Summary
Fifty-six knees from preserved cadavers were examined in order to compare the blind spots in different approaches to the knee during arthroscopy.
After dissection of the skin pins were placed to define the main ligamentous structures of the knee, and arthroscopic examination was then carried out using a 30° Storz telescope.
The blind spots were defined for each approach.
The central approach gives a wide visualisation of the posterior compartment and has a smaller blind area than other approaches.
Résumé
L'étude anatomique de 56 genoux de cadavre a permis de comparer les «angles morts» en fonction des différents points d'introduction de l'arthroscope.
Après dissection des téguments, nous avons placé des aiguilles dans les ligaments du genou. Puis nous avons introduit l'arthroscope avec une optique Storz de 30°, ce qui a permis de repérer les «angles morts» pour chaque abord.
En conclusion, l'abord transtendineux nous a donné la meilleure vision des compartiments postérieurs en même temps que des «angles morts» plus petits que par les autres abords.
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Mariani, P.P., Gillquist, J. The blind spots in arthroscopic approaches. International Orthopaedics 5, 257–264 (1982). https://doi.org/10.1007/BF00271080
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DOI: https://doi.org/10.1007/BF00271080