Arthroscopy and arthroscopic surgery of the elbow.
Arthroscopy and arthroscopic surgery of the elbow.
复制标题
关节镜和肘关节镜手术。
作者：
J. F. Guhl
1974~1984年间，对45例3300例肘关节镜手术患者进行了关节镜检查和肘关节镜手术。已确定的适应症包括：游离体摘除，剥脱性骨软骨炎的治疗，非特异性和类风湿性滑膜炎的滑膜切除术，一些选定骨折的治疗，特定退行性关节炎病例的清创，骨赘切除，以及对未确诊的肘部疼痛的评估和治疗。描述了两种不同的方法的选择；一种是将手臂放在手臂上进行手部手术，另一种是将手臂悬挂在头顶上，以便更容易接触到内侧。描述了肘关节的正常关节镜解剖。这些仪器被归类为最常用的仪器、特殊用途的仪器、很少使用或从未使用的仪器，以及最近引入的一些特殊仪器。为了观察和测量肘关节，本文介绍了八种方法。显示和说明了进入关节、扩张和放置示波器、建立引流、探测和器械的技术。术后立即护理和并发症显示。列举了7个具有代表性的案例。这一小部分病例的结果清楚地表明，有必要对肘关节进行诊断性和手术检查。
Arthroscopy and arthroscopic surgery of the elbow were performed in 45 cases of 3,300 arthroscopic procedures between 1974 through 1984. The indications established are: loose body removal, treatment of osteochondritis dissecans, synovectomy for non-specific and rheumatoid synovitis, treatment of some selected fractures, debridement of specific cases of degenerative arthritis, excision of osteophytes and for evaluation and treatment of the undiagnosed painful elbow. The choice of two different methods is described; one with the arm on an arm table as for hand surgery, and the other with the arm suspended overhead for easier access to the medial side. Normal arthroscopic anatomy of the elbow joint is described. The instruments have been classified as those most commonly used, those of special use, those instruments rarely or never used, and some special instruments introduced more recently. Eight approaches to the elbow joint for viewing and instrumentation are illustrated. The technique for entering the joint, distending and placing the scope, establishing drainage, probing and instrumentation is shown and illustrated. Immediate postoperative care and complications are shown. Seven representative cases are presented. Results of this small number of cases clearly indicate that there is a need for diagnostic and operative arthroscopy of the elbow.