PubMed Health⌕ Search

PubMed · 2577598

[Knee arthroscopy today].

Abstract

Arthroscopy is not only the most reliable diagnostic tool in disorders of the knee joint but it also allows a one-step procedure of diagnosis and therapy in many cases. Most arthroscopic operations can be performed without hospitalisation. Post-operative morbidity is usually low. An excellent or good result was achieved in 91% of arthroscopic partial meniscectomies. Costs were reduced by sFr 6000 to 7000 for arthroscopic operations compared with arthrotomy. The advantage of most arthroscopic procedures performed today has been proven; however, the clinical value of others (i.e. arthroscopic suture of meniscal tears, repair of cruciate ligaments and abrasion-arthroplasty) is still not clear. The frequency of complications is low (0.56%), and infections occur in less than 1%.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

W Glinz. 1989. [Knee arthroscopy today].. https://pubmed.ncbi.nlm.nih.gov/2577598/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

[Indications and techniques for wrist arthroscopy].

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.

Arthroscopes↗

[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.

Arthroscopes↗