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Clinically-driven approach to improve arthroscopic techniques

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Abstract

In this paper, a clinically-driven approach is introduced as the starting point for the improvement of arthroscopic techniques. The approach was divided into two phases. Phase 1 consisted of a combination of observations and discussions that resulted in the definition of clinically-relevant research topics. Phase 2 consisted of an interview which aimed at analysis of the general opinion on arthroscopy, and which assigned a priority ranking to the topics. Six research topics were defined. Based on the information collected, the conclusion is that the surgeons are satisfied with current arthroscopic techniques. A majority gives priority to the optimization of cartilage treatment and to the design of a steerable arthroscopic cutter. A minority gives priority to the expansion of arthroscopic techniques. The two-phase approach was fruitful in terms of establishing clinical problem areas, and of involving surgeons in the technical improvement of arthroscopic techniques.

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Acknowledgements

This research is part of the Minimally Invasive Surgery and Interventional Techniques program (http://mms.tudelft.nl/misit/index.htm) and is done in close cooperation with the Academic Medical Center in Amsterdam. Furthermore, the authors wish to thank R. te Slaa and H. Verburg from the Reinier de Graaf Gasthuis in Delft and D. Wouters from the Talma Sionsberg in Leeuwarden for their hospitality and cooperation.

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Correspondence to G. J. M. Tuijthof.

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Tuijthof, G.J.M., van Dijk, C.N., Herder, J.L. et al. Clinically-driven approach to improve arthroscopic techniques. Knee Surg Sports Traumatol Arthrosc 13, 48–54 (2005). https://doi.org/10.1007/s00167-003-0437-9

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Keywords

  • Arthroscopy
  • Interview
  • Clinically-driven approach
  • Evaluation
  • Observations