患者仰卧位时治疗髌骨软骨损伤的关节镜技术。
Arthroscopic technique for the treatment of patellar chondral lesions with the patient in the supine position.
作者信息
Cuéllar Ricardo, Cuéllar Adrián, Ponte Juan, Ruiz-Ibán Miguel A
机构信息
Department of Orthopaedic Surgery, Donostia University Hospital, San Sebastián, Spain ; Department of Orthopaedic Surgery, Policlinica Gipuzkoa, San Sebastián, Spain.
Department of Orthopaedic Surgery, Galdakao Usansolo Hospital, Galdakao, Spain.
出版信息
Arthrosc Tech. 2014 Jun 2;3(3):e373-6. doi: 10.1016/j.eats.2014.02.012. eCollection 2014 Jun.
We describe an arthroscopic approach for the treatment of patellar chondral lesions with the patient in the supine position. This approach can be used to perform certain procedures such as matrix autologous chondrocyte implantation and autologous matrix-induced chondrogenesis. It is possible to perform these arthroscopic techniques working at an angle perpendicular to the patellar joint surface. First, with the patient in the supine position, arthroscopic longitudinal sectioning of the lateral patellar retinaculum is performed, and the patella is reverted with the help of a Codivilla forceps. It is then possible to place the chondral surface perpendicular to the floor, and it can be accessed directly through a lateral parapatellar portal. Short-term follow-up has shown the benignity of opening the patellar retinaculum. This procedure reduces morbidity compared with the traditional open surgery.
我们描述了一种在患者仰卧位时治疗髌骨软骨损伤的关节镜手术方法。该方法可用于进行某些手术，如基质自体软骨细胞植入和自体基质诱导软骨生成。以垂直于髌骨关节面的角度进行这些关节镜技术操作是可行的。首先，患者仰卧位时，对髌外侧支持带进行关节镜下纵向切开，并用科迪维拉钳翻转髌骨。然后可以将软骨表面放置成垂直于地面，并且可以通过髌旁外侧入路直接进入。短期随访显示切开髌支持带具有良性效果。与传统开放手术相比，该手术降低了发病率。
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