[Articular irrigation in arthroscopy].
Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in normal saline decreases the water content of the synovium without causing damage, and recommend this solution for procedures lasting longer than 30 minutes.
D001182:Arthroscopy / Q000009:adverse effects; D003911:Dextrans / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D004487:Edema / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007552:Isotonic Solutions / Q000494:pharmacology / Q000627:therapeutic use*; D007592:Joint Diseases / Q000175:diagnosis; D007719:Knee Joint; D009994:Osmolar Concentration; D000077325:Ringer's Lactate; D012965:Sodium Chloride / Q000494:pharmacology / Q000627:therapeutic use*; D012996:Solutions; D013583:Synovial Membrane / Q000033:anatomy & histology / Q000187:drug effects; D007507:Therapeutic Irrigation
D003911:Dextrans; D007552:Isotonic Solutions; D000077325:Ringer's Lactate; D012996:Solutions; D012965:Sodium Chloride
L'irrigation articulaire en arthroscopie.