Department of Orthopaedic Surgery, Yonsei Sarang Hospital, Seoul, Korea.
Knee Surg Sports Traumatol Arthrosc. 2011 Aug;19(8):1334-6. doi: 10.1007/s00167-011-1435-y. Epub 2011 Feb 17.
Posterior root tears of the medial meniscus are frequently encountered and should be repaired if possible to prevent osteoarthritis of the medial compartment. Various surgical techniques have been proposed to repair posterior root tears. The anterior arthroscopic approach can cause an iatrogenic chondral injury due to the narrow medial joint space. The posterior approaches might be technically unfamiliar to many surgeons because they require the establishment of a posteromedial or trans-septal portal. This paper describes the medial collateral ligament pie-crusting release technique for arthroscopic double transosseous pullout repair of posterior root tears of the medial meniscus through the anterior approach to provide the good visualization of the footprint and sufficient working space.
内侧半月板后根部撕裂较为常见，如果可能，应进行修复，以预防内侧间室骨关节炎。已经提出了各种手术技术来修复后根部撕裂。由于内侧关节间隙狭窄，前关节镜入路可能会导致医源性软骨损伤。对于许多外科医生来说，后入路可能在技术上并不熟悉，因为它们需要建立后内侧或贯穿中隔的入路。本文介绍了经前入路关节镜下双骨道贯穿抽出修复内侧半月板后根部撕裂的方法，通过内侧副韧带“馅饼皮样”松解技术，可以提供良好的视场以充分显露止点，同时也提供了足够的工作空间。
