Wengle Lawrence J, Hauer Tyler M, Chang Justin S, Theodoropoulos John
Dovigi Orthopaedic Sports Medicine Clinic, Mount Sinai Hospital, Toronto, Ontario, Canada.
Division of Orthopaedic Surgery, Department of Surgery, University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada.
Arthrosc Tech. 2021 Sep 14;10(10):e2265-e2270. doi: 10.1016/j.eats.2021.07.001. eCollection 2021 Oct.
Synovial chondromatosis is a benign metaplastic disease of the synovial joints, characterized by the development of cartilaginous nodules in the synovium. Treatment generally includes open or arthroscopic loose body removal combined with a synovectomy. An all-arthroscopic approach has been described to minimize complications and reduce morbidity while providing adequate control of local disease. The purpose of this Technical Note is to describe our techniques and technical pearls that allow for adequate excision of disease while minimizing complications and disease recurrence. The combination of patient positioning, the establishment of multiple arthroscopic portals to ensure optimal visualization and freedom of instruments, the use of a leg holder, and the use of a variety of surgical instruments to facilitate loose body removal and synovectomy is critical to optimize clinical outcomes and minimize complications. Although technically demanding, our described technique can help facilitate extensive loose body removal and complete synovectomy.
滑膜软骨瘤病是一种滑膜关节的良性化生疾病，其特征是滑膜内出现软骨结节。治疗通常包括开放或关节镜下取出游离体并结合滑膜切除术。已经描述了一种全关节镜方法，以尽量减少并发症并降低发病率，同时充分控制局部疾病。本技术说明的目的是描述我们的技术和技术要点，以便在尽量减少并发症和疾病复发的同时充分切除病灶。患者体位的摆放、建立多个关节镜入路以确保最佳视野和器械操作空间、使用腿部固定器以及使用各种手术器械以利于游离体取出和滑膜切除，对于优化临床结果和减少并发症至关重要。尽管技术要求较高，但我们所描述的技术有助于促进广泛的游离体取出和彻底的滑膜切除。
