Arthroscopic Exploratory Surgery

Arthroscopy is a rod-shaped optical device with a diameter of about 5 mm for observing the internal structure of the joint, and is an endoscope for a doctor to treat joint diseases. The device was promoted in 1970. The arthroscope is equipped with a lens at the end of a thin tube, which is inserted into the joint and the internal structure of the joint is displayed on the monitor. Therefore, the structure inside the joint can be directly observed. Arthroscopic exploration is performed by cutting a few "chopsticks" of the skin size or smaller (5-10 mm), extending the camera and surgical instruments into the joints, and under the supervision of the monitor, the doctors operate, diagnose and treat each. Joint disease. Treatment of diseases: elderly rheumatoid arthritis knee traumatic synovitis Indication Arthroscopic surgery can treat various inflammations in the joints, such as osteoarthritis synovitis, traumatic arthritis, rheumatoid arthritis, tuberculous arthritis, septic arthritis, exfoliative osteochondritis, etc. Mesangial chondromatosis; patella softening; osteophyte (bone spur), free body, synovial fold, joint disorder, meniscus injury, joint capsule adhesion, various intra-articular fractures, joint adhesion and joint activity limitation Various joint pains of unknown origin. Contraindications The absolute contraindication is joint stiffness because it interferes with the operation of the arthroscope. For those who have had arthrography in the near future, there is the possibility of secondary chemical synovitis. If the joint is examined within 1 week after the angiography, a false positive result can be obtained. In patients with bleeding disorders, intraoperative bleeding can be washed with a large amount of saline, so that a good field of vision is obtained for diagnosis, but a large amount of joint hemorrhage can occur after surgery. Preoperative preparation The type of injury is determined by a doctor's examination and an auxiliary examination such as X-ray or nuclear magnetic resonance.