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用于膝关节的采用无结锚钉和相互连接的交叉缝线滑动环的一期骨软骨骨折修复技术

One-Stage Osteochondral Fracture Repair Technique With Knotless Anchors and Interconnected Crossing Suture Sliding Loops for the Knee.

作者信息

Samitier Gonzalo, Vinagre Gustavo, Cugat Ramón, Seijas Roberto, Barastegui David

机构信息

Instituto Cugat, Hospital Quironsalud Barcelona, Barcelona, Spain.

Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

出版信息

Arthrosc Tech. 2020 Oct 23;9(11):e1813-e1818. doi: 10.1016/j.eats.2020.08.004. eCollection 2020 Nov.

DOI:10.1016/j.eats.2020.08.004
PMID:33294345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7695622/
Abstract

Osteochondral fractures of the knee represent a challenging entity to manage since there are many different surgical techniques for cartilage repair or other salvage procedures. In terms of cartilage repair, several hardware devices can be used, and many of them could imply a second-stage surgery for hardware removal. The purpose of this article is to describe in detail a one-stage osteochondral fracture repair technique with knotless anchors and interconnected crossing suture sliding loops for the knee. This technique is a one-stage open or arthroscopic procedure with an unlimited number of loops configurations with no particular need for a second surgery for hardware removal, no knot damage, and without the use of bone tunnels. It can be used in different cartilage anatomic locations, such as femoral condyles, trochlea, patella, or other joints.

摘要

膝关节骨软骨骨折是一种治疗颇具挑战性的病症，因为软骨修复或其他挽救手术有多种不同的外科技术。在软骨修复方面，可以使用多种硬件装置，其中许多可能意味着需要进行二期手术取出硬件。本文的目的是详细描述一种使用无结锚钉和相互连接的交叉缝合滑动环的膝关节一期骨软骨骨折修复技术。该技术是一种一期开放或关节镜手术，具有无限数量的环构型，无需进行二期手术取出硬件，无结损伤，且无需使用骨隧道。它可用于不同的软骨解剖位置，如股骨髁、滑车、髌骨或其他关节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/c5433f7c70a4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/2fa43696c8cc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/e157996d1c64/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/d69e558f7d94/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/c5433f7c70a4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/2fa43696c8cc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/e157996d1c64/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/d69e558f7d94/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5341/7695622/c5433f7c70a4/gr4.jpg

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Arthrosc Tech. 2023 Nov 6;12(12):e2133-e2139. doi: 10.1016/j.eats.2023.07.038. eCollection 2023 Dec.
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Arthrosc Tech. 2023 Jun 19;12(7):e1127-e1131. doi: 10.1016/j.eats.2023.02.051. eCollection 2023 Jul.

本文引用的文献

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Reconstruction of Large Osteochondral Defects Using a Hemicondylar Aragonite-Based Implant in a Caprine Model.使用基于扇形珊瑚的植入物在山羊模型中重建大型骨软骨缺损。
Arthroscopy. 2020 Jul;36(7):1884-1894. doi: 10.1016/j.arthro.2020.02.026. Epub 2020 Feb 28.
2
Neglected Pediatric Osteochondral Fracture Dislocation of the Patella.儿童髌骨骨软骨骨折脱位的漏诊
Case Rep Orthop. 2019 Oct 21;2019:2904782. doi: 10.1155/2019/2904782. eCollection 2019.
3
Utility of Bioabsorbable Fixation of Osteochondral Lesions in the Adolescent Knee: Outcomes Analysis With Minimum 2-Year Follow-up.
青少年膝关节骨软骨损伤生物可吸收固定的效用：至少2年随访的结果分析
Orthop J Sports Med. 2019 Oct 28;7(10):2325967119876896. doi: 10.1177/2325967119876896. eCollection 2019 Oct.
4
Late Repair, One Year After a Knee Twisting Injury, of a Missed Femoral Trochlea Osteochondral Fragment, With Bioabsorbable Nails, in a 14-Year-Old Boy.一名14岁男孩在膝关节扭伤一年后，采用生物可吸收钉对漏诊的股骨滑车骨软骨碎片进行晚期修复。
J Am Acad Orthop Surg Glob Res Rev. 2019 Aug 5;3(8):e040. doi: 10.5435/JAAOSGlobal-D-18-00040. eCollection 2019 Aug.
5
Clinical outcomes after absorbable suture fixation of patellar osteochondral fracture following patellar dislocation.髌骨脱位后髌骨骨软骨骨折采用可吸收缝线固定后的临床疗效
Ann Transl Med. 2019 Apr;7(8):173. doi: 10.21037/atm.2019.03.52.
6
Treatment of Osteochondritis Dissecans of the Knee with Autologous Iliac Bone Graft and Hyaluronic Acid Scaffold.自体髂骨移植联合透明质酸支架治疗膝关节剥脱性骨软骨炎
Knee Surg Relat Res. 2019 Jun 1;31(2):143-146. doi: 10.5792/ksrr.18.053.
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Suture wear particles cause a significant inflammatory response in a murine synovial airpouch model.缝线磨损颗粒在小鼠滑膜气囊模型中引发显著的炎症反应。
J Orthop Surg Res. 2018 Dec 6;13(1):311. doi: 10.1186/s13018-018-1026-4.
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The history of suture anchors in orthopaedic surgery.骨科手术中缝合锚钉的历史。
Clin Biomech (Bristol). 2019 Jan;61:70-78. doi: 10.1016/j.clinbiomech.2018.11.008. Epub 2018 Nov 23.
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Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report.急性髌骨脱位后采用骨缝合术治疗股骨髁骨软骨骨折：一例报告
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