Gillquist J, Hagberg G, Oretorp N
Acta Orthop Scand. 1977;48(2):190-6. doi: 10.3109/17453677708985134.
Arthroscopy was performed during the acute phase of injury in 84 knees (79 patients). A satisfactory view of the joint was obtained in all cases, and no complications occurred. About two-thirds of the patients had injuries associated with violent rotation-abduction. In about one-third of the patients operation could be avoided. In cases with haemarthrosis, serious ligament injury was present in nearly 50 per cent. Complete arthroscopy was associated with few diagnostic errors. Clinical examination often led to uncertain or incorrect diagnosis even when performed under anaesthesia by experienced surgeons. In contrast, arthroscopy led to rapid diagnosis and treatment, thus shortening the period of disability. We recommend arthroscopy in acute knee injuries, but the examination must be performed by an experienced arthroscopist.
对84个膝关节（79例患者）在损伤急性期进行了关节镜检查。所有病例均获得了满意的关节视野，且未发生并发症。约三分之二的患者损伤与暴力旋转外展有关。约三分之一的患者可避免手术。在有血关节积血的病例中，近50%存在严重韧带损伤。完整的关节镜检查诊断错误很少。即使由经验丰富的外科医生在麻醉下进行临床检查，也常常导致诊断不确定或错误。相比之下，关节镜检查能实现快速诊断和治疗，从而缩短残疾期。我们建议对急性膝关节损伤进行关节镜检查，但检查必须由经验丰富的关节镜医师进行。
