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半月板修复后使用混合缝线锚钉导致胫骨平台骨溶解

Osteolysis of the tibial plateau after meniscal repair with hybrid suture anchor.

机构信息

Centre Orthopedique Santy, 24 Av Paul Santy, 69008, Lyon, France.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2013 Sep;21(9):2137-40. doi: 10.1007/s00167-012-2296-8. Epub 2012 Nov 9.

DOI:10.1007/s00167-012-2296-8
PMID:23138233
Abstract

UNLABELLED

Preservation of the meniscus and consideration for repair is important when treating meniscal tears. Many techniques for repair have been described. At present, all-inside, suture anchor-based meniscal repair systems are widely used. Arthroscopic all-inside hybrid meniscal suturing has been shown to have a low complication rate as the suture anchors remain outside the capsule leaving only the suture material inside the joint. Complications such as chondrolysis or arthrolysis have not been reported with these devices until now. The purpose of our study is to highlight the risks of osteochondral damage if these devices persist intra-articularly.

LEVEL OF EVIDENCE

IV.

摘要

未加标签

在治疗半月板撕裂时,保护半月板并考虑修复非常重要。已经描述了许多修复技术。目前,全内、基于缝合锚的半月板修复系统被广泛应用。关节镜下全内混合半月板缝合技术具有较低的并发症发生率,因为缝合锚留在囊外,只有缝线材料留在关节内。直到现在,还没有报道这些设备会出现软骨溶解或关节松解等并发症。我们研究的目的是强调如果这些设备持续存在于关节内,会对软骨和骨造成损伤的风险。

证据等级

IV。

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本文引用的文献

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Comparison of inside-out and all-inside techniques for the repair of isolated meniscal tears: a systematic review.关节内和全内技术治疗孤立性半月板撕裂的比较:系统评价。
Am J Sports Med. 2012 Feb;40(2):459-68. doi: 10.1177/0363546511411701. Epub 2011 Jul 7.
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Meniscus tears in the young athlete: results of arthroscopic repair.年轻运动员的半月板撕裂:关节镜修复的结果
J Pediatr Orthop. 2011 Jul-Aug;31(5):496-500. doi: 10.1097/BPO.0b013e31821ffb8d.
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Meniscal repair.半月板修复术。
双后内侧入路缝线钩缝合与Fast-Fix全内缝合治疗Ramp损伤的早期疗效比较
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Jun 15;38(6):716-722. doi: 10.7507/1002-1892.202403032.
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Meniscal Ramp Lesion Repair Without the Need for a Posteromedial Portal.无需后内侧入路的半月板斜坡损伤修复术
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Clinical outcomes, healing rate, and presence of peri-meniscal cysts after all-inside meniscal repair in combination with anterior cruciate ligament reconstruction: a prospective comparative study with magnetic resonance imaging assessment.全关节镜下半月板修复联合前交叉韧带重建后的临床疗效、愈合率及半月板周围囊肿的存在情况:一项采用磁共振成像评估的前瞻性对照研究
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Orthop J Sports Med. 2020 Nov 20;8(11):2325967120962093. doi: 10.1177/2325967120962093. eCollection 2020 Nov.
7
It is safe and effective to use all inside meniscal repair devices for posteromedial meniscal 'ramp' lesions.使用所有内侧半月板修复装置治疗后内侧半月板“斜坡”病变是安全有效的。
Knee Surg Sports Traumatol Arthrosc. 2018 Aug;26(8):2310-2316. doi: 10.1007/s00167-018-4976-5. Epub 2018 May 12.
8
Classification and Surgical Repair of Ramp Lesions of the Medial Meniscus.内侧半月板斜坡损伤的分类与手术修复
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Deteriorating outcomes after meniscal repair using the Meniscus Arrow in knees undergoing concurrent anterior cruciate ligament reconstruction: increased failure rate with long-term follow-up.在同时进行前交叉韧带重建的膝关节中使用半月板箭进行半月板修复后预后恶化:长期随访失败率增加。
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Chondral injury due to migration of a Mitek RapidLoc meniscal repair implant after successful meniscal repair: a case report.半月板修复成功后Mitek RapidLoc半月板修复植入物移位导致软骨损伤:一例报告
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