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关节镜下外侧半月板根部撕裂的全关节内修复术

Arthroscopic all inside repair of the lateral meniscus root tear.

作者信息

Ahn Jin Hwan, Lee Yong Seuk, Chang Jae-Young, Chang Moon Jong, Eun Sang Soo, Kim Sang Min

机构信息

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

出版信息

Knee. 2009 Jan;16(1):77-80. doi: 10.1016/j.knee.2008.07.008. Epub 2008 Oct 18.

Abstract

It has been reported that lateral meniscus tears, including posterior horn tears, stable radial flap tears, or peripheral or posterior third tears that are combined with an Anterior Cruciate Ligament (ACL) injury can be treated with being left in situ. However, our experience has shown that the tear patterns are not so simple. They can show complex configurations and the inner side can be lost in chronic cases. Regarding the repair technique, there has been some controversy concerning the follow up results with repair devices and reduction is difficult using these devices if the inner side is non-viable or lost. If the tear involves whole width of bony insertion, it is believed that the meniscal function would be lost, particularly because the anatomic configuration is different in this area. In cases of chronic inner loss types, the meniscus was repaired using a side to side repair or pull out repair technique. Complete healing was achieved using this technique in some patients. Conclusively, Posterior Lateral Meniscus Root Tear (PLMRT) must be managed with different method with tears of other areas because the tear configuration is complex than simple looking.

摘要

据报道,外侧半月板撕裂,包括后角撕裂、稳定的放射状瓣状撕裂,或与前交叉韧带(ACL)损伤合并的周边或后三分之一撕裂,可以原位保留进行治疗。然而,我们的经验表明,撕裂模式并非如此简单。它们可能呈现复杂的形态,在慢性病例中内侧部分可能会缺失。关于修复技术,使用修复装置的随访结果存在一些争议,如果内侧部分无法存活或缺失,使用这些装置进行复位很困难。如果撕裂累及骨附着的整个宽度,人们认为半月板功能将会丧失,特别是因为该区域的解剖结构不同。在慢性内侧缺失类型的病例中,半月板采用边对边修复或拔出修复技术进行修复。一些患者使用该技术实现了完全愈合。总之,外侧半月板后根部撕裂(PLMRT)必须采用与其他区域撕裂不同的方法进行处理,因为其撕裂形态比看上去更为复杂。

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