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社论评论:半月板信息——什么是可行的,还是什么是明智的?

Editorial Commentary: Meniscus Message-What Is Possible or What Is Advisable?

机构信息

University of Queensland.

出版信息

Arthroscopy. 2020 Jan;36(1):261-262. doi: 10.1016/j.arthro.2019.10.023.

DOI:10.1016/j.arthro.2019.10.023
PMID:31864587
Abstract

Distal femoral varus osteotomy combined with meniscal allograft transplantation is a major surgical undertaking, not without risk and not to be taken on lightly by either the surgeon or the patient. It really is a salvage operation for a knee that is deteriorating and heading for arthroplasty at some future point. It is not an operation that should be offered to patients to allow them to return to sport. The fact that some patients do return to sport is good and is a credit to the operation and the patient's tenacity with rehabilitation, but we must question the rationale of such activity, which will most likely hasten the demise of the joint.

摘要

股骨远端内翻截骨术联合半月板同种异体移植是一项重大的手术,无论是外科医生还是患者,都不应轻易进行,因为它并非没有风险。对于那些正在恶化、未来某个时候将要进行关节置换的膝关节来说,这确实是一种挽救性手术。它不应该作为一种让患者重返运动的手术方式。有些患者确实能够重返运动,这是一个很好的现象,也是手术和患者在康复过程中坚韧不拔的证明,但我们必须质疑这种活动的合理性,因为它很可能会加速关节的恶化。

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引用本文的文献

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Return to sport following distal femur osteotomy: a systematic review.股骨远端截骨术后重返运动:一项系统评价
Orthop Rev (Pavia). 2022 Apr 25;14(2):33774. doi: 10.52965/001c.33774. eCollection 2022.