August 01, 2014
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Minor complications more common in young patients after knee arthroscopy

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Minor complications are more common than major complications among children and adolescents after knee arthroscopy, according to study results.

Researchers retrospectively reviewed 1,002 knee arthroscopies performed among patients 17 years old or younger from 1997 to 2009. The researchers collected patient demographic and surgical data from medical and surgical records with specific focus on intraoperative and postoperative complications.

Study results showed an overall complication rate of 14.7%, with major complications occurring in 2.1% of surgeries and minor complications occurring in 12.6% of surgeries.

Major complications included septic arthritis, wound complication requiring operative revision, arthrofibrosis requiring manipulation, other unplanned subsequent surgery and death, whereas minor complications included persistent effusion/hemarthrosis requiring arthrocentesis and superficial wound infection.

The researchers found statistically significant increases in the risks for major complications in surgeries with an anesthesia time of 265 minutes or greater, operative time of 220 minutes or greater, or tourniquet time of 114 minutes or greater, as well as in surgeries with three or more Current Procedural Terminology codes.

Disclosure: The authors have no relevant financial disclosures.