The Role of Arthroscopy in Modern Orthopedics

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 30 April 2026 | Viewed by 308

Special Issue Editor


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Guest Editor
Department of Orthopaedics, Dankook University Hospital, Cheonan, Republic of Korea
Interests: orthopedic surgery; arthroscopy; musculoskeletal imaging; fracture; trauma surgery; sports injuries
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Special Issue Information

Dear Colleagues,

Arthroscopy has become fundamental for modern orthopedic surgery, offering a minimally invasive approach that markedly reduces secondary soft tissue damage compared with open procedures. By minimizing collateral injury to muscles, tendons, and ligaments, arthroscopy facilitates faster recovery, less postoperative pain, and earlier return to daily activities. Advances in high-resolution arthroscopic imaging have enabled the magnified, detailed visualization of intra-articular structures, thereby improving diagnostic accuracy and surgical precision. Arthroscopy also provides access to anatomically challenging regions where open approaches are limited, such as the coracoid process in the shoulder or deep-seated hip joint structures. Furthermore, it allows for the effective diagnosis and treatment of small joints, including the wrist and ankle, and is applicable in conditions such as carpal tunnel syndrome, cubital tunnel syndrome, and trigger finger, enabling delicate and precise intervention. In the shoulder region, arthroscopy can facilitate visualization and treatment in cases of thoracic outlet syndrome. These advancements have expanded the scope of arthroscopy beyond traditional joint surgery, influencing sports medicine, trauma surgery, and other minimally invasive disciplines. This Special Issue aims to highlight the latest technological developments, clinical applications, and future directions of arthroscopy, emphasizing its transformative impact on patient care across diverse anatomical regions.

Prof. Dr. Jae-Sung Yoo
Guest Editor

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Keywords

  • arthroscopy
  • minimally invasive surgery
  • soft tissue preservation
  • high-resolution imaging
  • surgical precision
  • small joint arthroscopy
  • special condition arthroscopy

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Published Papers (1 paper)

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Research

15 pages, 1600 KB  
Article
Sensory Deficit Following Anterior Cruciate Ligament Reconstruction with Bone–Patellar Tendon–Bone Autograft: Platelet-Rich Fibrin (PRF) Could Provide a Solution
by Darko Milovanovic, Marko Kadija, Dusica Gavrilović, Svetlana Sreckovic, Miljan Bilanovic, Aleksandar Matić and Petar Vukman
Medicina 2025, 61(12), 2202; https://doi.org/10.3390/medicina61122202 - 12 Dec 2025
Viewed by 211
Abstract
Background and Objectives: Despite the high rate of donor site morbidity, a bone–patellar tendon–bone (BPTB) graft remains the gold standard when choosing a graft for anterior cruciate ligament (ACL) reconstruction. Damage to the infrapatellar branch of the saphenous nerve (IPBSN) during graft [...] Read more.
Background and Objectives: Despite the high rate of donor site morbidity, a bone–patellar tendon–bone (BPTB) graft remains the gold standard when choosing a graft for anterior cruciate ligament (ACL) reconstruction. Damage to the infrapatellar branch of the saphenous nerve (IPBSN) during graft harvesting results in sensory deficits. Despite its high occurrence in the postoperative period, many patients go untreated, leading to a lower quality of life and potential professional impairment. The aim of this study was to assess the effectiveness of PRF therapy in alleviating sensory deficits and enhancing sensory nerve function in patients who have undergone BTB ACL reconstruction. Materials and Methods: This study was registered at ClinicalTrials.gov (Name of registry: ClinicalTrials.gov; Trial registration number: NCT07257666; Date of registration: 2 December 2025; Study start date: 7 January 2022). Over a one-year period, the pilot study enrolled 53 patients, treated them with BPTB ACL reconstruction, and divided them into two groups. The testing group’s donor site and subcutaneous tissue were treated with Vivostat® PRF, whereas the standard group’s donor site and subcutaneous tissue remained untreated. The primary outcome measured was a reduction in the subjective numbness, which was tested during follow-up checks. Secondary outcomes included the evaluation of subjective knee scores for functional recovery, reported by the patients on control exams. Results: The use of Vivostat® PRF resulted in a statistically significant reduction in sensory deficit among the groups at eight months (p < 0.05) and twelve months (p < 0.01) following surgery, favoring the testing group. The most substantial decrease in symptomatic patients was observed between four and eight months post-surgery, with no statistically significant difference found between the eight- and twelve-month follow-ups (p > 0.05). Evaluations of subjective knee function and activity scores showed no statistically significant differences between the groups. Conclusions: Using Vivostat® PRF helps reduce sensory impairment in the area and minimizes donor site morbidity after BPTB ACL reconstruction. Full article
(This article belongs to the Special Issue The Role of Arthroscopy in Modern Orthopedics)
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