Endoscopic knee surgery, like other endoscopic procedures in other specialties, takes considerable time and patience to learn. But once the technique is learned, the noninvasive, nondestructive nature of endoscopy lends itself well to many types of knee operations, and we are beginning to see results at 4 and 5 years that are at least equal to those achieved by the same operation done with an arthrotomy, and with a marked reduction in complications and morbidity. Patient acceptance of these endoscopic knee procedures is very high because of the small scars, minimal postoperative discomfort, rapid rehabilitation and return to work, and avoidance of a lengthy and costly hospitalization. The challenge to arthroscopic surgeons is to perform these operations without damaging normal structures within the knee joint. The use of television has greatly enhanced the ability to teach residents and carry on postgraduate instruction. The coming years should bring an ever-increasing utilization of arthroscopy in managing most knee problems, as well as some limited use in other joints.
与其他专科的内镜手术一样，膝关节内镜手术需要花费大量时间和耐心去学习。但一旦掌握了这项技术，内镜检查的无创、非破坏性特点使其非常适合多种类型的膝关节手术，而且我们开始看到4年和5年的手术效果至少与通过关节切开术进行的相同手术相当，并且并发症和发病率显著降低。由于疤痕小、术后不适轻微、康复迅速且能很快重返工作岗位，以及避免了漫长且昂贵的住院治疗，患者对这些膝关节内镜手术的接受度非常高。关节镜外科医生面临的挑战是在不损伤膝关节内正常结构的情况下进行这些手术。电视的使用极大地提高了培训住院医师和开展研究生教学的能力。在未来几年，关节镜检查在处理大多数膝关节问题方面的应用将越来越广泛，在其他关节的应用也会有一定程度的增加。
