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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.

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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