Arthroscopic surgery is witnessing a rapid and significant development in recent decades in China. Knee and shoulder arthroscopy are by far the most common arthroscopic procedures performed. Chinese arthroscopic surgeons have been demonstrating enthusiastic interest and great passion in extensive studies from basic research to clinical practice in diverse fields. For 2012 COA congress, we have received nearly 600 abstracts from China and more than 20 abstracts from other countries for arthroscopy and sports medicine, more than half of which were on the knee, followed by the shoulder and elbow.
Knee arthroscopy is the first introduced and most developed arthroscopic technique in China. Current topics are focused on ACL and PCL reconstruction, meniscus repair and cartilage repair. Tunnel positioning and anatomical reconstruction are at the center of discussions and studies. Rehab is one of the most important, yet too often neglected, fields of ACL reconstruction surgery. Rehab following ACL surgery focuses on restoring motion and strength, and improving the stability of the joint to prevent future injuries. Surgical pitfalls, revision surgery, postoperative complications, multiple ligaments reconstruction, and repair or reconstruction of posteromedial and posterolateral corners are also attracting more and more interest. The concept of preserving the meniscus as much as possible after injury is generally accepted by the surgeons. With development of meniscal implant and improvement of repair devices, meniscus repair can be performed now for a wider range of meniscus diseases and injuries. Articular cartilage repair is not new in China and techniques of microfracture, osteochondral transplantation and chondrocyte implantation have also been applied. Also, new cartilage scaffolds developed by our reserchers have been used clinically.
Shoulder arthroscopy sees the most rapid development recent years, and is now widely applied in the treatment of intra-articular shoulder lesions including labrum tear, rotator cuff tear, shoulder instability, shoulder stiffness, as well as extra-articular lesions including acromioclavicular injuries, deltoid contracture, spinoglenoid cysts, and scapular injury, etc in China. Massive rotator cuff tear and new techniques such as double row are gaining popularity. Elbow arthroscopy has also been applied to treat elbow osteoarthritis, synovitis, resistant Tennis Elbow, elbow stiffness, and intra-articular fracture, etc. Posterolateral rotary instability of elbow joint has been studied more deeply.
In China, hip arthroscopy is also developing rapidly corresponding to the advancement of diagnostic and treatment techniques, increased incidence and identification of hip injuries, and increased demands from patients. Femoroacetabular impingement, which was once reported to be with low incidence in China (largely due to limited diagnostic methods), is gaining increasing awareness and can be treated under arthroscopy.
Ankle arthroscopy has been applied for treatment of cartilage lesions, ankle loose bodies and synovitis, etc. Subtalar arthroscopy is also used by Chinese arthroscopic surgeons to treat subtalar injuries which respond poorly to other traditional treatments.
Chinese Society of Arthroscopy and its board members have been making great efforts to promote arthroscopy in China, as well as international communication and cooperation. They also join efforts with national and international counterparts and societies to conduct professional activities and hold international meetings. International communication is important to learn from the world contemporary concepts and techniques and to show the world development of arthroscopy in China.
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