Arthroscopic techniques are one of the major achievements in the field of orthopedics in the twentieth century. In the last decade or so, arthroscopic surgery has developed rapidly and has gradually become an important discipline in orthopedics, which belongs to the category of minimally invasive surgery and is an important part of joint surgery. The field of medicine in the twenty-first century has put minimally invasive surgery in a very important position, i.e. the idea of performing surgery without damaging normal tissues will continue to be developed in all areas of surgery.
Arthroscopic surgery is a major treatment in orthopedics and sports medicine and has developed into a relatively new and independent discipline. Arthroscopic surgery and arthroscopically assisted dissection are not only used successfully in the management of most knee injuries, but have been increasingly applied to the shoulder, elbow, wrist, hip, ankle, and other joints, and the scope of surgery continues to expand. However, arthroscopic surgery is a very different procedure from traditional surgery and requires a highly skilled surgeon with specialized training and experience to perform.
Arthroscopy is a special type of endoscope that serves as both a diagnostic and therapeutic tool. The arthroscope not only allows you to see the lesions in the joint cavity, but also allows you to perform precise surgical operations under the arthroscope using specially designed surgical instruments, so that diagnosis and treatment can be completed in one visit. It is the most ideal diagnostic and therapeutic modality in the field of joint surgery and sports medicine because of its low trauma, quick recovery, low pain, excellent results, short hospital stay and cost savings. In modern orthopedics, arthroscopic surgery has become an indispensable daily procedure, and almost all intra-articular diseases can be treated arthroscopically.
What is arthroscopy?
Arthroscopy is a high technology developed only in recent years, in which a lens is inserted into the joint cavity through a very small hole, and the image is magnified on a monitor inside the joint to observe the lesion inside the joint, so it is more accurate than what can be observed by the naked eye after the joint is cut open, while from another small hole, instruments for examination or surgery are inserted, and a full examination and surgery is performed under television surveillance.
What are the possible complications of arthroscopic surgery?
Arthroscopic surgery has few serious complications. The rarer complications are wound infection and broken instruments, making arthroscopic surgery very safe.
Arthroscopic instruments
Arthroscope: fiber optic cable light transmission system, commonly used knee arthroscope diameter 4 mm, angle of view: 0, 30, 45, 70 degrees, the most common is 30 degrees.
Manual instruments are: probe, hook shears, basket clamp, attraction clamp, free body grasping clamp, various knives, cartilage files, etc.
Perfusion system Power planing system Radiofrequency ablation system Image recording system
Surgical auxiliary equipment: thigh fixator, meniscal repair and suture instruments, endoscopic anterior and posterior cruciate ligament reconstruction system
The advantages of arthroscopic surgery: fine surgery, small trauma, fast recovery and good results.
The scope of arthroscopic surgery.
1.Knee joint:
1.1 Ligament abnormalities (including repair and reconstruction of anterior and posterior cruciate ligament injury, etc.).
1.2 Meniscal diseases (including the most common meniscal injuries, etc.).
1.3 Articular cartilage diseases (including the most common degenerative arthritis of the knee, etc.).
1.4 Patellofemoral joint disease.
1.5 Synovial disease.
1.6 Acute knee injuries.
1.7 Other conditions such as free bodies, knee cysts, tibial plateau fractures, infectious arthritis, etc.
2.Shoulder joint: frozen shoulder, rotator cuff injury, shoulder instability; acromioclavicular impingement syndrome, etc.
3.Arthroscopic surgery of other parts (including shoulder, elbow, wrist, hip, ankle, temporomandibular arthroscopic surgery, etc.).
4.Arthroscopic joint exploratory surgery
For the shoulder, knee, ankle, elbow and hip joints and other major joints of the human body unexplained swelling, pain can be performed arthroscopic investigation to determine the cause, while the arthroscopic removal of lesions; in addition, immediately after the trauma appeared joint swelling (i.e., intra-articular bleeding), indicating a more serious intra-articular structural damage, arthroscopic investigation can determine the injury, so that early detection, timely treatment.