Henche Arthroscopy of the Knee Joint

Erscheinungsjahr 2013
ISBN: 978-3-662-02316-7
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 88 Seiten, eBook

In 1921 the Swiss surgeon BIRCHER published the first report on ar throscopy of the knee joint. The initial trials with the method revealed problems, mainly technical in origin, which caused it to be abandoned and forgotten until recently. Modern technical improvements, for which Japanese orthopaedic surgeons, above all WATANABE, were mainly responsible, have now led to a revival of interest in this method of investigation. The quality and versatility of the instruments currently available and the experience of the endoscopists who use them are such that arthroscopy of the knee joint is becoming an indispensable diagnostic aid. Arthroscopy is superior to arthrotomy in every respect; it is not only simpler but can be carried out on an ambulatory basis under local anaesthesia. In addition, it provides more information than arthrotomy, and the arthroscopic findings can be simply documented photographically. The complication rate is extremely low; cumulated statistics recently obtained from six clinics revealed no case of infection following nearly 4,000 arthroscopies. The main indication for arthros copy is the "painful, diagnostically obscure knee joint" in the widest sense. The procedure is also useful for further investigation of knee joint lesions which have already been diagnosed, as it allows their type and extent to be diagnosed more precisely, and the indication for surgery in a given case can be assessed more clearly. Unnecessary surgery can often be a voided in this manner. Arthroscopic biopsy is simple, and a variety of operations (e. g.

Zielgruppe

Research

Autoren/Hrsg.

Henche, H.-R.

Weitere Mitwirkende

Morscher, E.

Casey, P. A.

Inhaltsverzeichnis

1. Historical Perspective.- 2. Instruments and Equipment.- 3. Examination of the Liquid- or Gas-Filled Joint.- 4. Documentation of the Arthroscopic Findings.- 5. Indications for Arthroscopy.- 6. The Arthroscopy Appointment.- 7. Anaesthesia for Arthroscopy.- 8. Preparation and Positioning of the Patient for Arthroscopy.- 9. Nurse’s Preparations for Arthroscopy.- 10. Preparation of the Non-sterile Accessory Equipment.- 11. Approaches to the Knee Joint.- 12. Arthroscopy.- 13. Preliminary Notes on the Anatomy of the Knee Joint.- 14. Systematic Inspection of the Knee Joint Using the Lateral Approach.- 15. Systematic Description of the Pathological Changes in the Knee Joint as Seen Through the Arthroscope.- 16. Assessment of Internal Derangement of the Knee Joint for Compensation Purposes.- 17. Arthroscopic Operations.- References.