In this special issue, several papers related to clinical application of arthroscopic surgery are published, which present the current situation of arthroscopic techniques in our country. As a technique of minimally invasive orthopedics, arthroscopy is used in examination, diagnosis and treatment of joint diseases, which is the trend of modern surgery. Arthroscopy has been widely used in surgical procedures in knee diseases, and now it expands the scope of application to other joints, such as shoulder, elbow, wrist, hip, ankle and even smaller joints. The application scope of arthroscopy has spread from arthroscopic debridement to reparative and reconstructive surgery. Some innovation has been made in extra-articular surgeries. Researchers conduct in depth study and exploration in the basic and clinical application of arthroscopy. Arthroscopic surgery has become an indispensable branch of modern orthopedics.
Ankle Joint ; surgery ; Arthroscopes ; Arthroscopy ; methods ; Elbow Joint ; surgery ; Humans ; Joint Diseases ; diagnosis ; surgery ; Knee Joint ; surgery ; Wrist Joint ; surgery

Arthroscopy ; Humans ; Joint Diseases ; Joint Instability ; Shoulder ; Shoulder Dislocation ; Shoulder Joint/surgery*

Adolescent ; Atlanto-Axial Joint ; surgery ; Child ; Child, Preschool ; Female ; Humans ; Joint Diseases ; surgery ; Joint Dislocations ; therapy ; Male

Humans ; Carpal Tunnel Syndrome/surgery* ; Amyloidosis ; Joint Diseases

Adult ; Arthroplasty, Replacement, Knee ; Edema ; Humans ; Joint Diseases ; Knee Joint/surgery*

Arthroscopic treatment of ankle impingement syndrome (AIS) is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint. This syndrome occurs when there is abnormal contact between certain bones or soft tissues in the ankle, leading to pain, swelling, or limited range of motion. Traditionally, open surgery was the standard approach for treating AIS. However, with advancements in technology and surgical techniques, arthroscopic treatment has become a preferred method for many patients and surgeons. With improved visualization and precise treatment of the arthroscopy, patients can experience reduced pain and improved functionality, allowing them to return to their daily activities sooner. In this paper, we reviewed the application and clinical efficacy the of arthroscopic approach for treating AIS, hoping to provide a reference for its future promotion.
Humans ; Ankle Joint/surgery* ; Ankle ; Joint Diseases/etiology* ; Treatment Outcome ; Arthroscopy/methods* ; Pain

Humans ; Hallux Valgus/surgery* ; Orthopedic Procedures ; Bunion/surgery* ; Joint Diseases/surgery* ; Treatment Outcome

The discoid meniscus is a common congenital meniscal malformation that is prevalent mainly in Asians and often occurs in the lateral discoid meniscus. Patients with asymptomatic discoid meniscus are usually treated by conservative methods such as observation and injury avoidance, while patients with symptoms and tears need to be treated surgically. Arthroscopic saucerization combined with partial meniscectomy and meniscus repair is the most common surgical approach., and early to mid-term reports are good. The prognostic factors are the patient's age at surgery、follow-up time and type of surgery. Some patients experience complications such as prolonged postoperative knee pain, early osteoarthritis, retears and Osteochondritis dissecans. The incidence of prolonged postoperative knee pain was higher and the incidence of Osteochondritis dissecans was the lowest. Retears of the lateral meniscus is the main reason for reoperation.
Child ; Humans ; Osteochondritis Dissecans ; Treatment Outcome ; Follow-Up Studies ; Knee Joint/surgery* ; Menisci, Tibial/surgery* ; Joint Diseases/surgery* ; Prognosis ; Cartilage Diseases/surgery* ; Meniscus ; Pain, Postoperative ; Arthroscopy/methods*

OBJECTIVETo study the methods and effects of rehabilitation exercises after single total knee replacement (TKR).

METHODSFrom May 2007 to May 2009, 38 patients with knee joint diseases were treated with artificial total knee replacement, and the postoperative rehabilitation training was conducted. Among the patients, 20 were males and 18 were females, ranging in age from 50 to 82 years, with an average of 65 years. Course of diseases ranged from 4 to 35 years. Thirty patients were traumatic arthritis, 5 patients were osteoarthritis, and 3 patients were rheumatoid arthritis. Clinical symptoms were knee joint pain and dysfunction; some patients had morning stiffness and bone hypertrophy, a few of them accompanied with knee varus or valgus, quadriceps atrophy. X-ray films showed narrow joint space, osteophyte, cystic changes, and subchondral bone sclerosis.

RESULTSAll the patients were followed up ranging from 6 to 12 months. According to HSS knee score system, the mean scores were 40.22 +/- 7.39 points before operation, and 87.47 +/- 6.60 points after rehabilitation. The difference was statistically significant (t = 31.56, P < 0.01).

CONCLUSIONRehabilitation training after single total knee replacement is the key to ensure the effects of the operation. The rehabilitation training in our hospital has satisfactory results, and is worth to popularize.

Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee ; Female ; Humans ; Joint Diseases ; rehabilitation ; surgery ; Knee Joint ; surgery ; Male ; Middle Aged

OBJECTIVETo investigate the clinical results of arthroscopic surgery for the treatment of stiff elbow.

METHODSFrom October 2010 to December 2012, 27 patients with stiff elbow were treated with arthroscopic debridement and joint capsular releasing. There were 18 males and 9 females, ranging in age from 24 to 54 years old, with an average of 35.7 years old. Analgesia and rehabilitation were necessary after operation. Mayo criteria system was used to evaluate therapeutic effects.

RESULTSAll the patients were followed up, and the duration ranged from 12 to 18 months, with a mean of 13.5 months. The mean maximum flexion angle of patients improved from preoperative (61.5 ± 30.1) degrees to postoperative (102.5 ± 20.1) degrees; and the mean maximum extension angle improved from preoperative (34.8 ± 12.1) degrees to postoperative (16.3 ± 16.1) degrees; the average total range of motion improved from preoperative (34.2 ± 21.0) degrees to postoperative (84.9 ± 9.2) degrees. According to the Mayo criteria system, the average score increased from preoperative 60.5 ± 13.4 to postoperative 88.7 ± 6.3; ten patients got an excellent result, 13 good and 4 fair.

CONCLUSIONArthroscopic surgery to treat elbow stiffness has such advantages as minimal invasion, less blood loss, fast recovery, and clear visualization, which is effective to improve elbow joint functions with less complications.

Adult ; Arthroscopy ; methods ; Elbow Joint ; physiopathology ; surgery ; Female ; Humans ; Joint Diseases ; physiopathology ; surgery ; Male ; Middle Aged ; Treatment Outcome ; Young Adult