Brooks Kenneth R
Houston Methodist Orthopedics and Sports Medicine, Houston Methodist St. John Hospital, Nassau Bay, Texas, U.S.A.
Arthrosc Tech. 2017 Oct 2;6(5):e1767-e1773. doi: 10.1016/j.eats.2017.06.053. eCollection 2017 Oct.
Horizontal cleavage and horizontal oblique meniscal tears have traditionally been treated with partial meniscectomy. Recent research has shown the deleterious long-term effects of meniscectomy in these patients regarding the development of osteoarthritis. Meniscal preservation is thus the preferred method of surgical treatment in patients with these tears. However, traditional repair techniques using inside-out sutures or suture anchor-based devices do not address the horizontally aligned nature of these particular tears and thus do not compress the meniscal tissue in the correct plane. The recent development of an arthroscopic suture-passing system now allows surgeons to place arthroscopic sutures in any pattern or direction. This allows surgeons to treat tears of any type with sutures ideally placed to repair the given tears. This Technical Note describes and demonstrates 2 all-suture, all-inside, arthroscopic meniscus repair techniques to treat these challenging horizontal tear types. The repair techniques are named the vertical lasso and horizontal lasso.
传统上，水平劈裂和水平斜行半月板撕裂一直采用半月板部分切除术治疗。最近的研究表明，半月板切除术对这些患者骨关节炎的发展具有有害的长期影响。因此，半月板保留是这些撕裂患者手术治疗的首选方法。然而，使用由外向内缝合或基于缝线锚钉的装置的传统修复技术无法解决这些特定撕裂的水平排列特性，因此无法在正确平面上压缩半月板组织。关节镜缝线传递系统的最新进展现在使外科医生能够以任何模式或方向放置关节镜缝线。这使得外科医生能够用理想放置的缝线治疗任何类型的撕裂，以修复给定的撕裂。本技术说明描述并演示了两种全缝线、全关节镜下的半月板修复技术，用于治疗这些具有挑战性的水平撕裂类型。修复技术分别称为垂直套索和水平套索。
