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关节镜下半月板外周撕裂的缝合术

Arthroscopic suture of peripheral meniscal tears.

作者信息

Johannsen H V, Fruensgaard S, Holm A, Toennesen P A

机构信息

Department of Orthopaedic Surgery, Horsens Hospital, Denmark.

出版信息

Int Orthop. 1988;12(4):287-90. doi: 10.1007/BF00317826.

Abstract

Twenty-nine patients underwent meniscal repair using an inside-to-out technique and instruments developed in our department. The tears were more than 1.5 cm in length, vertical, and located in the outer third of the meniscus. The torn segment was mobile, the remainder of the meniscus stable. After six months, fourteen out of sixteen patients achieved a good or excellent Lysholm knee score. We conclude that the technique is safe and reliable and allows better access than an arthrotomy. Care must be taken to avoid neurovascular injury.

摘要

29例患者采用我们科室研发的由内向外技术及器械进行半月板修复。撕裂长度超过1.5厘米,呈垂直状,位于半月板外三分之一处。撕裂段可活动,半月板其余部分稳定。六个月后,16例患者中有14例获得了良好或优秀的Lysholm膝关节评分。我们得出结论,该技术安全可靠,比切开手术具有更好的入路。必须注意避免神经血管损伤。

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