Summary
Arthroscopy of the knee was carried out under local anaesthesia in 313 outpatients, with arthroscopic surgery in 81. The procedure had to be abandoned because of apprehension in only 0.9%. With increasing experience, the number of arthroscopic meniscectomies increased from 5% to 64% of the lesions found. The method was particularly valuable in the assessment of patello-femoral pain since dynamic evaluation of patellar alignment, and the localisation of sensitive structures by palpation, was possible. The method is a safe, reliable and inexpensive alternative to the use of spinal or general anaesthesia for arthroscopy.
Résumé
Une arthroscopie du genou a été pratiquée sous anesthésie locale chez 313 malades externes. Quatre-vingt-un ont bénéficié d'une chirurgie sous arthroscopie. Le procédé a dû être abandonné en raison de l'appréhension chez seulement 0.9% d'entre eux. Avec une expérience accrue, le nombre des méniscectomies sous arthroscopie est passé de 5 à 64% des lésions découvertes. La méthode a été particulièrement valable dans l'évaluation de la douleur fémoro-patellaire. Une étude dynamique de l'alignement rotulien et la localisation des structures douloureuses par palpation a été possible. La méthode est sûre et fiable. C'est une alternative peu coûteuse à l'utilisation de l'anesthésie rachidienne ou générale.
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Fruensgaard, S., Johannsen, H.V. Outpatient arthroscopy of the knee under local anaesthesia. International Orthopaedics 14, 37–40 (1990). https://doi.org/10.1007/BF00183362
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DOI: https://doi.org/10.1007/BF00183362