Arthroscopic surgery

Arthroscopic surgery

There are more and more joint diseases, and most of them occur in middle-aged and elderly people. Now even many young people are beginning to have joint inflammation. This is because most young people now like to wear thin pants with holes, and they think it is fashionable. But over time, the cold wind blows into the joints. Because of this part caused by wind and cold, coupled with injury and inflammation problems, arthroscopic surgery is needed.

Treatment range

Arthroscopic surgery can treat various inflammations within the joints. Such as osteoarthritis synovitis, traumatic arthritis, rheumatoid arthritis, tuberculous arthritis, suppurative arthritis, osteochondritis dissecans, as well as synovial chondromatosis; patellar softening; osteophytes (bone spurs), loose bodies, synovial wrinkles, joint disorders, meniscus injuries, joint capsule adhesions, various intra-articular fractures, adhesions of various joints and limited joint movement, and various unexplained joint pains.

Related advantages

(1) The incision is small, there is no infection, and the skin scar is minimal.

(2) The operation is minimally invasive, safe, and can be repeated without affecting the joints for other surgeries in the future.

(3) Arthroscopy can be used to treat multiple diseases at the same time. For example, knee surgery can be performed simultaneously with joint cleaning and synovial fold resection.

(4) It has a wide range of indications and is suitable for a variety of lesions within the joints. There are few contraindications, such as poor physical condition that prevents conventional surgery, but arthroscopic surgery is not necessarily contraindicated.

Indications

1. Used for diagnosis: ① Differentiation of non-infectious arthritis. Observed pathological changes such as congestion and edema of the synovial membrane, the degree of cartilage damage, and the presence or absence of crystals in the joints can help distinguish between rheumatoid arthritis, osteoarthritis, and crystal-induced arthritis. ② Understand the location, degree and morphology of knee meniscus injury. ③Injury to the cruciate ligament and popliteal tendon insertion of the knee joint. ④ Understand the damage to the cartilage in the joint and whether there are loose bodies in the joint, in order to diagnose osteoarthritis, especially long-term patellar chondromalacia. ⑤Analyze the causes of chronic synovitis, such as pigmented villonodular synovitis. ⑥ Diagnosis of synovial plica syndrome and fat pad lesions of the knee, ⑦ The location and degree of rotator cuff rupture and biceps tendon adhesion. ⑧Synovial biopsy of joint.

2. Used to study changes in intra-articular lesions: During the development of joint diseases, arthroscopic examinations can be performed multiple times. By taking photos, videos or synovial biopsy, information that is difficult to obtain by other diagnostic methods can be obtained, which is of great help in diagnosis, treatment and prognosis.

3. Used for treatment: For some lesions of the knee and shoulder joints, after a clear diagnosis, surgery can be performed under a microscope using special instruments to achieve satisfactory results. For example, joint lavage and debridement, partial or complete resection of torn meniscus of the knee, meniscus edge fissure fusion, anterior cruciate ligament repair, synovial plica resection, intra-articular adhesion lysis, tibial plateau or intercondylar ridge fracture repair, rotator cuff debridement, biceps tendon adhesion lysis and intra-articular loose body removal. In addition, subtotal synovectomy can be performed for rheumatoid arthritis in the large joints of the limbs.

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