Bert J M
St. Paul Bone & Joint Specialists, Minnesota.
Arthroscopy. 1992;8(2):148-56. doi: 10.1016/0749-8063(92)90028-a.
Between 1984 and 1990, 952 patients had arthroscopic meniscectomies with a specially designed electrocautery loop probe. In all but 250 patients, 1.5% glycine was used as the nonconductive irrigating solution. Ninety-five patients had repeat arthroscopic procedures at a minimum of 6 months after their original procedure. Biopsies of the meniscal remnants were obtained in 21 patients. In all 21, there was no evidence of thermal damage in the area of the previous arthroscopic meniscal electrosurgery. In less than 4% of the patients, articular surface injuries occurred at the time of the original meniscectomy. Careful records were kept outlining the areas of contact damage with the exposed wire of the electrocautery loop probe. At repeat arthroscopies in 17 patients 9 months to 4 years after the initial procedure, there was no apparent evidence of significant permanent damage to the articular surface in the area of the original thermal injury. The electrocautery loop probe was effective for efficient resection of simple and complex tears of the medial or lateral meniscus.
1984年至1990年间，952例患者接受了使用特殊设计的电灼环探头的关节镜半月板切除术。除250例患者外，其余患者均使用1.5%的甘氨酸作为非导电冲洗液。95例患者在初次手术后至少6个月进行了再次关节镜手术。对21例患者的半月板残余组织进行了活检。在所有21例患者中，先前关节镜半月板电外科手术区域均未发现热损伤迹象。不到4%的患者在初次半月板切除术时出现关节面损伤。详细记录了电灼环探头暴露导线造成接触损伤的区域。在初次手术后9个月至4年对17例患者进行再次关节镜检查时，原热损伤区域的关节面未发现明显的永久性严重损伤迹象。电灼环探头对于有效切除内侧或外侧半月板的简单和复杂撕裂有效。
