Pettrone F A
Am J Sports Med. 1982 Nov-Dec;10(6):355-9. doi: 10.1177/036354658201000607.
The arthroscope has changed the orthopaedist's approach to evaluation of knee injuries. Diagnostic arthroscopy is now well-accepted and has led to operative arthroscopy. The advantages and contraindications of operative arthroscopy are reviewed in this report. The physiologic role of the meniscus is discussed, stressing the importance of leaving normal tissue. Necessary equipment and cost of each of three advancing stages of arthroscopic surgery capability are discussed. A study group of 68 simple meniscectomy patients is presented: 34 treated by traditional arthrotomy and meniscectomy, and 34 by arthroscopic meniscectomy. Parameters assessed included: nights in hospital, postoperative swelling, achievement of 120 degrees flexion, days on crutches, return to full activity, work, and sports. Operating room and total hospital costs are reviewed. Arthroscopic meniscectomy produced earlier complete rehabilitation and at less cost in this series.
关节镜改变了骨科医生评估膝关节损伤的方式。诊断性关节镜检查现已被广泛接受，并促成了手术关节镜检查的发展。本报告回顾了手术关节镜检查的优点和禁忌症。讨论了半月板的生理作用，强调了保留正常组织的重要性。探讨了关节镜手术能力三个进阶阶段所需的设备和成本。报告了一组68例单纯半月板切除术患者的研究：34例采用传统切开半月板切除术治疗，34例采用关节镜下半月板切除术治疗。评估的参数包括：住院天数、术后肿胀情况、达到120度屈曲的情况、使用拐杖的天数、恢复完全活动、工作和运动的情况。回顾了手术室和医院总费用。在本系列研究中，关节镜下半月板切除术能使患者更早完全康复，且成本更低。
