Intramedullary pressure during endoscopy of the long bone: Experimental results of a new endoscopic technique

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• 作者：Michael Oberst ; Alex ; er Bosse ; Ulrich Holz
• 关键词：Intramedullary ; Pressure ; Bone ; Endoscopy
• 刊名：Arthroscopy: The Journal of Arthroscopic & Related Surgery
• 出版年：2004
• 出版时间：May - June 2004
• 年：2004
• 卷：20
• 期：5
• 页码：552-555
• 全文大小：345 K

文摘

This study shows the local changes in intramedullary pressure during a new endoscopic technique for the medullary canal of the long bone. The procedure of intramedullary bone endoscopy (IBE) was performed on 4 tibial amputations. By slowly pushing the endoscope distally under visual control and endoscopic preparation of the medullary canal, a “neocavum” for endoscopy was created. During the procedure, the intramedullary pressure was continuously measured: Highest peak pressure was 125 mm Hg. We therefore conclude that the procedure of IBE is a safe intervention within the medullary canal of the long bone. Local or systemic side effects, common to intramedullary reaming in fracture treatment (fat-embolism, local bone necrosis, reduction in cortical blood flow) should not be expected.