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1
Arthroscopic Medial Meniscal Root Reconstruction With Gracilis Autograft Is Safe and Improves 2-Year Postoperative Patient-Reported Outcomes.采用自体股薄肌进行关节镜下内侧半月板根部重建术安全且能改善患者术后2年的自我报告结局。
Arthrosc Sports Med Rehabil. 2022 Jun 3;4(4):e1339-e1346. doi: 10.1016/j.asmr.2022.04.018. eCollection 2022 Aug.

本文引用的文献

1
Arthroscopic Medial Meniscus Posterior Root Reconstruction Using Auto-Gracilis Tendon.关节镜下使用自体股薄肌腱重建内侧半月板后根
Arthrosc Tech. 2017 Aug 28;6(4):e1431-e1435. doi: 10.1016/j.eats.2017.07.014. eCollection 2017 Aug.
2
Posterior meniscal root injuries.后半月板根部损伤。
Acta Orthop. 2016 Oct;87(5):452-8. doi: 10.1080/17453674.2016.1202945. Epub 2016 Jun 27.
3
Arthroscopic Transtibial Pullout Repair for Posterior Medial Meniscus Root Tears: A Systematic Review of Clinical, Radiographic, and Second-Look Arthroscopic Results.关节镜下经胫骨拉出修复术治疗后内侧半月板根部撕裂：临床、影像学及二次关节镜检查结果的系统评价
Arthroscopy. 2015 Sep;31(9):1808-16. doi: 10.1016/j.arthro.2015.03.022. Epub 2015 May 13.
4
Second-look arthroscopic assessment and clinical results of modified pull-out suture for posterior root tear of the medial meniscus.改良拉出式缝线治疗内侧半月板后根部撕裂的二次关节镜评估及临床结果
Knee Surg Relat Res. 2014 Jun;26(2):106-13. doi: 10.5792/ksrr.2014.26.2.106. Epub 2014 May 30.
5
Biomechanical comparison between suture anchor and transtibial pull-out repair for posterior medial meniscus root tears.后内侧半月板根部撕裂的缝合锚钉与胫骨隧道拉出修复的生物力学比较。
Am J Sports Med. 2014 Jan;42(1):187-93. doi: 10.1177/0363546513502946. Epub 2013 Sep 9.
6
Medial meniscus root tear refixation: comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy.内侧半月板后根部撕裂修复固定：与内侧半月板切除术的临床、放射学和关节镜检查结果比较。
Arthroscopy. 2011 Mar;27(3):346-54. doi: 10.1016/j.arthro.2010.08.005. Epub 2010 Oct 29.
7
The effect of a nonanatomic repair of the meniscal horn attachment on meniscal tension: a biomechanical study.半月板horn 附着处非解剖修复对半月板张力的影响：一项生物力学研究。
Arthroscopy. 2010 Mar;26(3):358-65. doi: 10.1016/j.arthro.2009.08.013. Epub 2010 Jan 1.
8
Arthroscopic pullout suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up.关节镜下经皮缝线修复内侧半月板后根部撕裂：2 年随访的放射学和临床结果。
Arthroscopy. 2009 Sep;25(9):951-8. doi: 10.1016/j.arthro.2009.03.018.
9
Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy.内侧半月板后根部撕裂的生物力学后果。类似于全半月板切除术。
J Bone Joint Surg Am. 2008 Sep;90(9):1922-31. doi: 10.2106/JBJS.G.00748.

后根内侧半月板重建：慢性后根半月板损伤治疗的一种选择。

Posterior root medial meniscus reconstruction: an option in chronic posterior root meniscal injury management.

作者信息

Prasetia Renaldi, Chernchujit Bancha

机构信息

Department of Orthopedics- Traumatology, Thammasat University Hospital, Pathumtani, Thailand.

Department of Orthopaedic-Traumatology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin Hospital, Bandung, Indonesia.

出版信息

BMJ Case Rep. 2018 Jun 20;2018:bcr-2017-223068. doi: 10.1136/bcr-2017-223068.

DOI:10.1136/bcr-2017-223068
PMID:29930165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6020895/
Abstract

Posterior root medial meniscus (PRMM) tears have shown to be biomechanically equivalent to complete meniscectomy. Drawbacks from PRMM tears repair are unsatisfactory healing rates. In this case report, we outlined a PRMM reconstruction with gracilis graft healing outcome in chronic PRMM tear case, based on clinical and MRI evaluation. A 60-year-old man reported a chief complaint of increasing pain on the right knee joint in the last 1 year after a deep-flexion injury. On MRI investigation, we confirmed the chronic PRMM tear as Osteoarthritis Kellgren-Lawrence grade II. Then, we planned to perform a PRMM reconstruction with gracilis graft per arthroscopy. At the 6-month MRI evaluation, we found healing of the attached PRMM on its footprints, with intact graft transition from the meniscus to the tibial bone tunnel.

摘要

后根内侧半月板（PRMM）撕裂在生物力学上已被证明等同于完全半月板切除术。PRMM撕裂修复的缺点是愈合率不尽人意。在本病例报告中，我们基于临床和MRI评估，概述了在慢性PRMM撕裂病例中使用股薄肌移植物进行PRMM重建的愈合结果。一名60岁男性主诉在一次深度屈曲损伤后的过去1年中右膝关节疼痛加剧。经MRI检查，我们确诊为慢性PRMM撕裂，骨关节炎Kellgren-Lawrence分级为II级。然后，我们计划通过关节镜使用股薄肌移植物进行PRMM重建。在6个月的MRI评估中，我们发现附着的PRMM在其足迹处愈合，移植物从半月板到胫骨骨隧道的过渡完整。