Meyer S, Lobenhoffer P
Klinik für Unfall- und Wiederherstellungschirurgie, Hannover.
Orthopade. 2008 Nov;37(11):1056, 1058-60, 1062-4. doi: 10.1007/s00132-008-1308-3.
Intraoperative positioning injuries during shoulder- and knee arthroscopy are rare complications and affect mainly nerves and soft tissue. Although the majority of these complications are reversible, in some cases serious negative consequences for the patient persist. This article describes the frequency of several positioning injuries including their prevention and the appropriate treatment. The legal responsibilities are illustrated as well as the importance of an intense preoperative investigation of preexisting diseases and possible risk factors. Furthermore, a review of possible thermal injuries of the patient during arthroscopy caused by e.g. electrosurgical instruments or the cold light source, is given as well as prevention strategies.
肩关节和膝关节关节镜检查术中的体位性损伤是罕见的并发症，主要影响神经和软组织。尽管这些并发症大多是可逆的，但在某些情况下，患者仍会持续存在严重的不良后果。本文描述了几种体位性损伤的发生率、预防方法及适当的治疗措施。文中阐述了法律责任，以及术前深入调查既往疾病和可能的风险因素的重要性。此外，还综述了关节镜检查期间患者可能因电外科器械或冷光源等导致的热损伤及其预防策略。
