Department of Orthopaedic Surgery, Seonam Medical School, Gwangju, Korea.
Clin Orthop Surg. 2010 Jun;2(2):125-7. doi: 10.4055/cios.2010.2.2.125. Epub 2010 May 4.
Coblation devices are now widely used in arthroscopic surgery and they show a very low incidence of intraoperative complications. We experienced a case where the tip of the wand separated and migrated into the posterior knee compartment in an arthrofibrotic knee. The free wand tip was identified and then extricated from the popliteal hiatus of the knee with using C-arm fluoroscopic control. To the best of our knowledge, this is the first report of its kind involving coblation wands. We describe this complication to show that the use of coblation devices can lead to unexpected problems and it is imperative to inspect all instruments before and after each surgical use.
等离子刀头目前已广泛应用于关节镜手术中，其术中并发症发生率非常低。我们曾遇到 1 例在关节纤维性僵直膝关节镜手术中，刀头的顶端发生分离并迁移到膝关节后侧。在 C 型臂透视控制下，我们发现了游离的刀头并将其从膝关节的腘窝取出。据我们所知，这是首例涉及等离子刀头的报告。我们描述该并发症是为了表明等离子刀头的使用可能会导致意想不到的问题，因此在每次手术前后都必须检查所有器械。
