The Minimally Invasive Surgery Articulate allows to intervene through small incisions in the skin, providing significant benefits to the patient. Dr.. Alberto Ventura, expert in Orthopaedics and Traumatology in Milan , speaks to us of this method developed from the 70s
1) Dr.. Ventura, what is articulate Minimally Invasive Surgery?
The purpose of the Minimally Invasive Surgery To articulate is to create the patient as little trauma as possible, both physically and psychologically, using the most advanced technological resources.
The Articular Minimally Invasive Surgery is characterized by the use of equipment supplied for images of cameras and miniaturized instruments, which are used both during the diagnosis that during the actual intervention and its. With Articulate Minimally Invasive Surgery can be treated sports injuries, capsular ligament injuries of the shoulder, hip, knee and ankle and performed reconstructive surgery and total knee replacement, hip and ankle.
Advantages of Minimally Invasive Surgery Articulate are many:
- The hospitalization period is rather short;
- Injuries are much reduced compared with interventions with traditional method;
- It requires less human and financial resources;
- The post-surgical complications are very limited;
- To the patient a lower degree of pain is guaranteed.
2) The Minimally Invasive Surgery for knee
The knee joint injuries are now treated by arthroscopy, such as the reconstruction of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). The solutions are different, the use of allograft to that of artificial ligaments, from growth factors to stem cells. These techniques allow the anatomical ligament reconstruction, improving the stability and the joint biomechanics.
3) Treatment of cartilage injuries
As regards cartilage lesions, different treatments can be used which vary according to the type of lesion, to its depth and size, as well as to patient characteristics. Also in this case the techniques are manifold: transplantation of cartilage, the stimulation procedure with growth factors, application of stem cells in the seat of the tissue defect with bio-engineered material coverage.
4) Treatment of meniscal injuries
Until a few years ago, the treatment of meniscal injuries was based on the removal of the meniscus, also complete. With the Arthroscopic Surgery and with the aid of increasingly sophisticated instruments, today it is possible to treat almost all meniscal tears with a conservative intervention, favoring a restoration of joint biomechanics and a drastic reduction of arthrosis post-meniscectomy. This is, in fact, a certain degree of complication in the cases of even partial removal of the articular cartilage.
When, however, the meniscus is absent or greatly reduced, you can proceed to a transplant-using a meniscus from corpse.
5) of the shoulder injury treatment
The advantage of not affecting the muscles and the precision in the repair of the lesion make the Arthroscopic Surgery suitable for young patients, with few dislocations or with micro-instability situations. Usually they use the "anchors" titanium or resorbable polylactic acid from which protrude high resistance wires. These wires are passed and tied around the joint capsule and the labrum to recreate the normal capsular tension.
In people after age 40, however, you can observe the initial degenerative processes of the rotator cuff tendons, characterized by loss of elasticity and the presence of microcalcifications and pain. If this process of degeneration and tendon persists wear or if it takes an injury to the shoulder, you come to the rupture of the rotator cuff. In these cases, one can opt for an arthroscopic treatment of tendon injury (cleaning, removal of the calcification, reinsertion of the cuff with sutures and metal screws in titanium or bio-rassorbibili), for a possible acromioplasty (the removal of a part of bone ceiling to increase the space between acromion and headphone) and for the treatment of the lesion (long head of the biceps, acromioclavicular joint, stiffness capsular).
6) Treatment of ankle injuries
The distortion of the ankle is one of the most common injuries among sportsmen. When the ligament lesion is repaired, you can get joint instability. Next to interventions of Surgery Artrotomica, as the outside of the ankle joint and ligament reconstruction capsuloplasty, recourse it can also be in thermal retention techniques capsule-ligament in Arthroscopy, for the care of instability related to lesions of the anterior talofibular ligament (PAA) or peroneal-calcaneal (PC). To do this, they use RF devices that produce heat through electrothermal energy.
7) Treatment of hip injuries
Arthroscopic treatment of hip injuries proves difficult because of its anatomical depth: we must, in fact, open the articulation to introduce the tools under X-ray control. Nevertheless, the hip arthroscopy is becoming increasingly requested by patients who have:
- Intra-articular bodies furniture;
- bone fragments post-fracture / dislocation;
- Lesions of the labrum;
- cartilage injuries;
- Lesions of the round ligament;
- Impingement syndrome Femoroacetabular (FAI);
- Hip painful idiopathic.
8) of foot injuries Treatment
The Arthroscopic Surgery proves suitable for the correction of flat foot in children and adolescents and for the correction of hallux valgus deformity.
Editor Karin Moscow