Kim Sung-Jae, Chang Woo-Hyuk, Lee Su-Keon, Chung Ju-Hwan, Ryu Keun-Jung, Kim Sul-Gee
Department of Orthopaedic Surgery, Gangnam Yonseisarang Hospital, Seoul, Republic of Korea.
Kim & Chung Orthopaedic Clinic, Gwangmyeong, Republic of Korea.
Arthrosc Tech. 2018 Dec 24;8(1):e65-e73. doi: 10.1016/j.eats.2018.09.004. eCollection 2019 Jan.
Large posterolateral corner loss type of discoid lateral meniscus tear is unsalvageable. Therefore, subtotal meniscectomy has been the only treatment option in this case. However, long-term results of subtotal or total meniscectomy have shown a high prevalence of early degenerative changes. Persistent symptoms, such as increased pain, snapping, giving way, locking, and limited extension, can be attributed to progressive loss of posterior tibial meniscal attachment and meniscal degeneration, especially in the posterior horn. The purpose of this technique-based article is to describe a partial repair, posterior horn repair augmented with the central portion of the discoid lateral meniscus that would have been removed if a subtotal meniscectomy were performed and bone marrow stimulation in the intercondylar notch to improve meniscal healing.
盘状外侧半月板撕裂的大型后外侧角缺失型无法挽救。因此，在这种情况下，次全半月板切除术一直是唯一的治疗选择。然而，次全或全半月板切除术的长期结果显示，早期退变改变的发生率很高。持续的症状，如疼痛加剧、弹响、打软腿、绞锁和伸展受限，可归因于胫骨后半月板附着的逐渐丧失和半月板退变，尤其是在后角。这篇基于技术的文章的目的是描述一种部分修复方法，即通过盘状外侧半月板的中央部分加强后角修复，如果进行次全半月板切除术，该中央部分本应被切除，并在髁间切迹进行骨髓刺激以促进半月板愈合。
