What is arthroscopy and arthroscopic surgery?
Minimally invasive surgery is one of the directions of the development of surgical technology in the world today, aiming at the maximum efficacy with the minimum trauma. Arthroscopic technology is the application of minimally invasive surgery in the field of orthopedics for the observation, diagnosis and treatment of intra-articular diseases. The arthroscope is only the thickness of a chopstick, and a small incision of less than 1 cm is made in the skin to insert the arthroscope into the joint, and then a micro-camera is connected, and the situation inside the joint can be clearly displayed on a fluorescent screen through a fiber-optic lighting system and a computer imaging system. The arthroscope allows for careful observation of the joint and direct and accurate detection of the lesion. After a lesion is detected, surgery can be performed immediately under arthroscopic surveillance by making one to two small incisions of less than 1 cm and inserting special micro instruments for targeted surgical treatment. Arthroscopic surgery is “putting the surgeon’s eyes into the joint”, and seeing is believing, which is irreplaceable by other methods.
What are the advantages of arthroscopy and surgery?
1. Dynamic observation of the lesions in the joint, clear and unobstructed, and certain diseases must be diagnosed under arthroscopy.
2.Surgery is delicate and can preserve the physiological tissue structure intact, and the targeted surgery can limit the joint trauma to a minimum.
3. Minimally invasive surgery, small surgical incision, ligaments around the joint, joint capsule and cutaneous nerve from damage; less pain.
4.Little surgical damage, less bleeding, small skin scars, and beautiful.
5.Fast recovery of joint function after surgery, generally the same day after surgery, you can go down to the ground and start thigh muscle contraction training, reducing postoperative complications (joint adhesions, muscle atrophy, phlebitis, blood clots, wound infection). Most people can return to normal life and light work within 10 days and can participate in some sports or stressful work after 4 weeks. If only arthroscopy or joint cavity flushing treatment is performed under local anesthesia, you can go home immediately after surgery.
6.Short hospitalization time, generally 3 to 10 days after surgery, can be discharged from the hospital, reduce medical costs and resume work early.
Indications for arthroscopic surgery
Hip joint: femoral head necrosis cleaning and decompression, osteoarthritis cleaning and shaping, free body removal, acetabular glenoid lip injury repair, hip joint impingement grinding and cleaning, tumor microscopic biopsy.
Knee: osteoarthritis cleaning, shaping, microfracture treatment, free body removal, meniscal injury suture and partial resection, articular cartilage injury repair, joint adhesion release, anterior and posterior cruciate ligament injury reconstruction, meniscal cyst removal, synovitis synovectomy, septic arthritis cleaning and flushing, traumatic arthritis cleaning, patellar subluxation release and reset.
Ankle joint: ankle fracture anatomical repositioning, traumatic arthritis cleaning, decompression and shaping, synovitis synovectomy, free body removal, articular cartilage injury repair, talar osteonecrosis decompression and cleaning.
Shoulder joint: suture repair of rotator cuff tear injury, cleaning and grinding of impingement syndrome, cleaning and release of periarthritis of shoulder joint, cleaning of calcific supraspinatus tendonitis, repair of glenoid labral injury reset and fixation.
Wrist joint: cartilage injury cleaning, repair, synovitis synovectomy, arthroscopic transverse carpal ligament dissection for carpal tunnel syndrome.
Elbow joint: free body removal, joint adhesion release, radial small head osteoarthritis plication.
Extra-articular: N fossa cyst excision, gluteus contracture release, intra-articular fracture percutaneous internal fixation, plate removal, oblique neck correction, tennis elbow cleaning and release, Achilles tendonitis cleaning, Achilles tendon rupture anastomosis reconstruction, bone tumor excision and cavity filling.
Arthroscopic minimally invasive treatment of Achilles tendonitis
Transarthroscopic minimally invasive resection of anterior knee bursa
Arthroscopic surgical treatment of arthritis
The introduction of minimally invasive arthroscopic techniques has fundamentally solved the problem of arthritis that is difficult to treat. However, arthroscopic technology is not a panacea. Therefore the timing of arthritis treatment is most critical. We generally divide arthritis into IV stages according to the degree of cartilage damage. In stage I-II, the clinical symptoms are mild, the damage to the articular cartilage is light, and the cartilage debris in the joint is fine and small, so this stage can be treated by simply flushing the joint under local anesthesia (outpatient treatment, follow the treatment), and then injecting sodium glass acid and oral glucosamine to lubricate and nourish the articular cartilage; in stage II-III, the wear and tear of the articular cartilage is obvious, the joint is not smooth, the friction is high, and the debris in the joint is large and large This stage is the best time for minimally invasive arthroscopic treatment, once missed, it will soon enter stage IV, which is the advanced stage of arthritis, with more than 50% loss of articular cartilage, significant narrowing or disappearance of joint space, bone deformation, and severe limitation or even loss of joint function, which is the indication for surgery of artificial joint replacement.