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Studies reporting complications or reoperations after elbow arthroscopy with at least 5 patients were included. Based on the Nelson classification, the severity of complications was categorized as minor or major. Risk of bias was assessed using the Cochrane risk\u2010of\u2010bias tool for randomized clinical trials, and nonrandomized trials were assessed using the Methodological Items for Non\u2010randomized Studies (MINORS) tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>A total of 114 articles were included with 18,892 arthroscopies (16,815 patients). A low risk of bias was seen for the randomized studies and a fair quality for the nonrandomized studies. Complication rates ranged from 0% to 71% (median 3%; 95% confidence interval [CI], 2.8%\u20103.3%), and reoperation rates from 0% to 59% (median 2%; 95% CI, 1.8%\u20102.2%). A total of 906 complications were observed, with transient nerve palsies (31%) as the most frequent complication. According to Nelson classification, 735 (81%) complications were minor and 171 (19%) major. Forty\u2010nine studies reported complications in adults and 10 studies in children, showing a complication rate ranging from 0% to 27% (median 0%; 95% CI, 0%\u20100.4%) and 0% to 57% (median 1%; 95% CI, 0.4%\u20103.5%), respectively. A total of 125 complications were observed in adults, with transient nerve palsies (23%) as the most frequent complication, and 33 in children, with loose bodies after surgery (45%) as the most frequent complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Predominantly low\u2010level evidence studies demonstrate varying complication rates (median 3%, range 0%\u201071%) and reoperation rates (median 2%, range 0%\u201059%) after elbow arthroscopy. Higher complication rates are observed after more complex surgery. The incidence and type of complications can aid surgeons in patient counseling and refining surgical techniques to further reduce the complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV; systematic review of Level I\u2010IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.04.015","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T21:01:55Z","timestamp":1683147715000},"page":"2363-2387","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Wide Range in Complication Rates Following Elbow Arthroscopy in Adult and Pediatric Patients: A Systematic Review"],"prefix":"10.1002","volume":"39","author":[{"given":"Huub H.","family":"de Klerk","sequence":"first","affiliation":[{"name":"Amsterdam Shoulder and Elbow Center 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