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改良由外向内缝合法:大型半月板囊肿减压术后半月板前角的垂直修复。

The modified outside-in suture: vertical repair of the anterior horn of the meniscus after decompression of a large meniscal cyst.

作者信息

Ahn Jin Hwan, Wang Joon Ho, Yoo Jae Chul, Kim Sung Kon, Park Jung Ho, Park Jong Woong

机构信息

Department of Orthopaedic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2006 Dec;14(12):1288-91. doi: 10.1007/s00167-006-0109-7. Epub 2006 Jul 5.

DOI:10.1007/s00167-006-0109-7
PMID:16821079
Abstract

This article describes a modified suture technique designed for the vertical repair of the anterior horn of the meniscus after arthroscopic decompression of a large meniscal cyst. This procedure comprises of three steps: first, the meniscus was pierced vertically using a suture hook and a No. 0 PDS suture. Second, both ends of the No. 0 PDS on the femoral and tibial surfaces of the meniscus were pulled to the outside of the joint capsule using a spinal needle preloaded with suture material. Finally, a skin incision was made adjacent to the suture materials, and both ends were tied. We recommend this technique not only for the vertical repair of the anterior horn of the meniscus after decompression of large meniscal cyst, but also to repair a longitudinal tear of the meniscus.

摘要

本文介绍了一种改良缝合技术,该技术专为在关节镜下对大型半月板囊肿减压后垂直修复半月板前角而设计。该手术包括三个步骤:首先,使用缝合钩和0号聚对二氧环己酮(PDS)缝线垂直穿刺半月板。其次,使用预先装载缝线材料的脊椎穿刺针将半月板股骨面和胫骨面上的0号PDS缝线两端拉至关节囊外侧。最后,在缝线材料附近做一个皮肤切口,并将两端打结。我们推荐这种技术,不仅用于大型半月板囊肿减压后半月板前角的垂直修复,也用于修复半月板的纵向撕裂。

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Knee Surg Sports Traumatol Arthrosc. 2006 Dec;14(12):1288-91. doi: 10.1007/s00167-006-0109-7. Epub 2006 Jul 5.
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本文引用的文献

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Intra-articular cysts and ganglia of the knee: a report of nine patients.膝关节内囊肿和腱鞘囊肿:9例报告
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A simplified arthroscopic outside-in meniscus repair technique.一种简化的关节镜由外向内半月板修复技术。
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A giant ganglion cyst that developed in the infrapatellar fat and partly extended into the knee joint.一个巨大的腱鞘囊肿在髌下脂肪中形成,并部分延伸至膝关节。
一种用于有症状盘状外侧半月板的有用MRI分类
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Discoid lateral meniscus: importance, diagnosis, and treatment.盘状外侧半月板:重要性、诊断及治疗
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How to Perform a Giant Parameniscal Cyst Exeresis: Step by Step Technique.如何进行巨大半月板旁囊肿切除术:逐步技术
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A novel and cheap method of outside-in meniscal repair for anterior horn tears.一种用于修复半月板前角撕裂的新颖且廉价的由外向内修复方法。
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Intra-articular ganglion cysts of the knee.膝关节内腱鞘囊肿
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Arthroscopic treatment of meniscal cysts.关节镜下治疗半月板囊肿。
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