微创与精准：现代关节外科追求的目标

本期刊出的“关节外科”专题的论著都与关节外科的微创与精准理念有关。“微创”指在不降低治疗效果的前提下尽量做到：缩小手术切口，减少组织损伤，降低对机体和心理的干扰损害。“精准”指诊断准确、手术精细，精确辨别病变组织与正常组织的界限，无多余操作，避免人为损伤。微创与精准二者密切关联、相辅相成。微创是实现精准的手段，精准是微创的前提条件。其目的都是以最小的手术损伤，获得最佳的治疗效果。这正是现代关节外科追求的目标。

The target of modern joint surgery-accurate,precise and minimally invasive surgery

All of the articles about the knee joint published in this issue are related to minimally invasive surgery and accurate and precise techniques. Minimally invasive surgery and accurate and precise techniques are associated with each other, Minimally invasive surgery is the means to achieve precision, and precision is the premise of minimally invasive surgery, with the same purpose of best therapeutic effects and smallest surgical injuries. Therefore, they are often referred to as the ＂accurate, precise and minimally invasive surgery＂, which is the target of modem joint surgery. The whole clinical medicine will enter a new era driven by the minimally invasive surgery, with the endoscopic surgical technique （minimally invasive surgery in the narrow sense） as the leader. However, minimally invasive surgery not only refers to an endoscopic technique, or just about reducing the body tissue damage, but also aims to minimize the mental and psychological trauma and burden for the patients and their families. With the precise preoperative evaluation, sophisticated surgical decision-making and delicate operation procedure, excellent results could be finally achieved in the accurate and precise surgery. The surgical treatment gets improved in 3 dimensions, including the treatment effectiveness, operation safety and minimally invasive intervention. Accurate, precise and minimally invasive surgery helps shape the future directions of the surgery, and with great prospects. We will certainly say goodbye to the former blood-shed fight in the traditional surgery, and pursue the ultimate goal of accurate, precise and minimally invasive surgery together in the orbit of modem surgery with the increasingly sophisticated equipment and constantly updated concepts.