Jung Kwang Am, Kim Sung Jae, Lee Su Chan, Jeong Jae Hoon, Song Moon Bok, Lee Choon Key
Department of Orthopaedic Surgery, Himchan Hospital, Seoul, Korea.
J Knee Surg. 2009 Jul;22(3):255-8. doi: 10.1055/s-0030-1247757.
Simultaneous repair of a radial tear at the tibial attachment site of the posterior horn of the medial meniscus under special circumstances requiring tibial valgus osteotomy is technically difficult. First, most patients who need an osteotomy have a narrowed medial tibiofemoral joint space. In such a situation, the pull-out suture technique is more difficult to perform than in a normal joint space. Second, pulling out suture strands that penetrate the posterior horn of the medial meniscus to the anterior tibial cortex increases the risk of transection during osteotomy. We performed a meniscus repair combined with an opening wedge tibial valgus osteotomy without complications and present our technique as a new method for use in selective cases necessitating both meniscus repair of a complete radial tear and opening wedge tibial osteotomy.
在内侧半月板后角胫骨附着点处同时修复桡侧撕裂，在需要进行胫骨外翻截骨术的特殊情况下，技术上具有挑战性。首先，大多数需要截骨术的患者存在内侧胫股关节间隙变窄的情况。在这种情况下，拉出缝线技术比在正常关节间隙中更难实施。其次，将穿透内侧半月板后角至胫骨前皮质的缝线拉出会增加截骨术中横断的风险。我们进行了半月板修复联合开放性楔形胫骨外翻截骨术，且无并发症发生，并将我们的技术作为一种新方法，用于在需要同时进行完全桡侧撕裂的半月板修复和开放性楔形胫骨截骨术的选择性病例中。
