Jerosch J, Schröder M, Steinbeck J, Halm H
Department of Orthopedics, Westfälische Wilhelms-Universität, Münster, Germany.
Knee Surg Sports Traumatol Arthrosc. 1993;1(3-4):218-22. doi: 10.1007/BF01560212.
Remarkable advances have been made in knee replacement. Nevertheless, patients and surgeons still face unsolved problems following implantation of an artificial knee joint. In some cases arthroscopy may serve as a diagnostic or surgical tool. Our experience has shown that arthroscopy is helpful in diagnosing polyethylene wear, fractures of prosthetic components and loosening of the endoprosthesis. Moreover, surgical procedures can be synchronously performed, e.g. lateral release for complete or partial patellar dislocation, parapatellar denervation for retropatellar pain and resection of meniscal remnants or a synovial plica in case of interposed tissue. In contrast to knee infections, early prosthetic infections should be treated with an open procedure.
膝关节置换术已经取得了显著进展。然而，在人工膝关节植入后，患者和外科医生仍然面临一些尚未解决的问题。在某些情况下，关节镜检查可作为一种诊断或手术工具。我们的经验表明，关节镜检查有助于诊断聚乙烯磨损、假体部件骨折和内置假体松动。此外，可以同步进行手术操作，例如，对于完全或部分髌骨脱位进行外侧松解，对于髌后疼痛进行髌旁去神经支配，以及在存在夹入组织的情况下切除半月板残余或滑膜皱襞。与膝关节感染不同，早期假体感染应采用开放手术进行治疗。
