{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:21:29Z","timestamp":1790824889812,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T00:00:00Z","timestamp":1629763200000},"content-version":"vor","delay-in-days":235,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T00:00:00Z","timestamp":1629763200000},"content-version":"vor","delay-in-days":235,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007308","name":"Arthrex GmbH","doi-asserted-by":"publisher","award":["EMEA18069"],"award-info":[{"award-number":["EMEA18069"]}],"id":[{"id":"10.13039\/100007308","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007308","name":"Arthrex GmbH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007308","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the feasibility of needle arthroscopy for management of suspected bacterial arthritis in native joints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During a pilot period, patients presenting with symptoms suggestive of native joint bacterial arthritis were eligible for initial management with needle arthroscopy. Procedures were performed in the operating theatre or at the patient bedside in the emergency department or inpatient ward. As our primary outcome measure, it was assessed whether needle arthroscopic lavage resulted in a clear joint. In addition, the need for conversion to standard arthroscopy or arthrotomy, the need for conversion from local to general anaesthesia, complications and the need for additional surgical intervention at follow\u2010up during admission were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven joints in 10 patients (four males, age range 35 \u2013 77) were managed with needle arthroscopy. Needle arthroscopic lavage resulted in a clear joint in all cases. Conversion to standard arthroscopy or arthrotomy was not needed. Seven procedures were performed at the patient bedside using local anaesthesia. These procedures were well tolerated and conversion to general or spinal anaesthesia was not required. There were no procedure complications. One patient received multiple needle arthroscopic lavages. No further surgical interventions beside the initial needle arthroscopic lavage were required for successful management in other cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Needle arthroscopy can be a feasible tool in the initial management of complaints suggestive for native joint bacterial arthritis, providing an effective, quick and well\u2010tolerable intervention in the operating theatre or at the patient bedside, with the potential to relief health systems from need for scarce operating theatre time.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s40634-021-00384-5","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T03:02:54Z","timestamp":1629774174000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Bacterial arthritis of native joints can be successfully managed with needle arthroscopy"],"prefix":"10.1002","volume":"8","author":[{"given":"Tobias","family":"Stornebrink","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Amsterdam UMC University of Amsterdam Amsterdam Movement Sciences Meibergdreef 9 1105 AZ Amsterdam The Netherlands"},{"name":"Academic Center for Evidence Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stein J.","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Amsterdam UMC University of Amsterdam Amsterdam Movement Sciences Meibergdreef 9 1105 AZ Amsterdam The Netherlands"},{"name":"Academic Center for Evidence Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur J.","family":"Kievit","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Amsterdam UMC University of Amsterdam Amsterdam Movement Sciences Meibergdreef 9 1105 AZ Amsterdam The Netherlands"},{"name":"Academic Center for Evidence Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel P.","family":"Mercer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery NYU Langone Health New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John. G.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery NYU Langone Health New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sjoerd A. S.","family":"Stufkens","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Amsterdam UMC University of Amsterdam Amsterdam Movement Sciences Meibergdreef 9 1105 AZ Amsterdam The Netherlands"},{"name":"Academic Center for Evidence Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M. M. J.","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Amsterdam UMC University of Amsterdam Amsterdam Movement Sciences Meibergdreef 9 1105 AZ Amsterdam The Netherlands"},{"name":"Academic Center for Evidence Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center Amsterdam UMC Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,24]]},"reference":[{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20104804(03)00150\u20101"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kel163a"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.45.6.458"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2020.10.006"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.12.031"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2013.07.001"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(09)61595\u20106"},{"key":"e_1_2_11_9_2","doi-asserted-by":"crossref","unstructured":"PrachandVN MilnerR AngelosP PosnerMC FungJJ AgrawalN et al (2020) Medically necessary time\u2010sensitive procedures: scoring system to 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May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was conducted in agreement with the 1964 Helsinki Declaration and its later amendments and was approved by Medical Ethics Committee of the University of Amsterdam, with reference number MEC 08\/326.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Dr. Kennedy reports consultancy fees from Arthrex, outside the submitted work.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"67"}}