Buyukdogan Kadir, Laidlaw Michael S, Miller Mark D
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, U.S.A.
Arthrosc Tech. 2017 Aug 21;6(4):e1379-e1386. doi: 10.1016/j.eats.2017.05.029. eCollection 2017 Aug.
The identification of meniscal ramp lesions can be quite difficult or even impossible with conventional anterior arthroscopic viewing and working portals. Although even the use of transnotch viewing maneuvers into the posteromedial compartment increases the likelihood of diagnosis, it is the posteromedial and trans-septal portals that provide the best direct visualization of these many times "hidden lesions." In this surgical technique description, we describe a method to not only adequately visualize the ramp lesion, but also provide subtle variations to existing surgical techniques that can help limit injury to neurovascular structures as well as gain satisfactory vertical suture repair of this posteromedial meniscocapsular injury.
使用传统的前侧关节镜观察和操作通道，很难甚至不可能识别半月板斜坡损伤。尽管即使采用经切口观察手法进入后内侧间室也会增加诊断的可能性，但后内侧和经隔膜通道能对这些常常“隐匿的损伤”提供最佳的直接可视化。在本手术技术描述中，我们描述了一种方法，不仅能充分可视化斜坡损伤，还能对现有手术技术进行细微改进，这有助于限制对神经血管结构的损伤，并对这种后内侧半月板-关节囊损伤进行满意的垂直缝合修复。
