{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:19:56Z","timestamp":1773566396941,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the effects of arthroscopy surgery on ankylosis and synovitis after total knee arthroplasty (TKA), with patient satisfaction as the main outcome measure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A single surgeon\u2019s database was queried for all knee arthroscopy procedures done from 2002 to 2024 using the\n                      <jats:italic>International Classification of Diseases<\/jats:italic>\n                      ,\n                      <jats:italic>Ninth<\/jats:italic>\n                      and\n                      <jats:italic>Tenth Revision<\/jats:italic>\n                      , codes for ankylosis or synovitis and Current Procedural Terminology codes 29884 and 29876. Patients were excluded if they did not have a previous TKA, had a TKA but arthroscopy was done for multiple or other indications, were &lt;2 months from TKA, lacked medical records, or were worker\u2019s compensation cases. Patients were separated into either the ankylosis group or the synovitis group. A patient satisfaction survey was collected at first and last follow\u2010up and asked individuals to rate their condition as \u201cbetter,\u201d \u201cunchanged,\u201d or \u201cworse\u201d after arthroscopy. A total of 199 subjects were included: 48 in the ankylosis group and 151 in the synovitis group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean initial follow\u2010up time was 5.2 and 7.2 months for the ankylosis and synovitis groups, respectively. The mean final follow\u2010up time was 3.7 and 4.8 years, respectively. For initial follow\u2010up, the ankylosis group reported 31% better, 56% unchanged, and 13% worse, whereas the synovitis group reported 69% better, 29% unchanged, and 2% worse (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). For final follow\u2010up, the ankylosis group reported 44% better, 41% unchanged, and 15% worse, whereas the synovitis group reported 78% better, 10% unchanged, and 12% worse (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>After TKA, arthroscopic surgery can reduce symptoms and improve satisfaction for patients with ankylosis or synovitis. Patient satisfaction is improved in a greater percentage of patients with synovitis compared with ankylosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective, comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100965","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T15:55:05Z","timestamp":1719590105000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic Debridement After Total Knee Arthroplasty Is More Effective for Synovitis Than for Ankylosis"],"prefix":"10.1002","volume":"6","author":[{"given":"Hussein","family":"Elkousy","sequence":"first","affiliation":[{"name":"Fondren Orthopedic Research Institute Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davin K.","family":"Fertitta","sequence":"additional","affiliation":[{"name":"Fondren Orthopedic Research Institute Houston Texas U.S.A."},{"name":"University of Nevada Reno School of Medicine Reno Nevada U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laith","family":"Elkousy","sequence":"additional","affiliation":[{"name":"Fondren Orthopedic Research Institute Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maudood","family":"Rana","sequence":"additional","affiliation":[{"name":"Fondren Orthopedic Research Institute Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allyson N.","family":"Pfeil","sequence":"additional","affiliation":[{"name":"Fondren Orthopedic Research Institute Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corey F.","family":"Hryc","sequence":"additional","affiliation":[{"name":"Fondren Orthopedic Research Institute Houston Texas 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"100965"}}