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骨科内镜手术

Endoscopic surgery in orthopaedics.

作者信息

Sandelin J

机构信息

Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.

出版信息

Ann Chir Gynaecol. 1994;83(2):149-54.

PMID:7944216
Abstract

Arthroscopy and operative arthroscopy of the knee joint is today the most common orthopaedic procedure. However, some fifteen years ago it was almost unknown and used only by a small group of enthusiasts. With progress in the development of arthroscopic equipment, it is possible to examine all of the major joints, such as the wrist, ankle, elbow and shoulder, and therapeutic procedures can be undertaken to correct pathological findings in all of these joints. The advantages of endoscopic joint surgery are indisputable, with short rehabilitation periods, precise surgery, short hospital stays and lower costs mentioned being of primary importance. The technique, however, is difficult to learn and should be taught individually and step by step by experienced endoscopists. With the development of refined technology and better endoscopic equipment the need for open arthrotomy in the treatment of joint disorders has virtually been eliminated.

摘要

膝关节的关节镜检查和手术关节镜检查如今是最常见的骨科手术。然而,大约十五年前,它几乎无人知晓,仅被一小群热衷者使用。随着关节镜设备的发展进步,现在可以检查所有主要关节,如腕关节、踝关节、肘关节和肩关节,并且可以采取治疗手段来纠正所有这些关节的病理状况。内镜关节手术的优势无可争议,其中康复期短、手术精准、住院时间短以及成本较低被认为是最为重要的。然而,这项技术很难掌握,应由经验丰富的内镜医师逐个步骤地进行单独指导。随着精细技术和更好的内镜设备的发展,在治疗关节疾病时对切开手术的需求实际上已被消除。

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