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关节镜下采用软质缝合锚钉技术修复外侧半月板根部

Arthroscopic lateral meniscus root repair with soft suture anchor technique.

作者信息

Prasathaporn Niti, Kuptniratsaikul Somsak, Kongrukgreatiyos Kitiphong

机构信息

Department of Orthopaedics, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand.

出版信息

Arthrosc Tech. 2013 Nov 15;2(4):e479-82. doi: 10.1016/j.eats.2013.07.008. eCollection 2013 Nov.

Abstract

Meniscus root tear leads to circumferential hoop tension loss and increases femorotibial contact force, which causes irreversible cartilage degeneration. Biomechanical studies have shown that meniscus root repair provides better femorotibial contact force than meniscectomy. Many techniques for meniscus root repair have been published in recent years. The soft suture anchor is widely used in the glenoid labral repair. It is a small low-profile soft anchor. This article presents a new and simple technique of lateral meniscus root repair using the small soft anchor, which results in an anatomic and more vertical anchor position. It avoids instrument-related complications, such as cartilage delamination, material reaction, metal retention, and hard suture anchor pullout.

摘要

半月板根部撕裂会导致圆周环向张力丧失,并增加股胫接触力,进而引起不可逆的软骨退变。生物力学研究表明,半月板根部修复比半月板切除术能更好地恢复股胫接触力。近年来已发表了许多半月板根部修复技术。软质缝合锚钉广泛应用于盂唇修复。它是一种小型、低轮廓的软质锚钉。本文介绍一种使用小型软质锚钉进行外侧半月板根部修复的新颖且简单的技术,该技术可实现解剖学上更垂直的锚钉置入位置。它避免了与器械相关的并发症,如软骨分层、材料反应、金属残留和硬质缝合锚钉拔出。

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本文引用的文献

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Tensile forces on repaired medial meniscal root tears.修复后内侧半月板根部撕裂的张力。
Arthroscopy. 2013 Feb;29(2):205-12. doi: 10.1016/j.arthro.2012.09.004.
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A new surgical technique for arthroscopic repair of the meniscus root tear.一种半月板根部撕裂关节镜修复的新手术技术。
Knee Surg Sports Traumatol Arthrosc. 2009 Dec;17(12):1433-6. doi: 10.1007/s00167-009-0874-1. Epub 2009 Aug 19.
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Tensile forces on sutures in the human lateral knee meniscus.人膝关节外侧半月板缝线的张力。
Knee Surg Sports Traumatol Arthrosc. 2009 Nov;17(11):1354-9. doi: 10.1007/s00167-009-0875-0. Epub 2009 Jul 24.

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