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半月板同种异体移植的影像学表现:放射科医师须知。

Imaging of meniscal allograft transplantation: what the radiologist needs to know.

机构信息

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Division of Musculoskeletal Imaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Skeletal Radiol. 2021 Apr;50(4):615-627. doi: 10.1007/s00256-020-03631-5. Epub 2020 Oct 3.

DOI:10.1007/s00256-020-03631-5
PMID:33011872
Abstract

Meniscal allograft transplantation is an emerging surgical option for younger patients with symptomatic meniscal deficiency, which aims to restore anatomic biomechanics and load distribution in the knee joint, and by so doing to potentially delay accelerated osteoarthritis. In this review article, we summarize the structure and biomechanics of the native meniscus, describe indications and procedure technique for meniscal allograft transplantation, and demonstrate the spectrum of expected postoperative imaging and role of imaging to identify potential complications.

摘要

半月板同种异体移植是一种新兴的手术选择,适用于有症状的半月板缺失的年轻患者,旨在恢复膝关节的解剖生物力学和负荷分布,并由此可能延缓加速性骨关节炎的发生。在这篇综述文章中,我们总结了天然半月板的结构和生物力学特性,描述了半月板同种异体移植的适应证和手术技术,并展示了预期的术后影像学表现和影像学在识别潜在并发症中的作用。

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Which modality is most accurate in sizing meniscal allografts for transplant - A systematic review.哪种方式在测量用于移植的半月板同种异体移植物大小时最为准确——一项系统评价。
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Viable Vitreous Grafts of Whole Porcine Menisci for Transplant in the Knee and Temporomandibular Joints.用于膝关节和颞下颌关节移植的全猪半月板的可行玻璃体移植物。
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Serial ultrasonographic imaging can predict failure after meniscus allograft transplantation.

本文引用的文献

1
Correlation analysis of potential factors influencing graft maturity based on MRI after lateral meniscal allograft transplantation.基于 MRI 的外侧半月板移植后影响移植物成熟的潜在因素的相关性分析。
Sci Rep. 2020 Jul 9;10(1):11250. doi: 10.1038/s41598-020-68153-5.
2
Treatment of Meniscal Deficiency with Meniscal Allograft Transplantation and Femoral Osteotomy in a Patient with History of Lateral Discoid Meniscus: 15-Year Follow-up Case Report.异体半月板移植联合股骨截骨治疗外侧盘状半月板切除术后半月板缺失:15 年随访病例报告。
JBJS Case Connect. 2020 Jan-Mar;10(1):e0079. doi: 10.2106/JBJS.CC.19.00079.
3
Meniscal Allograft Transplants.
连续超声成像可预测同种异体半月板移植术后的失败情况。
Ultrasound. 2023 May;31(2):139-146. doi: 10.1177/1742271X221131283. Epub 2022 Nov 16.
半月板同种异体移植。
Clin Sports Med. 2020 Jan;39(1):93-123. doi: 10.1016/j.csm.2019.08.013.
4
Meniscus Form and Function.半月板的形态与功能。
Clin Sports Med. 2020 Jan;39(1):1-12. doi: 10.1016/j.csm.2019.08.007.
5
The biomechanical role of meniscal allograft transplantation and preliminary in-vivo kinematic evaluation.半月板同种异体移植的生物力学作用及初步体内运动学评估
J Exp Orthop. 2019 Jun 25;6(1):27. doi: 10.1186/s40634-019-0196-2.
6
Meniscus allograft transplantation: indications, techniques and outcomes.半月板同种异体移植:适应症、技术及结果。
EFORT Open Rev. 2019 Apr 25;4(4):115-120. doi: 10.1302/2058-5241.4.180052. eCollection 2019 Apr.
7
Meniscal allograft transplantation after meniscectomy: clinical effectiveness and cost-effectiveness.半月板切除术后半月板同种异体移植:临床疗效和成本效益。
Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1825-1839. doi: 10.1007/s00167-019-05504-4. Epub 2019 Apr 13.
8
The Meniscus in Normal and Osteoarthritic Tissues: Facing the Structure Property Challenges and Current Treatment Trends.正常和骨关节炎组织中的半月板:直面结构-性能挑战和当前治疗趋势。
Annu Rev Biomed Eng. 2019 Jun 4;21:495-521. doi: 10.1146/annurev-bioeng-060418-052547. Epub 2019 Apr 8.
9
Meniscal allograft transplantation: undersizing grafts can lead to increased rates of clinical and mechanical failure.半月板同种异体移植:移植物尺寸过小会导致临床和机械失败的发生率增加。
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Sports Health. 2019 Mar/Apr;11(2):123-133. doi: 10.1177/1941738118819723. Epub 2019 Jan 14.