravenous dexmedetomidine loading dose (1 mcg/kg) and maintenance infusion (0.5 mcg/kg/h) alongside ISBPB. A historical control group (Group C, n = 30) received ISBPB alone. Secondary outcomes included serial intraoperative hemodynamics, blinded surgeon-rated surgical visualization, and pain scores, while the primary outcome was postoperative analgesia duration. Results: Baseline characteristics were comparable between groups. Group D yielded significantly higher surgeon satisfaction for visual clarity (p < 0.001). Intraoperatively, Group D showed a significantly lower diastolic blood pressure at the 50 min mark after correction for multiple comparisons. Postoperatively, Group D exhibited significantly lower 24 h visual analog scale (VAS) pain scores (p < 0.001) and a significantly prolonged duration of analgesia (7.45 vs. 4.16 h; p = 0.001). Overall patient satisfaction and Pain Catastrophizing Scale scores did not differ significantly between cohorts. Conclusions: In this retrospective cohort, adjunctive intravenous dexmedetomidine added to ISBPB was associated with improved surgeon-rated visualization, lower postoperative pain scores, and prolonged analgesia, without an increase in adverse events. Due to the retrospective design and historical control group, these findings should be interpreted as associations; prospective randomized trials are required to confirm them. Full article
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