经骨隧道软组织固定的关节镜下半月板同种异体移植术
Arthroscopic Meniscal Allograft Transplantation With Soft-Tissue Fixation Through Bone Tunnels.
作者信息
Spalding Tim, Parkinson Ben, Smith Nick A, Verdonk Peter
机构信息
University Hospitals Coventry and Warwickshire NHS Trust, Coventry, England.
Reef Orthopaedic Clinic, Cairns, Queensland, Australia.
出版信息
Arthrosc Tech. 2015 Oct 12;4(5):e559-63. doi: 10.1016/j.eats.2015.06.001. eCollection 2015 Oct.
Abstract
Meniscal allograft transplantation improves clinical outcomes for patients with symptomatic meniscus-deficient knees. We describe an established arthroscopic technique for meniscal allograft transplantation without the need for bone fixation of the meniscal horns. After preparation of the meniscal bed, the meniscus is parachuted into the knee through a silicone cannula and the meniscal horns are fixed with sutures through bone tunnels. The body of the meniscus is then fixed with a combination of all-inside and inside-out sutures. This technique is reliable and reproducible and has clinical outcomes comparable with those of bone plug fixation techniques.
摘要
半月板同种异体移植可改善有症状的半月板缺损膝关节患者的临床疗效。我们描述了一种成熟的关节镜下半月板同种异体移植技术，无需对半月板角进行骨固定。在准备好半月板床后，将半月板通过硅胶套管“伞降”入膝关节，半月板角通过骨隧道用缝线固定。然后用全内缝合和由内向外缝合相结合的方法固定半月板体部。该技术可靠且可重复，临床疗效与骨栓固定技术相当。
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