Milenin Oleg, Strafun Sergiy, Sergienko Ruslan, Baranov Kirill
National Medical Surgical Center, Moscow, Russia.
Department of Microsurgery and Reconstructive Surgery of the Upper Extremity, SI "Institute of Traumatology and Orthopaedics" of National Academy of Medical Sciences of Ukraine, Kiev, Ukraine.
Arthrosc Tech. 2020 Jul 22;9(8):e1163-e1169. doi: 10.1016/j.eats.2020.04.016. eCollection 2020 Aug.
Nowadays, several techniques are available for preserving the lateral aspect of the knee after meniscectomy; meniscus transplantation is the gold standard, and meniscus scaffold implantation is an effective alternative. However, meniscus transplantation is technically difficult and has many potential complications, whereas scaffolds resorb over time. Autografts are commonly used for labroplasty in shoulder and hip surgeries. We attempted to adapt this technique to the knee, using autografts for meniscus replacement. In this report, we describe a meniscus-replacement technique, using a peroneus longus autograft, for lateral meniscus deficits. This technique significantly simplifies the procedure and is cost effective, and thus can be considered as an alternative technique for preventing osteoarthritis of the lateral aspect of the knee.
如今，半月板切除术后有多种技术可用于保留膝关节外侧；半月板移植是金标准，半月板支架植入是一种有效的替代方法。然而，半月板移植技术难度大且有许多潜在并发症，而支架会随时间吸收。自体移植常用于肩部和髋部手术的盂唇成形术。我们试图将该技术应用于膝关节，使用自体移植进行半月板置换。在本报告中，我们描述了一种使用自体腓骨长肌进行外侧半月板缺损置换的技术。该技术显著简化了手术过程且具有成本效益，因此可被视为预防膝关节外侧骨关节炎的一种替代技术。
