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关节镜膝关节手术中膝关节位置的优化

Optimizing Knee Positioning During Arthroscopic Knee Surgery.

作者信息

Ren Ye, Wan Rou, Zhang Jinming, Liao Kele, Zhao Chunfeng, Zhu Wentao

机构信息

Department of Orthopedic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.

出版信息

Arthrosc Tech. 2024 Oct 9;14(2):103214. doi: 10.1016/j.eats.2024.103214. eCollection 2025 Feb.

Abstract

In knee arthroscopy procedures, maintaining the opening of the medial compartment requires an assistant. Creating the posterior portal in knee arthroscopy is also a challenge because of the shape changes of the thick muscle. The leg is usually placed on the surgical bed, is angled off the lateral aspect of the bed, or drapes over the surgical bed in which the leg plates are removed. However, the aforementioned positions have some limits because of surgical convenience and procedural stability. In this Technical Note, we propose an approach to improve the existing knee positions using a metal round stool as a foot support. The method aims to reduce reliance on human assistants during knee arthroscopy procedures and restore the natural positioning of leg muscles, potentially improving procedural outcomes.

摘要

在膝关节镜手术中,保持内侧间室开放需要一名助手。由于厚实肌肉的形状变化,在膝关节镜手术中创建后外侧入路也是一项挑战。腿部通常放置在手术床上,从床的外侧倾斜,或者覆盖在移除了腿板的手术床上。然而,由于手术便利性和操作稳定性,上述体位存在一些局限性。在本技术说明中,我们提出一种使用金属圆凳作为足部支撑来改善现有膝关节体位的方法。该方法旨在减少膝关节镜手术过程中对人力助手的依赖,并恢复腿部肌肉的自然位置,有可能改善手术效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6db3/11873468/3c69d5b0c923/gr1.jpg

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