Arthroscopy of the Knee Joint: Diagnosis and Operation Techniques

ISBN-13: 9783642729218 / Angielski / Miękka / 2011 / 190 str.

Hans-Rudolf Henche;Jorg Holder; Jorg Holder

Opis

Rapid developments in this successful diagnostic and operative technique have called for a new edition of Arthroscopy of the Knee Joint. This second edition has been completely revised and retains very little material from the first edition. The diagnostic section has been considerably expanded and elucidated and the operative section adapted to modern technology. The first part of the book presents the external conditions and pre-requisites for diagnostic arthroscopy. The endoscopic anatomy and pathology of the knee joint are covered in detail. Particular emphasis is placed on practical hints for accurate arthroscopic procedures. The second part then discusses operative techniques. The reader discovers step-by-step how and which pathological findings should, in the author's opinion, be treated. Here, too, the problems and possible complications of arthroscopic surgery relevant to the individual techniques are dealt with in detail. Equipped with this book, the reader will be thoroughly informed on all current arthroscopic methods and possibilities.

Spis treści

General.- 1 Historical Review.- 2 Instruments and Equipment.- 2.1 Caliber of the Arthroseope.- 2.2 Quality of the Optical System.- 2.3 Basic Equipment.- 2.4 Double Eyepiece Systems.- 2.5 Operating Arthroscopes.- 2.6 Photographic Equipment.- 2.7 Video Systems.- 3 How to Learn Arthroscopy.- 4 Documentation of Arthroscopic Investigation.- 4.1 Written Records.- 4.2 Photographic Documentation.- 4.3 Video Recording.- 5 Indications for Arthroscopy.- 6 Preparation of the Patient for Arthroscopy.- 6.1 Explanation and Appointment.- 6.2 Positioning.- 7 Theater Nurse’s Preparations for Arthroscopy.- 8 Care of Equipment.- 9 Anesthesia for Arthroscopy.- 9.1 General Anesthesia.- 9.2 Regional Anesthesia.- 9.3 Local Anesthesia.- 9.4 Technique of Local Anesthesia.- 10 Approaches to the Knee Joint.- 11 Examination Using Fluid or Gas Media.- 11.1 Filling the Knee Joint with Fluid.- 11.2 Filling the Joint Cavity with Gas.- 11.3 Alternate Filling of the Joint Cavity with Fluid and Gas.- 12 Anatomic Considerations.- 13 Arthroscopic Procedure.- 13.1 Insertion of the Arthroscope into the Knee Joint.- 13.2 Systematic Inspection of the Knee Joint Using the Lateral Approach.- 14 Pathologic Changes in the Joint Cavity.- 14.1 Synovial Membrane.- 14.2 Pathologic Changes in the Medial Meniscus.- 14.3 Pathologic Changes in Lateral Meniscus.- 14.4 Lesions of the Articular Cartilage.- 14.5 Chondromalacia of the Patella.- 14.6 Osteochondritis Dissecans.- 14.7 Arthroscopic Appearance of Lesions of the Anterior Cruciate Ligament.- 14.8 Arthroscopic Appearance of Lesions of the Posterior Cruciate Ligament.- 14.9 Lesions of the Plicae - Previously Operated Knee Joints.- 15 Assessment and Appraisal of Problematic Internal Traumatic Lesions.- Arthroscopic Operations.- 16 Conditions for Operative Arthroscopy.- 16.1 Anesthesia.- 16.2 Positioning.- 16.3 Tourniquet, Drapes.- 16.4 Gas Filling, Fluid Irrigation.- 16.5 Incisions.- 16.6 Operative Equipment.- 17 Removal of Loose Bodies.- 18 Arthroscopic Meniscus Operations.- 19 Technique of Arthroscopic Medial Meniscus Operations.- 19.1 Medial Bucket-Handle Tear.- 19.2 Longitudinal Tear of Posterior Horn.- 19.3 Flap Tear.- 19.4 Transverse Fissure.- 19.5 Tangential, Horizontal, and Incomplete Fissures.- 19.6 Degenerative Lesions and Fraying.- 19.7 Subtotal Medial Meniscectomy.- 20 Technique of Arthroscopic Lateral Meniscus Operations.- 20.1 Lateral Bucket-Handle Tear.- 20.2 Lateral Posterior Horn Resection.- 20.3 Lateral Anterior Horn Resection.- 20.4 Discoid Lateral Meniscus.- 21 Procedures on the Articular Cartilage.- 22 Other Arthroscopic Operations.- 22.1 Procedures on the Synovial Membrane.- 22.2 Resection of a Hypertrophiée Medial Plica.- 22.3 Cruciate Ligament Procedures.- 22.4 Meniscus Suture.- 22.5 Lateral Release.- 22.6 Removal of Metal and Foreign Bodies.- 22.7 Diathermy.- 23 Completion of Operation and Aftertreatment.- 24 Complications, Problems, and Hazards of Operative Arthroscopy.- 25 Practice of Operative Arthroscopy.- 26 Arthroscopic Operations with Gas Filling of the Knee Joint.- 27 Miniarthrotomy under Local Anesthesia.- 28 Perspectives.- References.