Clinical study of endoscopic minimally invasive technique in the treatment of common injuries and diseases of knee and elbow joints
Medical endoscopy has developed into a widely used diagnosis and treatment technology in many clinical departments, among which the outstanding representative-arthroscopic technology is one of the three recognized achievements in the field of orthopedic surgery in the 20th century. The knee joint is the largest, most complex, and most delicate joint in the human body. It is the link between the previous and the next, the mainstay, and has the greatest chance of injury. Currently, more than 90% of the patients diagnosed and treated under arthroscopic surgery are patients with knee joint injuries. Anterior and posterior cruciate ligament injuries and meniscus injuries in the knee joint are common clinical diseases, not only due to high-energy injuries such as sports injuries, traffic injuries, and falling injuries, but also due to individual differences. Low-energy injuries such as weight-bearing and postural changes. Cruciate ligament injury and meniscus injury can promote each other and cause and effect each other, leading to joint weakness, instability, snapping, and accelerating the damage and degeneration of articular cartilage. In addition, due to the accelerated pace of work and life and the popularization of fitness sports such as table tennis and badminton, elbow injuries are increasing, usually leading to synovial inflammation, cartilage destruction, bone hyperplasia and loose body formation. Therefore, this subject chooses arthroscopic minimally invasive technique to diagnose and treat common injuries and diseases of knee joint and elbow joint, observe its curative effect, and summarize its clinical laws. This study shows that the retroButton-allogeneic tendon-interface screw reconstruction of the anterior cruciate ligament under arthroscopy is safe and simple, and the short-term effect is satisfactory. The stump-preserving PCL reconstruction with double-tunnel oblique diagonal sites and four-tunnels on the tibia can preserve more stump fibers and preserve the bone bridge between tunnels, which is consistent with anatomical reconstruction and has good stability. Arthroscopic debridement in the treatment of elbow trauma with loose bodies has the characteristics of simple operation, small trauma, early exercise and quick recovery, and the overall effect is good. For the medial discoid meniscus associated with horizontal tear, partial excision and disc-shaped meniscus can achieve ideal therapeutic effect. The results of this study are suitable for promotion and application in the clinical field of orthopedic surgery. Four professional papers have been extracted and summarized, three papers have been published in domestic core journals, another one is included in SCI journals, and three papers have been lectured in international academic conferences. The results of this project at this stage have attracted the attention of many domestic medical institutions, and have received many calls, inquiries and discussions. The people's demand for minimally invasive treatment is constantly increasing. With the popularization of mirror equipment and technology in city and county hospitals, the conditions for the popularization and application of this achievement are becoming more and more mature, and the prospect is infinitely broad.
