Quinn Ryan, Lang Sarah D, Gilmer Brian B
Mammoth Orthopedic Institute, Mammoth Hospital, Mammoth Lakes, California, U.S.A.
Arthrosc Tech. 2020 Apr 25;9(5):e645-e650. doi: 10.1016/j.eats.2020.01.018. eCollection 2020 May.
As resolution and image quality improve, several potential advantages make needle arthroscopy (NA) appealing for broader therapeutic applications in the operating room. The smaller camera size and weight allow for a minimally invasive approach with smaller incisions than standard arthroscopy and decreased arthroscopic fluid use. Differences in the technology, such as a 0-degree optic and less rigid instrumentation necessitate a novel technique to accommodate thorough diagnostic arthroscopy as well as new approaches to therapeutic procedures. This manuscript introduces our preferred approach to diagnostic arthroscopy and partial medial meniscectomy with NA and small-bore instruments. The minimally invasive nature of this technology may decrease postoperative pain and improve return of comfort and function.
随着分辨率和图像质量的提高，针式关节镜检查（NA）具有一些潜在优势，使其在手术室中更广泛的治疗应用中颇具吸引力。较小的摄像头尺寸和重量允许采用比标准关节镜检查更小切口的微创方法，并减少关节镜液体的使用。技术上的差异，如0度视角和较不刚性的器械，需要一种新颖的技术来进行全面的诊断性关节镜检查以及治疗程序的新方法。本文介绍了我们使用NA和小口径器械进行诊断性关节镜检查和部分内侧半月板切除术的首选方法。该技术的微创性质可能会减轻术后疼痛，并改善舒适度和功能的恢复。
