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膝关节内外侧半月板桶柄样损伤的多种混合缝合术

Multiple hybrid sutures of bucket handle injury on the lateral and medial meniscus of the knee.

作者信息

Astur Diego Costa, Pavei Bruno Silveira, Kaleka Camila Cohen, Cohen Moises

机构信息

Departamento de Ortopedia e Traumatologia from UNIFESP/EPM, Universidade Federal de São Paulo, CETE- Centro de Traumatologia do Esporte, São Paulo, Brazil.

Knee Surgery Department, Instituto Cohen, São Paulo, Brazil.

出版信息

BMJ Case Rep. 2017 Nov 23;2017:bcr-2017-222232. doi: 10.1136/bcr-2017-222232.

Abstract

The objective of the study is to show possibilities of several combinations of suture techniques in a rare bicompartmental bucket handle injury. According to specific injury characteristics, combined suturing techniques were used. The option for different meniscal suture techniques in the two knee compartments allowed the patient, after completing the treatment, to return to his activities with a preserved meniscus. Although meniscectomy continues to be a chosen technique in bucket handle injury, we attempted to show a case of bicompartmental meniscal suture with different techniques. In this, which could be a case of rapid resolution and quick return to activities with bicompartmental meniscectomy, we chose to preserve the menisci with more complex techniques and longer rehabilitation, believing that the preservation of this structure could be extremely valuable in the long term.

摘要

本研究的目的是展示在罕见的双间室桶柄样损伤中几种缝合技术组合的可能性。根据特定的损伤特征,采用了联合缝合技术。两个膝关节间室采用不同半月板缝合技术的选择,使患者在完成治疗后能够保留半月板并恢复其活动。尽管半月板切除术仍是桶柄样损伤中常用的技术,但我们试图展示一例采用不同技术进行双间室半月板缝合的病例。在这种情况下,双间室半月板切除术可能是一种能快速解决问题并使患者快速恢复活动的方法,但我们选择采用更复杂的技术和更长时间的康复来保留半月板,因为我们相信从长远来看,保留这个结构可能具有极高的价值。

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本文引用的文献

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