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膝关节镜检查时通过后鼻中隔门静脉在盲区进行关节镜下游离体取出和囊肿减压——技术报告

Arthroscopic loose body removal and cyst decompression using a posterior trans-septal portal in the blind spot during knee arthroscopy--technical report.

作者信息

Lee Yong Seuk, Ahn Jin Hwan, Min Byoung-Hyun, Nha Kyung Wook

机构信息

Department of Orthopaedic Surgery, Ajou University Medical Center, Suwon, Republic of Korea.

出版信息

Knee. 2011 Jan;18(1):55-8. doi: 10.1016/j.knee.2010.01.008. Epub 2010 Feb 16.

Abstract

Some lesions such as cyst, loose body, and mass around the knee joint tend to localize at the posterior aspect of the proximal tibia. Although arthroscopic procedures of the knee joint's posterior compartment have been developed through posteromedial, posterolateral, and posterior trans-septal portals, the posterior aspect of the proximal tibia remains difficult to access and manipulate. We report an arthroscopic loose body removal and cyst decompression on the posterolateral aspect of the proximal tibia using a posterior trans-septal portal. This area represents a blind spot in knee arthroscopy.

摘要

一些病变,如囊肿、游离体以及膝关节周围的肿物,倾向于定位在胫骨近端的后侧。尽管通过后内侧、后外侧和后经间隔入路已经开展了膝关节后内侧间室的关节镜手术,但胫骨近端的后侧仍然难以到达和操作。我们报告了一例使用后经间隔入路在胫骨近端后外侧进行关节镜下游离体摘除和囊肿减压的手术。该区域是膝关节镜检查的一个盲区。

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