Arthroscopic surgery.

R A Marquez

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PubMed · 1341511

Arthroscopic surgery.

R A Marquez

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Abstract

The first examination of a knee joint was in 1918 by the Japanese surgeon Takagi. Since this first attempt at joint space surgery, numerous advances have been made in arthroscopic design, video imaging, instrumentation, and the adoption of laser energy devices. As a result, diagnostic and therapeutic arthroscopy is currently performed in every major joint space in the body. Recently, clinical investigators have begun exploring the potential of endoscopic examination of small joint spaces, such as the temporomandibular joint. Also on the horizon are scopes and instruments to intervene therapeutically in the spinal canal.

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Arthroscopes Arthroscopy Humans Joints Surgical Instruments Journal Article

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R A Marquez. 1992. Arthroscopic surgery.. https://pubmed.ncbi.nlm.nih.gov/1341511/

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After considering the anatomy of the wrist, the technical requirements for wrist arthroscopy are discussed. This method is used as an additional diagnostic procedure and staging procedure as well as a therapeutic technique. Complications, which are rare, most commonly involve nerve irritation, damage to cutaneous nerves and extensor tendons. Lose bodies can be removed arthroscopically, however, arthroscopically assisted fracture treatment or the removal of ganglions are uncommon. Approaches are lateral and oriented on the extensor tendons or other anatomical landmarks. Arthroscopy is especially useful by carpal instability as it offers many possibilities, not only diagnostically but also therapeutically.

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[Percutaneous perforation of the posteromedial capsuloligamentous structures to avoid cartilaginous damage due to arthroscopic intervention at the medial meniscal posterior horn in narrow joints].

THE PROBLEM: Irreversible cartilaginous damage to the femur and tibia due to resection and suture instruments in arthroscopic surgery at the posterior horn of the medial meniscus in narrow knee joints or in the presence of contracted medial capsuloligamentous structures. THE SOLUTION: Enlargement of the medial joint space by repeated percutaneous perforation of the posteromedial capsuloligamentous structures under consistently applied valgus stress. SURGICAL TECHNIQUE: With the knee joint almost in full extension and with simultaneous, uniformly applied valgus stress, repeated percutaneous perforation of the posteromedial capsuloligamentous structures with a sharp-tipped cannula until perceptible enlargement of the medial joint compartment is achieved. POSTOPERATIVE MANAGEMENT AND RESULT: Uneventful healing of the posteromedial capsuloligamentous structures without the need for any special postoperative treatments.

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