Related Experiment Video
Updated: Jun 19, 2026
Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
In-Office Needle Arthroscopy: Indications, Surgical Techniques, Tips, and Tricks
Arianna L Gianakos1, John G Kennedy
1From the Department of Orthopaedic Surgery, Yale Medicine, Orthopaedics, and Rehabilitation, New Haven, CT (Dr. Gianakos), and the Department of Orthopaedic Surgery, NYU Langone Health, New York, NY (Dr. Kennedy).
In-office needle arthroscopy (IONA) offers a less invasive, more accessible, and cost-effective alternative to traditional operating room arthroscopy. This minimally invasive approach utilizes smaller instruments and local anesthesia, enhancing patient convenience and procedural efficiency.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Traditional arthroscopy in operating rooms (ORs) is invasive and costly.
- There is a growing need for less invasive and more accessible joint examination techniques.
Purpose of the Study:
- To introduce In-office Needle Arthroscopy (IONA) as a viable alternative to OR arthroscopy.
- To detail the indications, setup, and techniques for performing IONA.
Main Methods:
- IONA utilizes smaller, specialized instrumentation compared to standard arthroscopy.
- Procedures are performed in an office setting under local intra-articular blocks.
- Focus on best practice office setup, technical pearls, and potential pitfalls.
Main Results:
- IONA is less invasive due to smaller instrument diameter.
- Reduced need for OR equipment and staff leads to lower costs and increased accessibility.
- Eliminates risks associated with general or regional anesthesia.
Conclusions:
- IONA represents a significant advancement in minimally invasive joint procedures.
- It offers a more efficient, cost-effective, and patient-friendly option for diagnosing and treating upper and lower extremity injuries.
- Successful implementation requires understanding indications and proper office setup.
