Zhao Jinzhong
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Arthrosc Tech. 2021 Nov 9;10(12):e2651-e2657. doi: 10.1016/j.eats.2021.08.008. eCollection 2021 Dec.
Knee osteoarthritis is the most common orthopaedic disorder, and surgical treatments are always inevitable. Among the various surgical options, arthroscopic treatment is not favorable because strong evidence supporting its application is scarce. However, we consider that the unsatisfactory clinical results of arthroscopic surgery occur because the pain-relieving mechanism of joint replacement is not realized in the too simple and not well-designed arthroscopic procedures. Thus, we use a set of arthroscopic procedures to realize the pain-relieving mechanism of joint replacement, which we call "arthroscopic arthroplasty." The most important parts of this technique are denervation of the subchondral bone and comprehensive synovectomy. Our clinical results indicate that we can obtain even better functional improvement with this technique than that with joint replacement. We consider that the introduction of this technique will arouse interest in the development of arthroscopic surgical procedures for knee osteoarthritis.
膝关节骨关节炎是最常见的骨科疾病，手术治疗往往不可避免。在各种手术选择中，关节镜治疗并不理想，因为支持其应用的有力证据很少。然而，我们认为关节镜手术临床效果不理想是因为在过于简单且设计不佳的关节镜手术中未实现关节置换的止痛机制。因此，我们采用一套关节镜手术来实现关节置换的止痛机制，我们将其称为“关节镜关节成形术”。该技术最重要的部分是软骨下骨去神经支配和全面滑膜切除术。我们的临床结果表明，与关节置换相比，这项技术能带来更好的功能改善。我们认为这项技术的引入将引起人们对膝关节骨关节炎关节镜手术发展的兴趣。
