Lavender Chad, Taylor Shane, Blickenstaff Baylor, Macaskill Micah, Baria Michael
Orthopaedic Surgery Sports Medicine, Marshall University, Scott Depot, West Virginia.
Ohio State University, Columbus, Ohio, U.S.A.
Arthrosc Tech. 2022 Mar 16;11(4):e563-e568. doi: 10.1016/j.eats.2021.12.008. eCollection 2022 Apr.
After anterior cruciate ligament (ACL) reconstruction surgery, achieving full range of motion and strength of the postoperative knee is critical for optimal surgical outcomes. Abnormal tissue growth and scar formation in the postoperative knee can create a block to terminal extension of the knee. Cyclops lesions are areas of granulation tissue with neovascularization and fibrous tissue formation peripherally, most commonly at the anterolateral aspect of the tibial graft site after ACL reconstruction. When these lesions block terminal extension and cause mechanical symptoms, cyclops syndrome is diagnosed, and secondary knee arthroscopy is often performed to remove this tissue to allow for full range of motion. This Technical Note describes a minimally invasive approach with the NanoScope. The NanoScope allows for decreased postoperative pain and swelling with a likely quicker recovery back to normal postoperative therapy.
在前交叉韧带（ACL）重建手术后，实现术后膝关节的全范围活动和力量对于获得最佳手术效果至关重要。术后膝关节内异常的组织生长和瘢痕形成会阻碍膝关节的终末伸展。独眼巨人病变是指肉芽组织区域，周围有新血管形成和纤维组织形成，最常见于ACL重建术后胫骨移植部位的前外侧。当这些病变阻碍终末伸展并引起机械性症状时，即可诊断为独眼巨人综合征，通常会进行二次膝关节镜检查以切除该组织，从而实现全范围活动。本技术说明描述了一种使用纳米内窥镜的微创方法。纳米内窥镜可减轻术后疼痛和肿胀，并可能使恢复正常术后治疗的速度更快。
