Compagnoni R, Pieroni A, Fedele G, Maione Alessio, Calanna Filippo, Ferrua P, Randelli P S
Istituto Ortopedico Gaetano Pini, Milan, Italy.
University of Milan, Milan, Italy.
Musculoskelet Surg. 2025 May 24. doi: 10.1007/s12306-025-00902-z.
Knee needle arthroscopy (NA) represents a minimally invasive diagnostic and therapeutic approach for managing a variety of knee joint pathologies. This innovative technique, characterized by a thin, flexible, needle-like device, offers a less invasive alternative to conventional arthroscopy (CA), enabling outpatient procedures with reduced postoperative pain, faster recovery, and minimal scarring. This systematic review examines the current applications, diagnostic accuracy, clinical outcomes, and patient benefits of needle arthroscopy. Studies reveal that NA demonstrates comparable diagnostic efficacy to CA and superior accuracy to MRI for intra-articular knee pathology, particularly in meniscal injuries and anterior cruciate ligament assessments. NA facilitates real-time visualization and interventions under local anesthesia, promoting cost-efficiency and patient satisfaction. Despite its advantages, there are challenges such as limited visualization and technical proficiency. While NA emerges as a promising modality in knee diagnostics and treatment, further large-scale clinical trials are essential to validate its long-term efficacy, safety, and broader applications.
膝关节针式关节镜检查（NA）是一种用于处理多种膝关节病变的微创诊断和治疗方法。这种创新技术以一种细的、灵活的、针状设备为特征，为传统关节镜检查（CA）提供了一种侵入性较小的替代方法，使得门诊手术成为可能，术后疼痛减轻、恢复更快且疤痕最小。本系统评价考察了针式关节镜检查的当前应用、诊断准确性、临床结果和患者获益情况。研究表明，对于膝关节内病变，NA显示出与CA相当的诊断效能，并且在诊断准确性上优于MRI，尤其是在半月板损伤和前交叉韧带评估方面。NA便于在局部麻醉下进行实时可视化和干预，提高了成本效益并提升了患者满意度。尽管它有诸多优点，但也存在如可视化受限和技术熟练度要求高等挑战。虽然NA在膝关节诊断和治疗中是一种有前景的方式，但进一步的大规模临床试验对于验证其长期疗效、安全性和更广泛的应用至关重要。
