Henning C E, Clark J R, Lynch M A, Stallbaumer R, Yearout K M, Vequist S W
Instr Course Lect. 1988;37:209-21.
The transarticular arthroscopic approach with a posterior incision provided a method of repairing more than 98% of unstable meniscus tears encountered between November 1983 and November 1986. A clinically stable bond was obtained in most of these tears with a subjective failure rate of 2% or less. There was a trend towards better healing of isolated meniscus repairs and lateral meniscus tears less than eight weeks old associated with ACL reconstruction when a blood clot injection was used to supplement the rasp abrasion of the parameniscal synovium. Healing of rim widths to 5 mm can be obtained with these methods. Indications for meniscus repair include all lateral meniscus tears and all medial meniscus tears except when repair of a stump would not replace 25% or more of the missing area. In our experience, this includes more than 98% of all unstable meniscus tears. Contraindications to meniscus repair include short (10 mm or less) stable tears, partial thickness (less than 50% of vertical height), and shallow radial tears (3 mm or less in depth). The posterior incision and popliteal retractor are necessary to protect the popliteal neurovascular structures.
经关节镜后路切口入路为修复1983年11月至1986年11月间遇到的98%以上的不稳定半月板撕裂提供了一种方法。这些撕裂中的大多数获得了临床稳定的愈合，主观失败率为2%或更低。当使用血凝块注射来补充半月板旁滑膜的锉磨时，孤立的半月板修复以及与前交叉韧带重建相关的小于8周的外侧半月板撕裂有更好的愈合趋势。使用这些方法可使边缘宽度达5mm的损伤愈合。半月板修复的适应证包括所有外侧半月板撕裂以及除残端修复不能替代缺失面积的25%或更多之外的所有内侧半月板撕裂。根据我们的经验，这包括所有不稳定半月板撕裂的98%以上。半月板修复的禁忌证包括短的（10mm或更短）稳定撕裂、部分厚度（垂直高度小于50%）以及浅的放射状撕裂（深度3mm或更浅）。后路切口和腘窝牵开器对于保护腘窝神经血管结构是必要的。
