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外侧半月板前角撕裂的关节镜下全内修复技术:技术说明

Arthroscopic all-inside repair techniques of lateral meniscus anterior horn tear: a technical note.

作者信息

Lee Choon Key, Suh Jeung Tak, Yoo Chong Il, Cho Hyung Lae

机构信息

Department of Orthopaedic Surgery, Good Samsun Hospital, 193-5 Churye-Dong, Sasang-Gu, Pusan 617-718, Korea.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2007 Nov;15(11):1335-9. doi: 10.1007/s00167-007-0307-y. Epub 2007 Mar 16.

DOI:10.1007/s00167-007-0307-y
PMID:17364203
Abstract

Although the conventional outside-in technique is especially useful for repairing tears in the anterior portion of the meniscus, it has a disadvantage of making an additional 1-2 cm sized skin incision and tying knots subcutaneously over the capsule. Therefore we devised two all-inside repair techniques of lateral meniscus anterior horn tear according to the site of meniscal tear, meniscosynovial junction or red-red zone. Because these techniques are modified methods of the outside-in meniscal repair using a spinal needle, they are as simple as conventional outside-in technique. In addition they have advantages of vertical mattress suture, which is an important characteristic of the all-inside repair, and no additional incision. We recommend these techniques as an alternative method for repairing an anterior horn tear of the lateral meniscus.

摘要

尽管传统的由外向内技术对于修复半月板前部的撕裂特别有用,但它有一个缺点,即需要额外做一个1-2厘米大小的皮肤切口,并在关节囊上方皮下打结。因此,我们根据半月板撕裂的部位、半月板滑膜交界处或红-红区,设计了两种外侧半月板前角撕裂的全关节内修复技术。由于这些技术是使用脊椎穿刺针对外由内半月板修复方法的改良,它们与传统的由外向内技术一样简单。此外,它们具有垂直褥式缝合的优点,这是全关节内修复的一个重要特征,并且无需额外切口。我们推荐这些技术作为修复外侧半月板前角撕裂的替代方法。

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本文引用的文献

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Arthroscopy. 2006 Oct;22(10):1132.e1-2. doi: 10.1016/j.arthro.2006.01.020.
2
Arthroscopic all-inside repair of tears of the anterior horn of the lateral meniscus.关节镜下外侧半月板前角撕裂的全关节内修复术
Arthroscopy. 2005 Nov;21(11):1399. doi: 10.1016/j.arthro.2005.08.027.
3
Chondral injury and synovitis after arthroscopic meniscal repair using an outside-in mulberry knot suture technique.使用由外向内桑蚕结缝合技术进行关节镜下半月板修复后的软骨损伤和滑膜炎。
《外侧半月板损伤诊断与治疗指南:中华运动医学分会专家共识》
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All-Inside Meniscus Repair Method for Injury of the Margin of the Anterior Segment of the Meniscus.半月板前段边缘损伤的全内半月板修复方法
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Arthroscopic Management for the Unstable Inferior Leaf of the Lateral Meniscus Anterior Horn and Associated Cysts through a Direct Inframeniscal Portal: A Retrospective Study.关节镜下经半月板下前角直接入路治疗外侧半月板前角不稳定及其相关囊肿:一项回顾性研究。
Biomed Res Int. 2017;2017:9264907. doi: 10.1155/2017/9264907. Epub 2017 Nov 13.
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A Reduction Method for All-Inside Posterior Horn Meniscal Repair.全内后角半月板修复的一种复位方法
Arthrosc Tech. 2015 Sep 14;4(5):e423-4. doi: 10.1016/j.eats.2015.03.021. eCollection 2015 Oct.
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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。
Arthrosc Tech. 2014 Mar 14;3(2):e233-5. doi: 10.1016/j.eats.2013.11.001. eCollection 2014 Apr.
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Arthroscopy. 2004 May;20(5):e49-52. doi: 10.1016/j.arthro.2004.03.022.
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High portal: Practical philosophy for positioning portals in knee arthroscopy.高位入路:膝关节镜检查中入路定位的实用理念
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The SMC knot--a new slip knot with locking mechanism.SMC结——一种带有锁定机制的新型活结。
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