Comparison of two arthroscopic pump systems based on image quality

G.J.M. Tuijthof*, H. van den Boomen, R.J. Van Heerwaarden, C.N. Van Dijk

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)
13 Downloads (Pure)

Abstract

The effectiveness of arthroscopic pump systems has been investigated with either subjective measures or measures that were unrelated to the image quality. The goal of this study is to determine the performance of an automated pump in comparison to a gravity pump based on objective assessment of the quality of the arthroscopic view. Ten arthroscopic operations performed with a gravity pump and ten performed with an automated pump (FMS Duo system) were matched on duration of the surgery and shaver usage, type of operation, and surgical experience. Quality of the view was defined by means of the presence or absence of previously described definitions of disturbances (bleeding, turbidity, air bubbles, and loose fibrous tissue). The percentage of disturbances for all operations was assessed with a time-disturbance analysis of the recorded operations. The Mann-Whitney U test shows a significant difference in favor of the automated pump for the presence of turbidity only (Exact Sig. [2*(1-tailed Sig.)] = 0.015). Otherwise, no differences were determined (Exact Sig. [2*(1-tailed Sig.)] > 0.436). A new objective method is successfully applied to assess efficiency of pump systems based on the quality of the arthroscopic view. Important disturbances (bleeding, air bubbles, and loose fibrous tissue) are not reduced by an automated pump used in combination with a tourniquet. The most frequent disturbance turbidity is reduced by around 50%. It is questionable if this result justifies the use of an automated pump for straightforward arthroscopic knee surgeries using a tourniquet.

Original languageEnglish
Pages (from-to)590-594
Number of pages5
JournalKnee surgery, sports traumatology, arthroscopy
Volume16
Issue number6
Early online date6 Mar 2008
DOIs
Publication statusPublished - Jun 2008
Externally publishedYes

Keywords

  • Arthroscopy
  • Image quality
  • Irrigation
  • Knee joint
  • Pump
  • Video analysis

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