Dean Robert S, DePhillipo Nicholas N, Monson Jill K, LaPrade Robert F
Twin Cities Orthopedics, Edina, Minnesota, U.S.A.
Oslo Sports Trauma Research Institute, Oslo, Norway.
Arthrosc Tech. 2020 Aug 7;9(8):e1211-e1218. doi: 10.1016/j.eats.2020.04.022. eCollection 2020 Aug.
Meniscal root tears are an increasingly recognized condition. These tears can cause the meniscus to become extruded outside the joint, which can diminish the biomechanical functionality of the meniscus. Anatomic repair of the meniscal root has previously been described, but this surgical procedure may not adequately address severe extrusion of the meniscal tissue. Additionally, when a primary anatomic repair fails, meniscal extrusion can increase, which can possibly accelerate joint degeneration if untreated. Therefore, the purpose of this Technical Note is to describe our surgical technique for revision medial meniscal root repair with a peripheral stabilization suture to address medial meniscal root tears with severe meniscal extrusion.
半月板根部撕裂是一种越来越受到认可的病症。这些撕裂会导致半月板向关节外突出,从而降低半月板的生物力学功能。此前已有关于半月板根部解剖修复的描述,但这种手术方法可能无法充分解决半月板组织的严重突出问题。此外,当初次解剖修复失败时,半月板突出会增加,如果不进行治疗,可能会加速关节退变。因此,本技术说明的目的是描述我们采用周边稳定缝线进行内侧半月板根部修复翻修的手术技术,以处理伴有严重半月板突出的内侧半月板根部撕裂。