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Joint debridement.
Joint debridement is an instrumental intervention into a joint using an arthroscope and manipulators in order to examine the joint and remove particles that create a mechanical obstacle to joint movement and have a destructive effect on the joint tissue. Debridement, as an arthroscopic intervention, is carried out as a sanation measure to improve the functioning of a joint that collapses with arthrosis, arthritis, and gout. Debridement of the joint allows you to remove from the intra-articular space pieces of decayed cartilaginous tissue, overgrown fragments of the synovial membrane, bone protrusions - osteophytes that interfere with the sliding of the articular head and cause additional mechanical damage to the cartilage.
Debridement is carried out in cases of joint disease at the stage when it is required to free the joint cavity from components that violate the mechanics of the joint.
An arthroscope is an optical device that is inserted into the joint cavity for visual inspection of the degree of damage to the cartilage and other structural elements of the joint through a small puncture. The second puncture is made to introduce manipulators that extract traumatic particles. Such a surgical intervention allows for complex studies of the intra-articular space and is a minimally invasive (minimally traumatic) method of surgical treatment of the joint.
The indications for joint debridement are:
- Cartilage damage,
- Injury to the cruciate ligaments of the knee,
- Damage to the meniscus,
- Chronic joint instability,
- Habitual dislocation of the joint,
- Spine-like growths of bone tissue in the joint area,
- Synovial hyperplasia.
Joint debridement is contraindicated at the initial stage of development of arthrosis, with bone ankylosis, in cases of extensive crushing of tissues.
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