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社论评论:修复半月板放射状撕裂的努力仍在继续。

Editorial Commentary: Efforts to Heal Meniscal Radial Tears Are Ongoing.

机构信息

HanYang University Myongji Hospital.

KonKuk University Medical Center.

出版信息

Arthroscopy. 2021 Mar;37(3):941-943. doi: 10.1016/j.arthro.2020.12.002.

Abstract

Meniscal radial tears are equivalent to the meniscectomized state. However, successful healing rates by current repair methods for meniscal radial tears are still not satisfactory. Several suture configurations that could approximate the tear gap and stabilize meniscal tissue have been developed to overcome the shortcomings of simple horizontal stitches and cross stitches. The hybrid stitch method, composed of horizontal stitches and vertical stitches, has been introduced. This method can provide stable fixation because the vertical stitches suture the bundle of circumferential fibers, and the vertical stitches act as rip stops for the horizontal stitches. However, it is still challenging to heal meniscal radial tears in avascular areas or complex tears. In treating radial tears, it is important not only to improve suture mechanics but also to promote biologic healing potential.

摘要

半月板放射状撕裂等同于半月板切除术状态。然而,目前半月板放射状撕裂的修复方法的愈合率仍不尽如人意。已经开发了几种缝线结构,可以接近撕裂间隙并稳定半月板组织,以克服单纯水平缝线和十字缝线的缺点。引入了由水平缝线和垂直缝线组成的混合缝线方法。这种方法可以提供稳定的固定,因为垂直缝线缝合了环形纤维束,并且垂直缝线充当了水平缝线的撕裂止动器。然而,在治疗无血管区域或复杂撕裂的半月板放射状撕裂时仍然具有挑战性。在治疗放射状撕裂时,不仅要改善缝线力学,还要促进生物愈合潜能。

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