By Hans-Rudolf Henche Dr. med., Jörg Holder Dr. med. (auth.)
Rapid advancements during this winning diagnostic and operative approach have referred to as for a brand new variation of Arthroscopy of the Knee Joint. This moment version has been thoroughly revised and keeps little or no fabric from the 1st version. The diagnostic part has been significantly multiplied and elucidated and the operative part tailored to trendy know-how. the 1st a part of the publication provides the exterior stipulations and pre-requisites for diagnostic arthroscopy. The endoscopic anatomy and pathology of the knee joint are coated intimately. specific emphasis is put on functional tricks for actual arthroscopic tactics. the second one half then discusses operative strategies. The reader discovers step by step how and which pathological findings should still, within the author's opinion, be taken care of. the following, too, the issues and attainable issues of arthroscopic surgical procedure proper to the person recommendations are handled intimately. outfitted with this booklet, the reader should be completely expert on all present arthroscopic tools and possibilities.
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Extra resources for Arthroscopy of the Knee Joint: Diagnosis and Operative Techniques
Obviously, the initial work concerns only diagnostic arthroscopy. After the trainee's first experience and with the emergence of the initial problems, a second arthroscopy course or a visit to an experienced colleague is advisable as a refresh. Only then can any individual problems be discussed, mistakes eliminated, and new ways pointed out. The arthroscopist will realize, after a large number of diagnostic arthroscopies, that the skill required for arthroscopic operations is being acquired. A small palpation hook will nearly always have been used 20 in diagnosis.
The liquid-filled joint has to be continuously perfused in order to keep the irrigation fluid even relatively clear. The arthroscopic examination may be regarded as a sterile operation up to the point at which the operator's eye comes close to or accidentally touches the eyepiece of the arthroscope. Any aids such as the use of a sterile mask, sterilization of spectacles, and similar maneuvers cannot overcome the fact that direct viewing through the arthroscope means that the operation is not sterile.
The uses of arthroscopy are: 1. To establish the diagnosis in knee pain or injury when clinical and radiologic assessment is unreliable. 2. To monitor the course of events precisely, as when assessing whether cartilage transplants are properly incorporated or whether cruciate ligament repairs or reconstructions are adequately functional. 3. To plan the operative procedure in recent injuries of the knee joint; also, to decide 24 whether operation is necessary when there is definite clinical and radiologic evidence of articular cartilage damage.