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半月板同种异体移植的要点与陷阱

The tips and pitfalls of meniscus allograft transplantation.

作者信息

Lee Sung Rak, Kim Jin Goo, Nam Sang Wook

机构信息

Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

出版信息

Knee Surg Relat Res. 2012 Sep;24(3):137-45. doi: 10.5792/ksrr.2012.24.3.137. Epub 2012 Sep 3.

Abstract

When faced with an irrepairable meniscus or a patient who has had a total or subtotal meniscectomy, meniscus allograft transplantation (MAT) is the preferred modality to restore biomechanical function of the meniscus. The indications for meniscus allograft transplantation are yet to be established. However, currently, MAT has previously been indicated for symptomatic patients who have mild or early osteoarthritis, are younger than 50 years of age, and present with an Outerbridge grade II or lower. The short- to intermediate-term results confirmed noteworthy clinical improvements and consistent objective findings. On the other hand, the successful outcome would be reduced by various complications. Therefore, long-term observation required to evaluate the longevity of these results. The purpose of this article is to review the current research of concerns on the results of MAT, and to describe the technical tips and pitfalls so as to successful clinical results.

摘要

当面对不可修复的半月板或已进行全半月板或次全半月板切除术的患者时,半月板同种异体移植(MAT)是恢复半月板生物力学功能的首选方式。半月板同种异体移植的适应症尚未确定。然而,目前,MAT先前已被用于有症状的患者,这些患者患有轻度或早期骨关节炎,年龄小于50岁,且外布里奇分级为II级或更低。短期至中期结果证实了显著的临床改善和一致的客观发现。另一方面,各种并发症会降低成功结果。因此,需要长期观察来评估这些结果的持久性。本文的目的是回顾目前关于MAT结果的研究关注点,并描述技术要点和陷阱,以获得成功的临床结果。

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