儿童和青少年半月板修复的结果
Outcomes of Meniscus Repair in Children and Adolescents.
作者信息
Yang Brian W, Liotta Elizabeth S, Paschos Nikolaos
机构信息
Division of Sports Medicine, Department of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
出版信息
Curr Rev Musculoskelet Med. 2019 Jun;12(2):233-238. doi: 10.1007/s12178-019-09554-6.
PURPOSE OF REVIEW
The purpose of this study was to review the clinical and functional outcomes of meniscus repair in children and adolescents.
RECENT FINDINGS
The sequel of meniscal tears and the outcome of meniscus repair have been well studied in adults. However, these topics have received less attention in the pediatric population despite the high prevalence and potentially critical effect on long-term knee function in children. Meniscus repair has a healing rate ranging from 33 to 100% with less than 40% reoperation rate. Several factors have been suggested to play a role in healing, such as concomitant ACL reconstruction and complexity of the tear. There is a lack of standardization among the utilization of functional outcome and activity level questionnaires across studies; however, most report improved function postoperatively. Other important considerations include bucket handle tears, the discoid meniscus, rehabilitation and return to sports, and alternatives after failed meniscus repair. Based on the favorable outcomes reported, meniscus repair should be attempted in most meniscus tears in children.
综述目的
本研究旨在回顾儿童和青少年半月板修复的临床及功能结果。
最新发现
半月板撕裂的后遗症及半月板修复的结果在成人中已有充分研究。然而，尽管儿童半月板撕裂的发生率很高且可能对膝关节长期功能产生关键影响，但这些主题在儿科人群中受到的关注较少。半月板修复的愈合率在33%至100%之间，再次手术率低于40%。有几种因素被认为在愈合过程中起作用，如同时进行前交叉韧带重建和撕裂的复杂性。各研究在功能结果和活动水平问卷的使用上缺乏标准化；然而，大多数研究报告术后功能有所改善。其他重要考虑因素包括桶柄状撕裂、盘状半月板、康复及恢复运动，以及半月板修复失败后的替代方案。基于所报告的良好结果，对于大多数儿童半月板撕裂应尝试进行半月板修复。
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