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关节镜下直接半月板挤压复位:半月板根部修复中减少持续性半月板挤压的手术技巧

Arthroscopic direct meniscal extrusion reduction: surgical tips to reduce persistent meniscal extrusion in meniscal root repair.

作者信息

Chernchujit Bancha, Prasetia Renaldi

机构信息

Department of Orthopaedics Surgery, Faculty of Medicine, Thammasat University Hospital, Pathumtani, Thailand.

Department of Orthopaedics Surgery, Faculty of Medicine, University Padjadjaran, Dr.Hasan Sadikin Hospital, Bandung, Indonesia.

出版信息

Eur J Orthop Surg Traumatol. 2018 May;28(4):727-734. doi: 10.1007/s00590-018-2138-6. Epub 2018 Feb 14.

DOI:10.1007/s00590-018-2138-6
PMID:29445968
Abstract

Meniscal extrusion (ME) is defined as extension of the meniscal margin by at least 3 mm beyond the tibial margin. The main purpose of meniscal root repair is to restore the anatomy and function of the meniscus. Therefore, the reduction in the ME is one of the important objective outcomes. Nevertheless, the reduced meniscal extrusion was obtained in limited patients after meniscal root repair. This technical note described the arthroscopic direct meniscal extrusion reduction as surgical tips to reduce persistent meniscal extrusion in posterior meniscal root repair.

摘要

半月板挤出(ME)被定义为半月板边缘延伸至超出胫骨边缘至少3毫米。半月板根部修复的主要目的是恢复半月板的解剖结构和功能。因此,ME的减少是重要的客观结果之一。然而,半月板根部修复后仅有少数患者的半月板挤出得到减少。本技术说明介绍了关节镜下直接半月板挤出复位术,作为减少后半月板根部修复中持续存在的半月板挤出的手术技巧。

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本文引用的文献

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Both Posterior Root Lateral-Medial Meniscus Tears With Anterior Cruciate Ligament Rupture: The Step-by-Step Systematic Arthroscopic Repair Technique.后交叉韧带外侧 - 内侧半月板撕裂合并前交叉韧带断裂:逐步系统关节镜修复技术
Arthrosc Tech. 2017 Oct 23;6(5):e1937-e1943. doi: 10.1016/j.eats.2017.07.018. eCollection 2017 Oct.
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Increased extrusion and ICRS grades at 2-year follow-up following transtibial medial meniscal root repair evaluated by MRI.MRI 评估经胫骨内侧半月板根部修复后 2 年随访时的挤出和 ICRS 分级增加。
Knee Surg Sports Traumatol Arthrosc. 2018 Sep;26(9):2826-2834. doi: 10.1007/s00167-017-4755-8. Epub 2017 Nov 2.
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The meniscotibial ligament role in meniscal extrusion: a systematic review and meta-analysis.
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Ultrasound guided arthroscopic meniscus surgery.超声引导关节镜半月板手术。
J Ultrasound. 2023 Jun;26(2):577-581. doi: 10.1007/s40477-022-00680-5. Epub 2022 May 16.
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Current concepts on meniscal repairs.半月板修复的当前概念。
J Clin Orthop Trauma. 2022 Mar 3;27:101810. doi: 10.1016/j.jcot.2022.101810. eCollection 2022 Apr.
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Quantifying the differential functional behavior between the medial and lateral meniscus after posterior meniscus root tears.定量分析后半月板根部撕裂后内侧和外侧半月板的功能差异行为。
PLoS One. 2021 Nov 10;16(11):e0259678. doi: 10.1371/journal.pone.0259678. eCollection 2021.
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