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合并内侧半月板移植和胫骨高位截骨术。

Combined medial meniscal transplantation and high tibial osteotomy.

机构信息

University of Iowa Sports Medicine Fellow, Via Lamarmora 26, 10128 Torino, Italy.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2010 Jul;18(7):870-3. doi: 10.1007/s00167-009-0999-2. Epub 2009 Dec 3.

DOI:10.1007/s00167-009-0999-2
PMID:19956926
Abstract

This study describes a new surgical technique for combined medial meniscal transplantation and opening wedge high tibial osteotomy for meniscal-deficient knees with malalignment. The technique allows wider medial joint opening, better visualization of the medial compartment as well as easier meniscal graft positioning and suturing. This is achieved by transplanting the meniscus after superficial medial collateral ligament release and before osteotomy opening and fixation.

摘要

本研究描述了一种新的手术技术，用于治疗合并内侧半月板缺失和对线不良的膝关节，即联合内侧半月板移植和楔形胫骨高位截骨术。该技术可扩大内侧关节开口，更好地观察内侧间室，更方便地定位和缝合半月板移植物。这是通过在浅层内侧副韧带松解后、截骨前进行半月板移植来实现的。

相似文献

1
Combined medial meniscal transplantation and high tibial osteotomy.合并内侧半月板移植和胫骨高位截骨术。
Knee Surg Sports Traumatol Arthrosc. 2010 Jul;18(7):870-3. doi: 10.1007/s00167-009-0999-2. Epub 2009 Dec 3.
2
The effect of a proximal tibial medial opening wedge osteotomy on posterolateral knee instability: a biomechanical study.胫骨近端内侧开口楔形截骨术对膝关节后外侧不稳定的影响：一项生物力学研究。
Am J Sports Med. 2008 May;36(5):956-60. doi: 10.1177/0363546507312380. Epub 2008 Jan 28.
3
High Tibial Osteotomy and Medial Meniscus Transplant.高位胫骨截骨术与内侧半月板移植术
Clin Sports Med. 2019 Jul;38(3):401-416. doi: 10.1016/j.csm.2019.02.006.
4
Transplantation of viable meniscal allograft. Surgical technique.活性半月板同种异体移植。手术技术。
J Bone Joint Surg Am. 2006 Mar;88 Suppl 1 Pt 1:109-18. doi: 10.2106/JBJS.E.00875.
5
Varus alignment aggravates tibiofemoral contact pressure rise after sequential medial meniscus resection.内半月板依次切除后，内翻对线会加剧胫股接触压力上升。
Knee Surg Sports Traumatol Arthrosc. 2020 Apr;28(4):1055-1063. doi: 10.1007/s00167-019-05654-5. Epub 2019 Aug 3.
6
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Bone allograft provides bone healing in the medial opening high tibial osteotomy.同种异体骨移植可促进高位胫骨内侧开放截骨术中的骨愈合。
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Lateral Meniscal Allograft Transplantation With Bone Block and Suture-Only Techniques Partially Restores Knee Kinematics and Forces.骨块和缝线技术的外侧半月板同种异体移植部分恢复了膝关节运动学和力学。
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Partial meniscus substitution with a polyurethane scaffold does not improve outcome after an open-wedge high tibial osteotomy.采用聚氨酯支架进行部分半月板置换并不能改善开放性楔形高位胫骨截骨术后的疗效。
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引用本文的文献

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Free-floating medial meniscus implant kinematics do not change after simulation of medial open-wedge high tibial osteotomy and notchplasty.模拟内侧开放楔形高位胫骨截骨术和髁间切迹成形术后，游离内侧半月板植入物的运动学并未改变。
J Exp Orthop. 2023 Feb 9;10(1):13. doi: 10.1186/s40634-023-00576-1.
2
Outcomes, Complications, and Reoperations After Meniscal Allograft Transplantation.半月板同种异体移植后的结果、并发症及再次手术
Orthop J Sports Med. 2022 Mar 10;10(3):23259671221075310. doi: 10.1177/23259671221075310. eCollection 2022 Mar.
3
Higher survivorship following meniscal allograft transplantation in less worn knees justifies earlier referral for symptomatic patients: experience from 240 patients.

本文引用的文献

1
Knee osteotomy and meniscal transplantation: indications, technical considerations, and results.膝关节截骨术与半月板移植：适应症、技术要点及结果
Sports Med Arthrosc Rev. 2007 Mar;15(1):32-8. doi: 10.1097/JSA.0b013e31802f997b.
2
Meniscal allograft transplantation: long-term clinical results with radiological and magnetic resonance imaging correlations.半月板同种异体移植：长期临床结果与放射学及磁共振成像的相关性
Knee Surg Sports Traumatol Arthrosc. 2006 Aug;14(8):694-706. doi: 10.1007/s00167-005-0033-2. Epub 2006 Feb 7.
3
Unicompartmental osteoarthritis in the active patient: the role of high tibial osteotomy.
半月板同种异体移植后膝关节磨损较小的存活率更高，这证明了对有症状的患者进行更早转诊是合理的：来自 240 例患者的经验。
Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1891-1899. doi: 10.1007/s00167-019-05459-6. Epub 2019 Mar 21.
4
High tibial osteotomy accelerates lateral compartment osteoarthritis in discoid meniscus patients.高位胫骨截骨术加速盘状半月板患者外侧间室骨关节炎的进展。
Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1845-1850. doi: 10.1007/s00167-017-4422-0. Epub 2017 Feb 3.
5
High tibial osteotomy in varus knees: indications and limits.内翻膝的高位胫骨截骨术：适应症与局限性
Joints. 2016 Aug 18;4(2):98-110. doi: 10.11138/jts/2016.4.2.098. eCollection 2016 Apr-Jun.
6
The Meniscus-Deficient Knee: Biomechanics, Evaluation, and Treatment Options.半月板缺失膝关节：生物力学、评估及治疗选择。
Orthop J Sports Med. 2015 Oct 23;3(10):2325967115611386. doi: 10.1177/2325967115611386. eCollection 2015 Oct.
7
Injury risk to extraosseous knee vasculature during osteotomies: a cadaveric study with CT and dissection analysis.截骨术期间膝部骨外血管的损伤风险：一项基于CT和解剖分析的尸体研究
Clin Orthop Relat Res. 2015 Mar;473(3):1030-9. doi: 10.1007/s11999-014-4007-x. Epub 2014 Oct 22.
8
Distal femoral osteotomy.股骨远端截骨术。
Curr Rev Musculoskelet Med. 2014 Dec;7(4):302-11. doi: 10.1007/s12178-014-9233-z.
9
High tibial osteotomy.胫骨高位截骨术。
Curr Rev Musculoskelet Med. 2014 Dec;7(4):292-301. doi: 10.1007/s12178-014-9234-y.
10
Degree of axis correction in valgus high tibial osteotomy: proposal of an individualised approach.外翻高位胫骨截骨术中的轴线矫正程度：个体化方法的建议。
Int Orthop. 2014 Nov;38(11):2273-80. doi: 10.1007/s00264-014-2442-7. Epub 2014 Jul 10.
活跃患者的单髁骨关节炎：高位胫骨截骨术的作用。
Arthroscopy. 2003 Dec;19 Suppl 1:109-16. doi: 10.1016/j.arthro.2003.09.048.
4
Meniscal allograft transplantation for unicompartmental arthritis of the knee.膝关节单髁关节炎的半月板同种异体移植术。
Clin Orthop Relat Res. 1997 Apr(337):164-71. doi: 10.1097/00003086-199704000-00018.