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Life
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Diagnosis and Treatment of Orthopedic Diseases: Advancing Arthroscopy
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Diagnosis and Treatment of Orthopedic Diseases: Advancing Arthroscopy

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 410

Special Issue Editors

Dr. Dimitrios A. Flevas

E-Mail Website
Guest Editor
Department of Sports Medicine, Metropolitan Hospital, Neo Faliro, Athens, Greece
Interests: arthroscopy; arthroplasty; knee; hip ; shoulder; reconstruction
Special Issues, Collections and Topics in MDPI journals
Dr. Ioannis Gkiatas

E-Mail Website
Guest Editor
Orthopaedic Department, University Hospital of Ioannina, Ioannina, Greece
Interests: arthroplasty; hip; knee; revision surgery; hand surgery; microsurgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Arthroscopy has transformed orthopedic surgery by offering a minimally invasive approach to diagnosing and treating joint conditions. Using small incisions and high-definition cameras, this technique reduces surgical trauma, accelerates recovery, and improves patient outcomes. It has been particularly effective in managing sports injuries, degenerative diseases, and ligament reconstructions. Despite its success, continuous research is essential to refining arthroscopic techniques. Innovations such as 3D visualization and bioengineered cartilage implants are reshaping the field, while regenerative medicine—including stem cell therapy and platelet-rich plasma—shows promise in accelerating healing and minimizing post-surgical complications.

A significant challenge in arthroscopic research lies in optimizing patient selection and rehabilitation strategies. Advances in personalized medicine can help tailor treatments to individual needs, ensuring more precise and effective interventions. Additionally, long-term studies on outcomes and potential complications are crucial for validating emerging technologies. The future of arthroscopy lies at the intersection of technology and biology. Continued investment in research and innovation is vital for advancing surgical techniques and improving patient care, ensuring that arthroscopy remains at the forefront of modern orthopedics.

In this Special Issue, we aim to bring together a variety of studies and reviews on arthroscopic surgery for all joints. Our goal is to highlight the benefits and advancements of arthroscopy and its growing importance in today's orthopedics.

Dr. Dimitrios A. Flevas
Dr. Ioannis Gkiatas
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Life is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • arthroscopy
  • knee
  • hip
  • shoulder
  • arthroscopic surgery

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Published Papers (1 paper)

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Research

9 pages, 361 KiB  
Article
Arthroscopic Anterior Cuciate Ligament Reconstruction Using Neither a Tourniquet nor Drainage: A Perioperative Case Series Report
by Dimitrios A. Flevas, Michail Sarantis, Georgios Tsakotos, Grigorios G. Sasalos and Anastasios V. Tokis
Life 2025, 15(4), 619; https://doi.org/10.3390/life15040619 - 7 Apr 2025
Viewed by 255
Abstract
Introduction: Many orthopedic surgeons recommend ischemic tourniquets during arthroscopic anterior cruciate ligament (ACL) repair to reduce blood loss and improve visibility. However, their use remains controversial due to potential complications. Similarly, the practice of postoperative drainage is debated. While its proponents argue it [...] Read more.
Introduction: Many orthopedic surgeons recommend ischemic tourniquets during arthroscopic anterior cruciate ligament (ACL) repair to reduce blood loss and improve visibility. However, their use remains controversial due to potential complications. Similarly, the practice of postoperative drainage is debated. While its proponents argue it reduces limb swelling, DVT, adhesions, and stiffness, others contend that it may increase infection risk or harm the ACL graft and joint surfaces. Materials and Methods: A total of 456 patients underwent anterior cruciate ligament reconstruction between September 2015 and December 2024, without the use of a tourniquet or drainage. The patients were 334 men with a mean age of 34.7 years and 122 women with a mean age of 32.3 years. In 389 cases the graft type was a hamstring autograft, in 55 cases a patellar tendon autograft (BPTB) was used, and in 12 cases a quadriceps tendon autograft was used. Results: The mean operative time was 61 min (range 52–79). No cases experienced visual impairment or required ischemia to enhance visibility. Bleeding sites were successfully cauterized during arthroscopy. Postoperative complications included knee hematoma in three patients (0.7%), resolved after drainage on day one, and two infections (0.4%), treated successfully with arthroscopic drainage and implant removal. No further complications were reported. Conclusion: Although many orthopedic surgeons prefer arthroscopic ACL repair with a tourniquet for better visibility and reduced intraoperative blood loss, this approach carries risks such as nerve palsy, joint swelling, stiffness, muscle weakness, and vascular changes. Not using a tourniquet can help to identify bleeding sites and allows for a more thorough procedure. The literature suggests that avoiding a tourniquet also reduces postoperative pain and accelerates recovery. The mean operative time for ACL reconstruction was consistent with the literature, indicating that avoiding a tourniquet did not cause delays. Additionally, the absence of postoperative drainage did not lead to complications, with most patients showing no issues like bleeding, hematoma, ischemia, or poor wound healing. Full article
(This article belongs to the Special Issue Diagnosis and Treatment of Orthopedic Diseases: Advancing Arthroscopy)
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