Steiner Samuel R H, Feeley Scott M, Ruland Jeffrey R, Diduch David R
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia, U.S.A.
Arthrosc Tech. 2018 Feb 26;7(3):e285-e288. doi: 10.1016/j.eats.2017.09.006. eCollection 2018 Mar.
The lateral meniscus is vital in dissipating the force in the lateral compartment of the knee. A complete radial tear of the meniscus can lead to extrusion, rendering it nonfunctional and resulting in deleterious arthritic changes to the lateral compartment. Arthroscopic repair of a complete radial tear of the lateral meniscus poses a challenge to orthopaedic surgeons. Although some would advocate for meniscectomy, we present a technique for an outside-in repair using 3 sutures and standard arthroscopic portals. Overall, this provides for an excellent reduction of the meniscus.
外侧半月板对于分散膝关节外侧间室的力量至关重要。半月板完全放射状撕裂可导致其挤出,使其失去功能,并导致外侧间室出现有害的关节炎改变。外侧半月板完全放射状撕裂的关节镜修复对骨科医生来说是一项挑战。尽管有些人主张半月板切除术,但我们介绍一种使用3根缝线和标准关节镜入路进行由外向内修复的技术。总体而言,这能实现半月板的良好复位。