内侧半月板放射状撕裂：经胫骨双隧道技术
Medial Meniscus Radial Tear: A Transtibial 2-Tunnel Technique.
作者信息
Nitri Marco, Chahla Jorge, Civitarese David, Bhatia Sanjeev, Moulton Samuel G, LaPrade Christopher M, LaPrade Robert F
机构信息
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.
出版信息
Arthrosc Tech. 2016 Aug 15;5(4):e889-e895. doi: 10.1016/j.eats.2016.04.012. eCollection 2016 Aug.
Complete radial tears of the medial meniscus significantly decrease the meniscal tissue's ability to dissipate tibiofemoral loads and have been described as functionally similar to a total meniscectomy, predisposing patients to early osteoarthritis. At present, no consensus exists regarding the optimal surgical treatment of a radial meniscal tear. Current repair techniques have led to a reportedly high rate of incomplete healing or healing of the meniscus in a nonanatomic, gapped position, which compromises its ability to withstand hoop stresses. Improvement regarding the ability to repair and heal medial meniscus radial tears has the potential to result in enhanced preservation of the articular cartilage in the medial compartment of the knee. This technical description details a method for repairing radial tears of the medial meniscus using a transtibial 2-tunnel technique.
内侧半月板的完全放射状撕裂会显著降低半月板组织消散胫股关节负荷的能力，并且在功能上被描述为类似于全半月板切除术，使患者易患早期骨关节炎。目前，对于放射状半月板撕裂的最佳手术治疗方法尚无共识。据报道，目前的修复技术导致半月板不完全愈合或在非解剖学的间隙位置愈合的发生率很高，这损害了其承受环向应力的能力。提高内侧半月板放射状撕裂的修复和愈合能力有可能增强膝关节内侧间室关节软骨的保留。本技术描述详细介绍了一种使用经胫骨双隧道技术修复内侧半月板放射状撕裂的方法。
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