Skip to main content

Knee Arthroscopy: General Setup, Portal Options, and How to Manage a Complete Arthroscopic Investigation

  • Chapter
  • First Online:
Arthroscopy

Abstract

The cornerstone of arthroscopy performed for diagnosis or treatment is good visualization and palpation of the intra-articular structures to establish an accurate diagnosis, make the treatment strategy, and work on the target site without damaging the surrounding tissues. Key determinants of effective arthroscopy include thorough knowledge of not only the most widely used portals but also of all other possible portals, selection of the approach according to the disorder to be treated, use of appropriate equipment, and stringent adherence to surgical principles.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ahn JH, Ha CW. Posterior trans-septal portal for arthroscopic surgery of the knee joint. Arthroscopy. 2000;16:774–9.

    Article  CAS  PubMed  Google Scholar 

  2. Atoun E, Debbi R, Lubovsky O, Weiler A, Debbi E, Rath E. Arthroscopic trans-portal deep medial collateral ligament pie-crusting release. Arthrosc Tech. 2013;2:e41–3.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Basques BA, Gardner EC, Varthi AG, Fu MC, Bohl DD, Golinvaux NS, Grauer JN. Risk factors for short-term adverse events and readmission after arthroscopic meniscectomy: does age matter? Am J Sports Med. 2015;43:169–75.

    Article  PubMed  Google Scholar 

  4. Bernhoff K, Bjorck M. Iatrogenic popliteal artery injury in non arthroplasty knee surgery. Bone Joint J. 2015;97-B:192–6.

    Article  CAS  PubMed  Google Scholar 

  5. Brief LP, Laico JP. The superolateral approach: a better view of the medial patellar plica. Arthroscopy. 1987;3:170–2.

    Article  CAS  PubMed  Google Scholar 

  6. Camponovo C. Spinal 1% 2-Chloroprocaine versus general anesthesia for ultra-short outpatient procedures: a retrospective analysis. Acta Biomed. 2014;85:265–8.

    PubMed  Google Scholar 

  7. Fakioglu O, Ozsoy MH, Ozdemir HM, Yigit H, Cavusoglu AT, Lobenhoffer P. Percutaneous medial collateral ligament release in arthroscopic medial meniscectomy in tight knees. Knee Surg Sports Traumatol Arthrosc. 2013;21:1540–5.

    Article  PubMed  Google Scholar 

  8. Hagino T, Ochiai S, Watanabe Y, Senga S, Wako M, Ando T, Sato E, Haro H. Complications after arthroscopic knee surgery. Arch Orthop Trauma Surg. 2014;134:1561–4.

    Article  PubMed  Google Scholar 

  9. Jackson RW. Arthroscopic surgery. J Bone Joint Surg Am. 1983;65:416–20.

    CAS  PubMed  Google Scholar 

  10. Kim SJ, Song HT, Moon HK, Chun YM, Chang WH. The safe establishment of a transseptal portal in the posterior knee. Knee Surg Sports Traumatol Arthrosc. 2011;19:1320–5.

    Article  PubMed  Google Scholar 

  11. Kim TK, Savino RM, McFarland EG, Cosgarea AJ. Neurovascular complications of knee arthroscopy. Am J Sports Med. 2002;30:619–29.

    PubMed  Google Scholar 

  12. Kinsella SD, Carey JL. Complications in brief: arthroscopic partial meniscectomy. Clin Orthop Relat Res. 2013;471:1427–32.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lindberg U, Hamberg P, Lysholm J, Gillquist J. Arthroscopic examination of the patellofemoral joint using a central, one-portal technique. Orthop Clin N Am. 1986;17:263–8.

    CAS  Google Scholar 

  14. Louisia S, Charrois O, Beaufils P. Posterior “back and forth” approach in arthroscopic surgery on the posterior knee compartments. Arthroscopy. 2003;19:321–5.

    Article  PubMed  Google Scholar 

  15. Lubowitz JH, Rossi MJ, Baker BS, Guttmann D. Arthroscopic visualization of the posterior compartments of the knee. Arthroscopy. 2004;20:675–80.

    Article  PubMed  Google Scholar 

  16. Nandi S, Parker R. Deep medial collateral ligament tear during knee arthroscopy. J Knee Surg. 2012;25:79–81.

    Article  PubMed  Google Scholar 

  17. Oztekin HH. An unusual complication of knee arthroscopy: an extra-articular migrated asymptomatic broken probe from the knee joint. Arch Orthop Trauma Surg. 2005;125:285–7.

    Article  PubMed  Google Scholar 

  18. Patel D. Proximal approaches to arthroscopic surgery of the knee. Am J Sports Med. 1981;9:296–303.

    Article  CAS  PubMed  Google Scholar 

  19. Ravnihar K, Barlic A, Drobnic M. Effect of intra-articular local anesthesia on articular cartilage in the knee. Arthroscopy. 2014;30:607–12.

    Article  PubMed  Google Scholar 

  20. Reigstad O, Grimsgaard C. Complications in knee arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2006;14:473–7.

    Article  PubMed  Google Scholar 

  21. Schmid RB, Wirz D, Gopfert B, Arnold MP, Friederich NF, Hirschmann MT. Intra-operative femoral condylar stress during arthroscopy: an in vivo biomechanical assessment. Knee Surg Sports Traumatol Arthrosc. 2011;19:747–52.

    Article  PubMed  Google Scholar 

  22. Shaukat Y, Malik E, El-Khateeb H, Koeweiden E. The role of local anaesthesia in knee arthroscopy. J Orthop. 2013;10:193–5.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Sonnery-Cottet B, Conteduca J, Thaunat M, Gunepin FX, Seil R. Hidden lesions of the posterior horn of the medial meniscus: a systematic arthroscopic exploration of the concealed portion of the knee. Am J Sports Med. 2014;42:921–6.

    Article  PubMed  Google Scholar 

  24. Ward BD, Lubowitz JH. Basic knee arthroscopy part 1: patient positioning. Arthrosc Tech. 2013;2:e497–9.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Westermann RW, Pugely AJ, Ries Z, Amendola A, Martin CT, Gao Y, Wolf BR. Causes and predictors of 30-day readmission after shoulder and knee arthroscopy: an analysis of 15,167 cases. Arthroscopy. 2015;31:1035–40. e1031.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicolas Pujol MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 ESSKA

About this chapter

Cite this chapter

Pujol, N., Beaufils, P. (2016). Knee Arthroscopy: General Setup, Portal Options, and How to Manage a Complete Arthroscopic Investigation. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49376-2_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49374-8

  • Online ISBN: 978-3-662-49376-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics