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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.

DOI:10.1007/BF00317826
PMID:3065254
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。

相似文献

1
Arthroscopic suture of peripheral meniscal tears.关节镜下半月板外周撕裂的缝合术
Int Orthop. 1988;12(4):287-90. doi: 10.1007/BF00317826.
2
Arthroscopic meniscal repair with an all-inside suture system.使用全内缝合系统进行关节镜下半月板修复。
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引用本文的文献

1
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2
Recommendations for the diagnosis of traumatic meniscal injuries in athletes.运动员外伤性半月板损伤的诊断建议。
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本文引用的文献

1
Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci.膝关节的负重模式:有或没有半月板时膝关节的物理行为。
Clin Orthop Relat Res. 1980 Jun(149):283-90.
2
Microvasculature of the human meniscus.人类半月板的微血管系统。
Am J Sports Med. 1982 Mar-Apr;10(2):90-5. doi: 10.1177/036354658201000205.
3
Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale.膝关节韧带手术结果评估,特别强调评分量表的使用。
Am J Sports Med. 1982 May-Jun;10(3):150-4. doi: 10.1177/036354658201000306.
4
Development of the menisci of the human knee joint. Morphological changes and their potential role in childhood meniscal injury.人类膝关节半月板的发育。形态学变化及其在儿童半月板损伤中的潜在作用。
J Bone Joint Surg Am. 1983 Apr;65(4):538-47.
5
The microvasculature of the meniscus and its response to injury. An experimental study in the dog.半月板的微血管系统及其对损伤的反应。一项在犬类身上的实验研究。
Am J Sports Med. 1983 May-Jun;11(3):131-41. doi: 10.1177/036354658301100305.
6
Arthroscopy of the knee. An analysis of 588 consecutive knee arthroscopies.膝关节镜检查。对588例连续膝关节镜检查的分析。
Acta Orthop Scand. 1983 Feb;54(1):24-8. doi: 10.3109/17453678308992865.
7
Suture of new and old peripheral meniscus tears.新旧外侧半月板撕裂的缝合
J Bone Joint Surg Am. 1983 Feb;65(2):193-7. doi: 10.2106/00004623-198365020-00007.
8
Late results after meniscectomy.半月板切除术后的远期结果
J Bone Joint Surg Am. 1969 Apr;51(3):517-26 passim.
9
Studies on the vasculature of the human knee joint.关于人体膝关节血管系统的研究。
Acta Anat (Basel). 1968;70(3):305-31. doi: 10.1159/000143133.
10
Factors effecting late results after meniscectomy.半月板切除术后影响远期疗效的因素。
J Bone Joint Surg Am. 1974 Jun;56(4):719-29.