Kamiya Tomoaki, Teramoto Atsushi, Mori Yuta, Kitamura Chihiro, Watanabe Kota, Yamashita Toshihiko
Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Arthrosc Tech. 2021 May 24;10(6):e1581-e1587. doi: 10.1016/j.eats.2021.02.026. eCollection 2021 Jun.
The nano-arthroscopic ultrasound-guided ossicle excision technique is used in the management of an unresolved Osgood-Schlatter disease. The NanoScope is inserted slightly lateral to the proximal patella tendon and moved on between the ossicle and anterior surface of the proximal tibia under ultrasonographic guidance. The 5-mm skin incision is made as a working portal on the medial side of the proximal patella tendon. The proximal border of the ossicle is clearly identified after bursectomy. Then, the ossicles are removed piece by piece using a 2-mm arthroscopic punch. During the resection, the remaining ossicle is continuously confirmed by ultrasound. Finally, the complete excision of the ossicle is shown by the nano-arthroscopic view and ultrasound. The patient is allowed to have a full weight-bearing and an unrestricted range of motion on the day of surgery. Patients are permitted to resume their sports activities without any restriction after 6 weeks. This technique is recommended to athletes who suffer from painful unresolved Osgood-Schlatter disease because of the benefits of it being a minimally invasive surgery with an early postoperative recovery.
纳米关节镜超声引导下小骨切除术用于治疗未治愈的胫骨结节骨软骨炎。将纳米关节镜插入髌腱近端稍外侧，在超声引导下在小骨与胫骨近端前表面之间移动。在髌腱近端内侧做一个5毫米的皮肤切口作为操作入口。切除滑囊后可清晰识别小骨的近端边界。然后，使用2毫米关节镜打孔器逐块切除小骨。切除过程中，通过超声持续确认剩余小骨情况。最后，纳米关节镜视野和超声显示小骨已完全切除。患者在手术当天即可完全负重且活动范围不受限制。6周后患者可无限制地恢复体育活动。由于该技术属于微创手术且术后恢复早，推荐给患有疼痛性未治愈胫骨结节骨软骨炎的运动员。
