[Knee and shoulder arthroscopy. Positioning and thermal injuries].
Intraoperative positioning injuries during shoulder- and knee arthroscopy are rare complications and affect mainly nerves and soft tissue. Although the majority of these complications are reversible, in some cases serious negative consequences for the patient persist. This article describes the frequency of several positioning injuries including their prevention and the appropriate treatment. The legal responsibilities are illustrated as well as the importance of an intense preoperative investigation of preexisting diseases and possible risk factors. Furthermore, a review of possible thermal injuries of the patient during arthroscopy caused by e.g. electrosurgical instruments or the cold light source, is given as well as prevention strategies.
Meyer
S
S
Klinik für Unfall- und Wiederherstellungschirurgie, Hannover. Unfallchirurgie@Henriettenstiftung.de
Lobenhoffer
P
P
D001182:Arthroscopy / Q000009:adverse effects*; D002056:Burns / Q000209:etiology / Q000517:prevention & control; D004598:Electrosurgery / Q000009:adverse effects; D006801:Humans; D007103:Immobilization / Q000009:adverse effects; D007719:Knee Joint / Q000601:surgery*; D008318:Malpractice / Q000331:legislation & jurisprudence; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D012785:Shoulder Joint / Q000601:surgery*