Should We Suture Arthroscopic Portals? Effects on Intra-articular Fluid Retention

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dc.contributor.authorSargin, Serdar
dc.contributor.authorAtik, Aziz
dc.contributor.authorAslan, Ahmet
dc.date.accessioned2026-01-24T12:31:24Z
dc.date.available2026-01-24T12:31:24Z
dc.date.issued2023
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractKnee arthroscopy is one of the most common surgical procedures in orthopaedics and especially in sports medicine. Portal problems and effusion after knee arthroscopy have been reported. The fluid retention within the joint in knee arthroscopy can affect clinical outcomes, but there is no consensus on portal management. The studies of portal management in knee arthroscopy have mainly addressed wound healing and cosmetic problems. There is insufficient information in the literature about whether the irrigation fluid used in this effusion contributes to the process. This study investigates whether arthroscopic irrigation fluid is retained in the joint and whether portal-closure management has an effect on effusion. In this randomized, prospective study, 91 patients (46 [50.5%] sutured-portal group and 45 [49.5%] open-portal group) were included. Suprapatellar knee-diameter measurement and the number of times the dressing was changed were used to assess intra-articular fluid collection. The visual analog scale (VAS) score, Oxford knee score, and Knee Society score were used to evaluate knee problems. All portal wounds in both groups healed without any problems. Superficial or deep infection was not observed in either group. There was no statistically significant difference in VAS score, Oxford knee scores, and Knee Society scores between groups. Although there was a decrease in the knee diameter of both groups between the early postoperative period and first postoperative day, a statistically significant difference in knee diameter was found, especially in the open-portal group. There was a significant difference between the groups in terms of the number of dressings used in the first 24hours after surgery. Leaving portals open may be effective in preventing intra-articular fluid retention. We thus advise leaving the arthroscopy portals open with just a simple dressing for selected patients.
dc.identifier.doi10.1055/s-0041-1731350
dc.identifier.endpage172
dc.identifier.issn1538-8506
dc.identifier.issn1938-2480
dc.identifier.issue2
dc.identifier.pmid34187068
dc.identifier.scopus2-s2.0-85145954595
dc.identifier.scopusqualityQ1
dc.identifier.startpage167
dc.identifier.urihttps://doi.org/10.1055/s-0041-1731350
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5836
dc.identifier.volume36
dc.identifier.wosWOS:000667919300009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGeorg Thieme Verlag Kg
dc.relation.ispartofJournal of Knee Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectknee arthroscopy
dc.subjectportal management
dc.subjecteffusion
dc.subjectsuturing
dc.subjectcomplication
dc.titleShould We Suture Arthroscopic Portals? Effects on Intra-articular Fluid Retention
dc.typeArticle

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