Abstract: A surgical treatment of a ligament of a knee joint under an arthroscope, includes: forming concave holes from the region of the tibia to which the ligament adheres toward an inner side of a rough surface of the tibia and from the region of the femur to which the ligament adheres toward an outer surface of a lateral condyle of the femur by ultrasonically vibrating the treating portion; forming tunnels between the concave hole of the tibia and the medial side of the rough surface of the tibia using the concave hole of the tibia and between the concave hole of the femur and the lateral surface of the lateral condyle of the femur using the concave hole of the femur.

Abstract: A treatment method which treats a living tissue using an ultrasonic device includes making the ultrasonic device come in contact with the living tissue in a state where the product of a pressing force of the ultrasonic device to the living tissue, an amplitude of an ultrasonic vibration caused by the ultrasonic device, and a resonance frequency of the ultrasonic device becomes a predetermined value, and excising the living tissue in a state where the ultrasonic device is in contact with the living tissue.

Abstract: In an arthroendoscopical surgical method, a resection target area, which is emphasized by fluorescence with use of a fluorescent agent under excitation light, is identified on a meniscus, and a resection line or an imaginary resection line is drawn. Using an ultrasonic treatment tool and an arthroscope, the resection target area is resected by a probe which generates ultrasonic vibrations, based on the resection line or imaginary resection line under visible-light illumination, and an inclined resection surface is formed.

Abstract: A treatment method is a treatment method for cutting cartilage of a human body by an ultrasonic device including a cutting section that ultrasonically vibrates. The treatment method includes cutting the cartilage with a product of an amplitude of the cutting section and a pressing force for pressing the cutting section against the cartilage being 100 (N·?m) or larger.

Abstract: An elbow joint surgical treatment includes transmitting an ultrasonic vibration to a treating portion of an ultrasonic device to excise the treated object region of the synovial membrane, and bringing the treating portion of the ultrasonic device, used in excising the synovial membrane, to come in contact with an osteophyte positioned in one of a coronoid fossa of a humerus, an olecranon fossa of the humerus, a coronoid process of an ulna, and an olecranon. The surgical treatment includes transmitting an ultrasonic vibration to the treating portion in contact with the osteophyte to remove the osteophyte.

Abstract: A probe unit includes, a probe configured to treat a bone by ultrasonic vibration, a hollow sheath which surrounds the probe and which has a first portion at a small distance from a central axis, and a second portion at a greater distance from the central axis than the first portion, and a knob configured to rotate the sheath relative to the probe between a first position for insertion between the bone and a living tissue facing the bone so that the first portion is located between the bone and the living tissue and a second position for insertion between the bone and the living tissue so that the second portion is located between the bone and the living tissue.

Abstract: A treatment device includes: a probe including a treatment portion that performs treatment to a treatment target portion by transmission of ultrasonic vibration; a first sheath having a first edge and enclosing a periphery of the probe; a second sheath having a second edge and enclosing a periphery of the first sheath; a suction path including a suction opening between the first edge and the second edge and provided between the first sheath and the second sheath; and a connection part communicating with the suction path and connected to a suction source.

Abstract: A probe unit includes, a probe configured to treat a bone by ultrasonic vibration, a hollow sheath which surrounds the probe and which has a first portion at a small distance from a central axis, and a second portion at a greater distance from the central axis than the first portion, and a knob configured to rotate the sheath relative to the probe between a first position for insertion between the bone and a living tissue facing the bone so that the first portion is located between the bone and the living tissue and a second position for insertion between the bone and the living tissue so that the second portion is located between the bone and the living tissue.

Abstract: In an arthroendoscopical surgical method, a resection target area, which is emphasized by fluorescence with use of a fluorescent agent under excitation light, is identified on a meniscus, and a resection line or an imaginary resection line is drawn. Using an ultrasonic treatment tool and an arthroscope, the resection target area is resected by a probe which generates ultrasonic vibrations, based on the resection line or imaginary resection line under visible-light illumination, and an inclined resection surface is formed.

Abstract: An arthroscopical surgical method using an ultrasonic treatment device for a joint includes: transmitting ultrasonic vibration to a treatment portion of the ultrasonic treatment device, removing an injured region of an articular cartilage so that a subchondral bone is exposed, and forming a cartilage edge which is nearly angled at 90° with the exposed surface of the subchondral bone to form a pool-shaped depression; forming a hole which pierces up to a cancellous bone of the subchondral bone through the depression, and scratching blood vessels in the cancellous bone; causing bleeding from the blood vessels so that blood is retained in the depression via the hole.

Abstract: In an arthroendoscopical surgical method, a resection target area, and a freshening treatment area which becomes repair surfaces with bleeding, are identified, and a resection line and a freshening line are drawn on a tear site in a meniscus, which is emphasized by fluorescence with use of a fluorescent medicine under excitation light. Using an ultrasonic treatment tool and an arthroscope, the resection target area is resected by a probe which generates ultrasonic vibrations, based on the resection line and freshening line under visible-light illumination. Thus, an inclined resection surface is formed, and planar repair surfaces with bleeding are joined and repaird.

Abstract: An arthroscopic surgery method for ankle impingement of the embodiment removes a posterior process of talus from the portal formed in the position specified beforehand by vibrating ultrasonically of an ultrasonic treatment tool which inserted and inserted the ultrasonic treatment tool to the posterior process of talus and a tendon sheath of flexor hallucis longus muscle tendon, and deletes the tendon sheath of flexor hallucis longus muscle tendon by the ultrasonic treatment tool used for deleting the posterior process of talus.

Abstract: An arthroscopic surgery method for ankle ligament reconstruction of this embodiment is removed using an ultrasonic treatment tool, blowing away a synovial membrane, and secures the view for a remnant ligament. Then, bone holes are produced to a fibula, a talus and a calcaneus using the ultrasonic treatment tool.

Abstract: A contact portion, provided in an exposed surface of the treating section, treats a treated object by a transmitted ultrasonic vibration while intruding into the treated object toward an intruding direction from a state being in contact with the treated object. An index portion is disposed on an anti-intruding direction side with respect to the contact portion in the exposed surface. The index portion becomes an index indicating an intruding amount of the contact portion into the treated object toward the intruding direction. The index portion includes index surfaces arranged in the intruding direction, and each of the index surfaces has an angle relative to the intruding direction which is different from the angle of the adjacent index surface.

Abstract: A surgical procedure of preparing bone holes to fix an implanted tendon to a femur when performing reconstruction of a ligament in a knee joint, includes: bringing a treatment portion of an ultrasonic treatment instrument into contact with the femur in the knee joint, and applying ultrasonic vibration from the treatment portion to the femur, thereby cutting and forming a first bone hole from the inside of the knee joint to the femur in a predetermined depth.

Abstract: A surgical treatment of a ligament of a knee joint under an arthroscope, includes: forming concave holes from the region of the tibia to which the ligament adheres toward an inner side of a rough surface of the tibia and from the region of the femur to which the ligament adheres toward an outer surface of a lateral condyle of the femur by ultrasonically vibrating the treating portion; forming tunnels between the concave hole of the tibia and the medial side of the rough surface of the tibia using the concave hole of the tibia and between the concave hole of the femur and the lateral surface of the lateral condyle of the femur using the concave hole of the femur.

Abstract: A knee joint surgical treatment under an arthroscope includes: contacting a treating portion of an ultrasonic device with an end region to which an ACL or a PCL of a tibia adheres and with a start region to which the ACL or the PCL of a femur adheres, excising the tibia and a remaining ligament of the ACL, or the tibia and a remaining ligament of the PCL, excising the femur and a remaining ligament of the ACL, or the femur and a remaining ligament of the PCL by ultrasonically vibrating the treating portion, thereby exposing footprints of the tibia and the femur; and forming tunnels between the footprint of the tibia and a medial side of a rough surface of the tibia and between the footprint of the femur and an lateral surface of a lateral condyle of the femur.

Abstract: An elbow joint surgical treatment includes transmitting an ultrasonic vibration to a treating portion of an ultrasonic device to excise the treated object region of the synovial membrane, and bringing the treating portion of the ultrasonic device, used in excising the synovial membrane, to come in contact with an osteophyte positioned in one of a coronoid fossa of a humerus, an olecranon fossa of the humerus, a coronoid process of an ulna, and an olecranon. The surgical treatment includes transmitting an ultrasonic vibration to the treating portion in contact with the osteophyte to remove the osteophyte.

Abstract: A joint surgical treatment includes bringing a treating portion of an ultrasonic device into contact with a damaged region of a cartilage that is a treated object region in the joint, and transmitting an ultrasonic vibration to the treating portion in contact with the treated object region while observing the treated object region with the arthroscope to remove the treated object region of the cartilage. The ultrasonic vibration is used to remove the treated object so as to smoothly continue a removed surface from which the treated object region is removed and a non-removed surface adjacent to the removed surface without forming any corners between the surfaces in the cartilage.

Abstract: A knee joint surgical treatment under an arthroscope includes: excising a treatment object of a synovial membrane by an ultrasonic vibration to the treating portion in a state where the treating portion is in contact with the treatment object of the synovial membrane; facing the treating portion to a treatment object of a meniscus, the treating portion being used in excising the treatment object of the synovial membrane; and removing the treatment object of the meniscus by contacting the treating portion with the treatment object of the meniscus and by the ultrasonic vibration in a state where the treating portion is in contact with the treatment object of the meniscus.