Liptak Matthew G, Theodoulou Annika
Orthopaedics SA, Adelaide, South Australia, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Arthrosc Tech. 2017 Oct 16;6(5):e1879-e1883. doi: 10.1016/j.eats.2017.07.004. eCollection 2017 Oct.
The purpose of this Technical Note is to introduce a surgical technique using a fluid pressure pump, mid-lateral portal, and radiofrequency ablation for visualization, assessment, and subsequent, accurate/adequate removal of patellofemoral articular lesions for the treatment of patellofemoral compartment pathology. With the patient in the supine position, and an inflated thigh tourniquet, standard lateral and medial portals are made. The medial-femoral compartment, notch, lateral-femoral compartment, and patellofemoral compartments are assessed. If pathology is seen within the patellofemoral compartment, a mid-lateral portal is made if chondral pathology cannot be addressed thoroughly. Addressing chondral pathology to achieve chondral stability is then performed using a combination of the radiofrequency ablator and chondrotome. This technique provides greater visibility and access to accurately and thoroughly smooth chondral pathology.
本技术说明的目的是介绍一种手术技术，该技术使用液压泵、中外侧入路和射频消融术来可视化、评估并随后准确/充分地切除髌股关节病变，以治疗髌股关节腔病变。患者仰卧位，大腿止血带充气，制作标准的外侧和内侧入路。评估股内侧关节腔、髁间窝、股外侧关节腔和髌股关节腔。如果在髌股关节腔内发现病变，若软骨病变无法彻底处理，则制作中外侧入路。然后使用射频消融器和软骨刀相结合的方法处理软骨病变以实现软骨稳定。该技术提供了更好的视野和入路，以便准确、彻底地处理软骨病变。
