Woodmass Jarret M, Johnson Nick R, Levy Bruce A, Stuart Michael J, Krych Aaron J
Departments of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.
Arthrosc Tech. 2017 Aug 7;6(4):e1215-e1220. doi: 10.1016/j.eats.2017.04.016. eCollection 2017 Aug.
Lateral meniscus tears are commonly encountered by orthopaedic surgeons. Despite efforts to repair and preserve the meniscus, meniscectomy is occasionally required to treat irreparable tears. The resulting lateral meniscus deficiency leads to increased tibiofemoral contact pressures and ultimately early osteoarthritic changes in the knee. Lateral meniscal allograft transplant (LMAT) has been proposed as a way to restore the lateral meniscus-deficient knee to its native form. Although several techniques for LMAT have been proposed, osseous fixation has demonstrated increased stability, improved outcomes, and improved long-term survival. This article presents a technique for LMAT using bone plugs and standard arthroscopic portals.
外侧半月板撕裂是骨科医生常见的病症。尽管努力修复和保留半月板，但有时仍需进行半月板切除术来治疗无法修复的撕裂。由此产生的外侧半月板缺损会导致胫股关节接触压力增加，并最终导致膝关节早期骨关节炎改变。外侧半月板同种异体移植（LMAT）已被提议作为一种将外侧半月板缺损的膝关节恢复到其原始形态的方法。尽管已经提出了几种LMAT技术，但骨固定已显示出更高的稳定性、更好的疗效和更长的长期存活率。本文介绍了一种使用骨栓和标准关节镜入路进行LMAT的技术。
