Karargyris Orestis, Mandalia Vipul
Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, England.
Arthrosc Tech. 2016 Sep 26;5(5):e1083-e1087. doi: 10.1016/j.eats.2016.05.014. eCollection 2016 Oct.
Surgical treatment of recalcitrant patellar tendinopathy includes both the open surgical approach and minimally invasive arthroscopic debridement. A variety of arthroscopic techniques have been described that involve the use of a standard 30° arthroscope and standard anterolateral and anteromedial portals. As a result, visualization of the infrapatellar region can be variable, and it may be necessary to create additional portals. A 70° arthroscope provides the advantage of a wider field of view to the surgeon. By placing a 70° arthroscope through a superolaterally created portal around the knee joint, the surgeon acquires a complete view of the infrapatellar region and patellar tendon. Thus, debridement of the pathologic area can be accomplished just by the use of an additional working portal, typically the anterolateral one. This technical note describes a technique that involves the use of a 70° arthroscope for the treatment of patellar tendinopathy.
顽固性髌腱炎的手术治疗包括开放手术入路和微创关节镜下清创术。已经描述了多种关节镜技术，这些技术涉及使用标准的30°关节镜以及标准的前外侧和前内侧入路。因此，髌下区域的可视化效果可能会有所不同，可能需要创建额外的入路。70°关节镜为外科医生提供了更广阔视野的优势。通过将70°关节镜经膝关节周围超外侧创建的入路置入，外科医生可以全面观察髌下区域和髌腱。因此，仅通过使用一个额外的工作入路，通常是前外侧入路，就可以完成病变区域的清创。本技术说明描述了一种使用70°关节镜治疗髌腱炎的技术。
