Orthopaedic Department, Thammasat University (Rangsit Campus), 10200, Thailand.
J ISAKOS. 2023 Dec;8(6):502-508. doi: 10.1016/j.jisako.2023.07.004. Epub 2023 Jul 20.
Approach to the posterior compartment of the knee joint and working within it has been made assessable since the trans-septal approach was established. Herein, the authors describe a simple intercruciate trans-septal approach to the posterior compartment of the knee joint. This technique allows a direct visualization to the posterior septum (septum), creating a safer trans-septal portal and easier separation of the septum. The authors have used this approach in conditions such as the posterior cruciate ligament (PCL) reconstruction, PCL avulsion repairs, popliteus tendon reconstruction, posterior compartment synovectomy, hardware removal, loose bodies removal, meniscus ramp lesion repair, and others. No complications such as femoral condyle damage, meniscus damage, or neurovascular bundle injuries has occurred with this approach.
自建立经隔室入路以来,膝关节后室及其内部的手术操作变得更加可行。本文作者介绍了一种简单的膝关节后室经十字交叉隔室入路。该技术可直接观察到后隔室(隔室),从而建立更安全的经隔室入路,并更容易分离隔室。作者已在以下情况下使用此入路:后交叉韧带(PCL)重建、PCL 撕脱修复、腘肌腱重建、后室滑膜切除术、取内固定物、取出游离体、半月板斜坡病变修复等。采用该入路时,未出现股骨髁损伤、半月板损伤或神经血管束损伤等并发症。