CAJ | 학술논문

目的研究人体近指间关节的解剖结构特点,探索关节镜的手术入路和术中牵引力,为近指间关节关节镜手术的开展提供解剖学基础.方法对5具国人新鲜尸体示、中、环、小指共40个近指间关节及10个拇指指间关节标本进行解剖学研究,找出合适的关节镜人路和术中牵引力.利用2个废弃指进行临床手术模拟实验研究.结果选择近指间关节的桡背侧或尺背侧作为关节镜的入路,以3.0 kg的牵引力最为合适.在手术模拟实验中,成功置入1.9 mm的关节镜并清晰地观察到关节内各个结构.结论近指间关节关节镜手术用于明确关节内病变的诊断和辅助治疗是可行的.
목적 연구인체근지간관절적해부결구특점,탐색관절경적수술입로화술중견인력,위근지간관절관절경수술적개전제공해부학기출.방법 대5구국인신선시체시、중、배、소지공40개근지간관절급10개무지지간관절표본진행해부학연구,조출합괄적관절경인로화술중견인력.이용2개폐기지진행림상수술모의실험연구.결과 선택근지간관절적뇨배측혹척배측작위관절경적입로,이3.0 kg적견인력최위합괄.재수술모의실험중,성공치입1.9 mm적관절경병청석지관찰도관절내각개결구.결론 근지간관절관절경수술용우명학관절내병변적진단화보조치료시가행적.
Objective To provide the anatomical basis for arthroscopic surgery of the proximal interphalangeal (PIP) joints by studying the anatomical features of human PIP joints, exploring suitable approaches and portals into the PIP joint and identifying the proper traction force. Methods Forty PIP joints of the 2 to 4 fingers and 10 interphalangeal joints of the thumb from five fresh cadavers were dissected. The portals for arthroscope insertion and the traction forces for proper exposure were identified. Arthroscopic surgery of the PIP joint was simulated using two severed fingers that were unsalvageable. Results The dorsoradial side and dorsoulnar side are the suitable arthroscopic portals into the PIP joints. The optimal traction force was 3.0 kg. In the surgical simulation arthroscope with 1.9 mm diameter was successfully inserted into the joint cavity and the structures of the joint were clearly visualized. Conclusion Arthroscopic surgery of the PIP joints is feasible for diagnosis and treatment of joint diseases.