Kim Sung-Jae, Kim Hyon-Jeong
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Arthroscopy. 2001 Mar;17(3):333-337. doi: 10.1053/jars.2001.21507.
The purpose of this article is to present the suitable location of portals during knee arthroscopy in various situations. It includes universal portal, meniscal lesions, discoid meniscus, 1-incision technique of posterior and of anterior cruciate ligament reconstructions, stiff knee, transseptal posterior portal, and far midpatellar portal. These specific descriptions in each situation are drawn from the accumulated experience of more than 4,000 cases of arthroscopy. Our philosophy on the positioning of knee portals can be emphasized from 2 perspectives: first, the location of portals should flexibly suit the surgeon's need rather than a fixed location; second, the higher the portal position is in knee arthroscopy, the wider view it generally provides inside the joint.
本文旨在介绍在各种情况下膝关节镜检查时合适的入路位置。内容包括通用入路、半月板损伤、盘状半月板、前后交叉韧带重建的单切口技术、膝关节僵硬、经隔膜后入路以及远侧髌中入路。每种情况下的这些具体描述均来自4000多例关节镜检查的积累经验。我们关于膝关节入路定位的理念可以从两个角度来强调：第一，入路位置应灵活满足外科医生的需求，而非固定不变；第二，在膝关节镜检查中，入路位置越高，通常在关节内提供的视野越宽。
