Giovanni Trisolino1, Marta Favero2, Antonello Lazzaro3, Ermanno Martucci4, Alessandro Strazzari4, Elisa Belluzzi5, Steven Robert Goldring6, Mary Brennan Goldring6, Leonardo Punzi5, Brunella Grigolo7, Eleonora Olivotto7. 1. Reconstructive Hip and Knee Joint Surgery, Rizzoli Orthopaedic Institute, Bologna, Italy; Pediatric Orthopedic and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy. 2. Rheumatology Unit, Department of Medicine, University Hospital of Padova, Padova, Italy; Laboratory of Immunorheumatology and Tissue Regeneration/RAMSES, Rizzoli Orthopedic Research Institute, Bologna, Italy. Electronic address: marta.favero@unipd.it. 3. Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy. 4. Reconstructive Hip and Knee Joint Surgery, Rizzoli Orthopaedic Institute, Bologna, Italy. 5. Rheumatology Unit, Department of Medicine, University Hospital of Padova, Padova, Italy. 6. Hospital for Special Surgery and Weill Cornell Medical College, New York, NY, USA. 7. Laboratory of Immunorheumatology and Tissue Regeneration/RAMSES, Rizzoli Orthopedic Research Institute, Bologna, Italy.
Abstract
BACKGROUND: The aim of this study was to assess the reliability of the videotape scoring system collected during knee arthroscopy for meniscal tears, and to test the consistency with intra-operative findings. METHODS: Fifty-seven patients undergoing arthroscopic treatment of meniscal tears were included in the analysis. The cartilage damage was assessed intra-operatively, at six sites, using the Outerbridge scoring system. The meniscal tears were graded according to the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification. The presence of synovial inflammation was scored, at four different sites, according to the macro-score method. The total cartilage, meniscal and synovial scores were calculated for each knee by the sum of the maximum grade of the lesions at each anatomic site. In order to assess the reliability of the arthroscopic scoring system, the videotapes recorded during the arthroscopy were reviewed by two independent observers one year after the surgery and compared with the scores completed by the surgeon during the operation. RESULTS: The total cartilage score showed substantial inter-rater and intra-rater reliability, and moderate consistency with the intra-operative score provided by the surgeon. The total meniscal score showed substantial inter-rater and intra-rater reliability, and good consistency with the intra-operative findings. The total synovial score showed substantial inter-rater agreement, substantial intra-rater reliability, and moderate consistency with intra-operative findings. CONCLUSIONS: The videotape scoring system provided a reliable and reproducible system for recording the intra-operative state of the whole joint pathology in patients undergoing arthroscopic treatment of meniscal tears.
BACKGROUND: The aim of this study was to assess the reliability of the videotape scoring system collected during knee arthroscopy for meniscal tears, and to test the consistency with intra-operative findings. METHODS: Fifty-seven patients undergoing arthroscopic treatment of meniscal tears were included in the analysis. The cartilage damage was assessed intra-operatively, at six sites, using the Outerbridge scoring system. The meniscal tears were graded according to the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification. The presence of synovial inflammation was scored, at four different sites, according to the macro-score method. The total cartilage, meniscal and synovial scores were calculated for each knee by the sum of the maximum grade of the lesions at each anatomic site. In order to assess the reliability of the arthroscopic scoring system, the videotapes recorded during the arthroscopy were reviewed by two independent observers one year after the surgery and compared with the scores completed by the surgeon during the operation. RESULTS: The total cartilage score showed substantial inter-rater and intra-rater reliability, and moderate consistency with the intra-operative score provided by the surgeon. The total meniscal score showed substantial inter-rater and intra-rater reliability, and good consistency with the intra-operative findings. The total synovial score showed substantial inter-rater agreement, substantial intra-rater reliability, and moderate consistency with intra-operative findings. CONCLUSIONS: The videotape scoring system provided a reliable and reproducible system for recording the intra-operative state of the whole joint pathology in patients undergoing arthroscopic treatment of meniscal tears.
Authors: Michela Battistelli; Marta Favero; Debora Burini; Giovanni Trisolino; Dante Dallari; Lucia De Franceschi; Steven R Goldring; Mary B Goldring; Elisa Belluzzi; Giuseppe Filardo; Brunella Grigolo; Elisabetta Falcieri; Eleonora Olivotto Journal: Eur J Histochem Date: 2019-02-11 Impact factor: 3.188
Authors: Eleonora Olivotto; Elisa Belluzzi; Assunta Pozzuoli; Augusto Cigolotti; Manuela Scioni; Steven R Goldring; Mary B Goldring; Pietro Ruggieri; Roberta Ramonda; Brunella Grigolo; Giovanni Trisolino; Marta Favero Journal: Int J Mol Sci Date: 2022-03-31 Impact factor: 5.923
Authors: Eleonora Olivotto; Giovanni Trisolino; Elisa Belluzzi; Antonello Lazzaro; Alessandro Strazzari; Assunta Pozzuoli; Augusto Cigolotti; Pietro Ruggieri; Andrea Evangelista; Francesca Ometto; Stefano Stallone; Steven R Goldring; Mary B Goldring; Roberta Ramonda; Brunella Grigolo; Marta Favero Journal: J Clin Med Date: 2022-07-26 Impact factor: 4.964