Sun Jinpeng, Xiong Yilin, Lei Guanghua
Department of Orthopedics, Xiangya Hospital, Central-South University, Changsha Hunan, 410008, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Feb;27(2):233-5.
To summarize the anatomic features of the posterior septum of the knee joint and its application in posterior trans-septal portal for arthroscopic surgery.
The literature related to posterior septum of the knee joint and arthroscopic surgery was extensively reviewed and analyzed.
The posterior septum of the knee joint has more mechanoreceptors and blood vessels in the upper part, which are close to arteria popliteal at the tibial plateau level; the posterior compartment is divided into wider posteromedial and narrower posterolateral compartments. A safe arthroscopic trans-septal portal is established, in the knee flexion of 90 degrees, in a lateral-to-medial direction, and with an inserting location below the middle of posterior septum.
The establishment method of posterior trans-septal portal is not uniform and all the features of posterior septum should be considered to decrease the complications.
总结膝关节后间隔的解剖学特征及其在关节镜手术经后间隔入路中的应用。
广泛查阅并分析与膝关节后间隔及关节镜手术相关的文献。
膝关节后间隔上部有更多的机械感受器和血管,在胫骨平台水平靠近腘动脉;后关节腔分为较宽的后内侧腔和较窄的后外侧腔。在膝关节屈曲90度时,从外侧向内侧方向,在后间隔中部下方的位置建立安全的关节镜经间隔入路。
经后间隔入路的建立方法并不统一,应综合考虑后间隔的所有特征以减少并发症。