Arthroscopic Knee Bursectomy

The emergence of arthroscopic techniques has made joint surgery a big step forward. Due to the application of arthroscopy, pathological changes that can not be observed by other methods in the joint can be directly observed, which greatly improves the diagnosis and treatment of joint diseases. Arthroscopy helps clinicians diagnose some undiagnosed cases and find specific lesions that can be identified under arthroscopy, such as wrinkle syndrome. Because the arthroscopic incision is small, the interference to the joint is light, the complications are few, and the patient recovers significantly faster than the general surgery after the operation, so it is highly praised in the treatment of joint diseases. With the advancement of technology, arthroscopy equipment and instruments will also be constantly updated, theoretical research will continue to deepen, the diagnostic and therapeutic level of arthroscopy will continue to improve, and has extremely broad application prospects. Due to the particularity of pediatric joint diseases, it is difficult to diagnose and treat. Von Rueden believes that arthroscopic technique has at least four aspects of joint disease in children: 1 correcting preoperative diagnosis; 2 avoiding cutting and cutting; 3 revised the plan for the operation of the switch section; 4 supplemented the diagnosis and considered that arthroscopy is the best diagnostic and therapeutic tool among adolescents and children. Domestic Sun Caijiang found that the coincidence rate of clinical diagnosis and microscopic diagnosis of sick children is less than 50%, which also proves the importance of arthroscopic technique in the diagnosis and treatment of children's joint diseases. Curing disease: Indication Arthroscopic knee burseurectomy for rheumatoid arthritis, psoriatic arthritis, reiter syndrome, pigmented villonodular synovitis, synovial chondromatosis, chronic synovitis, hemophilia Secondary synovitis and joint pain swelling for more than half a year, non-surgical treatment is invalid. Contraindications Joint space has been significantly narrowed, bone destruction is more, and joint activity has been significantly restricted. Preoperative preparation The knee joint X-ray film was taken before operation, and the rest were prepared with arthroscopy. Surgical procedure 1. Raise the affected limb by 15°, and do not drive the tourniquet on the thigh to facilitate observation and judgment of synovial lesions. Use the anterior and posterior approach to insert the arthroscope, the front inner, upper or upper iliac crest into the electric planer, press the upper sac, the joint capsule, the humerus, the medial groove, the medial compartment, and the meniscus as far as possible. Complete removal of the synovium, followed by the intercondylar notch, including the synovial membrane on the surface of the cruciate ligament, and the synovial membrane on the surface of the underarm fat pad. 2. The arthroscopy and the planer are interchanged, and the lateral groove and the lateral compartment including the outer meniscus and the synovial membrane below are removed. 3. The 90° position of the knee is flexed, and the 70° arthroscope is inserted through the intercondylar fossa. The synovial membrane of the joint capsule is removed under the microscope through the internal and external approaches of the knee into the synovial planing knife. complication Intra-articular hematoma. Pay attention to keep the negative pressure drainage tube unobstructed and post-operative pressure bandage. If the intra-articular hematoma is formed, it can be aseptically extracted and puncture.

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