Arthroscopy is a procedure for diagnosing and treating acute and chronic internal derangements of the knee joint, not its roles are more widening because of its advantage - high accuracy of diagnosis, shortening of the recovery time. Especially
introduction of arthroscopic operation under the local anesthesia was possible to decrease side effects and compoication by general naesthesia.
We have experienced 369 cases of the intra-articular problems of the knee joint who were treated by arthroscopic operation under anesthesia were reviewed retrospectively.
@ES The results are as follows:
@EN 1. The patients ranged in age form 12 years to 83 years to 83 years and 54 (33 %) patients were in third decade. 110 patients were men and male was affected 2 times more than female.
2. Time from injection of the local anesthetic to start of operation was average 38.6 minutes and consuming time during operatin was average 64.4 minutes.
3. The most common arthroscopic finding was meniscal lesions in 73 cases (medial 28, laterdal 45), the next was osteoarthritis in 52 cases, and the third was ligament injury in 33 cases.
4. under the local anesthesia the most common arthroscopic operation was parthial meniscectomy in 58 cases, the next was synowectomy in 22 cases and the third was plica remniscectomy in 58 cases, the next was synvectomy in 22 cases and the third
was
plica removal in 13 cases.
5. Arthroscopic operation was performed 104 cases in only locy local anesthetics-bupivacaine 100 mg + lidocaine 400 mg-but for sedation during operation injected demerol and/or valium in 61 cases (37%).
6. The side effect of local anesthesia during intra or postoperative period were temporal hypotension and bradycardia in 2 cases but recovered without sequelae.
In conclusion, arthroscopy under the local anesthesia is consibered a simple, safe, reliable procedure for patients in whom clinicla examination suggests intra-articular disorders of the knee.
|