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采用二氧化碳充气的干式膝关节镜检查用于前交叉韧带重建

Dry Knee Arthroscopy With Carbon Dioxide Insufflation for Anterior Cruciate Ligament Reconstruction.

作者信息

Butt Umer, Aqeel Khan Zainab, Ali Ahmad Sheikh Muhammad, Stålman Anders, Vuletić Filip

机构信息

Department of Trauma and Orthopaedic, AO Hospital, Karachi, Pakistan.

Sulis Hospital Bath, Bath, U.K.

出版信息

Arthrosc Tech. 2024 Mar 24;13(7):102986. doi: 10.1016/j.eats.2024.102986. eCollection 2024 Jul.

DOI:10.1016/j.eats.2024.102986
PMID:39100259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293317/
Abstract

Anterior cruciate ligament (ACL) injuries are commonly treated through orthopaedic surgery, with traditional procedures relying on arthroscopy using fluid as the medium. However, dry arthroscopy has emerged as a potentially advantageous alternative technique. This method allows the knee joint to remain dry, reducing the risk of fluid leakage and enabling a more precise surgical visualization, resulting in shorter operation times and fewer complications. Recent research has highlighted the benefits of carbon dioxide (CO) insufflation during ACL reconstruction, which can decrease pain and discomfort during early recovery. This article introduces a technique for performing ACL reconstruction that eliminates the need for arthroscopic fluid for visualization or instrumentation. Based on CO insufflation, this technique shows promise as a viable alternative to traditional fluid distention methods.

摘要

前交叉韧带（ACL）损伤通常通过骨科手术治疗，传统手术依赖以液体为介质的关节镜检查。然而，干式关节镜检查已成为一种具有潜在优势的替代技术。这种方法可使膝关节保持干燥，降低液体渗漏风险，并能实现更精确的手术可视化，从而缩短手术时间并减少并发症。最近的研究强调了在ACL重建过程中使用二氧化碳（CO）充气的益处，这可以减轻早期恢复期间的疼痛和不适。本文介绍了一种进行ACL重建的技术，该技术无需使用关节镜液体进行可视化或器械操作。基于CO充气，该技术有望成为传统液体扩张方法的可行替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/41c34c3894fe/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/930ad9ea87a1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/ec7cccdd85c7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/55803461e4a7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/8ab8455b88a8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/2440c579e548/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/0a7708eea7a0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/92a69d47976f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/41c34c3894fe/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/930ad9ea87a1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/ec7cccdd85c7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/55803461e4a7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/8ab8455b88a8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/2440c579e548/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/0a7708eea7a0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/92a69d47976f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3dc/11293317/41c34c3894fe/gr8.jpg

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本文引用的文献

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Dry Wrist Arthroscopy: Technique and Rationale.干腕关节镜检查：技术与原理。
Arthroscopy. 2023 Aug;39(8):1779-1780. doi: 10.1016/j.arthro.2023.02.002.
2
Exploring the High Reinjury Rate in Younger Patients Undergoing Anterior Cruciate Ligament Reconstruction.探索接受前交叉韧带重建的年轻患者的高再损伤率。
Am J Sports Med. 2016 Nov;44(11):2827-2832. doi: 10.1177/0363546516651845. Epub 2016 Jul 7.
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Dry arthroscopy of the shoulder.肩关节干式关节镜检查
Arthrosc Tech. 2013 Oct 24;2(4):e437-40. doi: 10.1016/j.eats.2013.06.013. eCollection 2013.
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A risk-benefit analysis of alternating low-pressure CO2 insufflation and fluid medium in arthroscopic knee ACL reconstruction.关节镜下 ACL 重建中交替使用低压 CO2 膨隆和流体介质的风险效益分析。
Knee Surg Sports Traumatol Arthrosc. 2014 Jul;22(7):1483-90. doi: 10.1007/s00167-013-2474-3. Epub 2013 Mar 17.
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Arthroscopic anterior cruciate ligament reconstruction: An air-fluid medium to enhance visual clarity.
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