2000ArthroCare System在膝关节镜手术中的应用

目的探讨冷融化技术在膝关节镜手术中方法和前景。方法采用2000ArthroCare System(2000ACS)对221例膝关节病实施手术治疗。关节镜下疾病诊断：骨性关节炎73例，半月板损伤49例，关节软骨软化症29例，滑膜皱襞综合征15例，盘状半月板13例，滑膜炎11例，大骨节病11例，ACL 8例，剥脱性骨软骨炎5例，关节粘连5例，TKA术后松解2例。通过2000ACS做关节镜下的半月板切除、成形，软骨面及韧带修整，滑膜切除，髌外侧支持带松解术等。结果按Lysholm评分，术前平均43．92，术后3个月81．96，术后6个月92．06。结论关节镜2000ACS治疗关节疾病，操作安全，疗效可靠，痛苦少，有利于早期功能锻炼。

Clinical application of 2000 ArthroCare System in knee arthroscopic surgery

Objective To evaluate the clinical application of 2000 ArthroCare System in knee arthroscopic surgery. Methods 221 cases of knee problems were treated with 2000ArthroCare System. The disorders of the 221 cases diagnosed by the arthroscopy were as follows: 73 cases of osteoarthritis, 49 meniscus tear, 29 degenerative cartilage injury, 11 plica synovitis, 11 Kaschin Beck disease, 8 ACL, 5 osteochondritis dissecans, and 2 TKA brisement. The operative procedures, such as meniscectomy, meniscoplasty, fitting of cartilage and ligament, synovectomy, and release of lateral patellar retinaculum, were done with 2000ArthroCare System and arthroscopy. Results The Lysholm Knee scores were 43.92 preoperatively, 81.96 three months postoperatively, and 92.06 six months postoperatively. Conclusion Knee problems can be effectively released with 2000 ArthroCare system vaporization under arthroscopic guidance. The advantages of this procedure are very limited tissue damage, mild reaction, less blood loss, early rehabilitation, and fine functional recovery.