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全层内侧半月板径向撕裂:采用经胫骨无结缝线锚钉的由外向内技术进行固定

Full-Thickness Radial Medial Meniscal Tear: Fixation With Inside-Out Technique With Tibial Knotless Suture Anchors.

作者信息

Ruzbarsky Joseph J, Johannsen Adam, Arner Justin W, Peebles Annalise M, Mologne Mitchell S, Provencher Connor M, Provencher Matthew T

机构信息

Steadman Clinic, Vail, Colorado, U.S.A.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2021 Feb 15;10(3):e841-e845. doi: 10.1016/j.eats.2020.10.075. eCollection 2021 Mar.

DOI:10.1016/j.eats.2020.10.075
PMID:33738222
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7953262/
Abstract

Complete radial tears of the meniscus render the entirety of the meniscus functionally incompetent (known as an ameniscal state); therefore, attempts at repair are essential. Although various techniques have been described, repair failures continue to frequently occur, especially with the medial meniscus. Inside-out repair and anchoring of the preserved meniscus to both the capsule and tibia may offer the advantage of a more robust repair. The objective of this Technical Note is to describe a method of repair for complete radial tears of the medial meniscus using a combination of inside-out sutures and secondary reinforcement to the tibia using all-suture knotless anchors.

摘要

半月板完全性放射状撕裂会使整个半月板功能丧失(即无半月板状态);因此,修复尝试至关重要。尽管已描述了多种技术,但修复失败仍频繁发生,尤其是内侧半月板。由外向内修复并将保留的半月板固定于关节囊和胫骨,可能具有更稳固修复的优势。本技术说明的目的是描述一种使用由外向内缝合与使用全缝线无结锚钉对胫骨进行二次加强相结合的方法,来修复内侧半月板完全性放射状撕裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/89dc50e62f10/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/ff2b73b81dc6/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/81078f35aa67/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/3831c4ccabb9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/be0231118e56/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/a140f795ca1c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/d87c238d93e2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/89dc50e62f10/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/ff2b73b81dc6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/5bbdb066b7e9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/81078f35aa67/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/3831c4ccabb9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/be0231118e56/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/a140f795ca1c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/d87c238d93e2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/7953262/89dc50e62f10/gr8.jpg

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Meniscus Root Repair vs Meniscectomy or Nonoperative Management to Prevent Knee Osteoarthritis After Medial Meniscus Root Tears: Clinical and Economic Effectiveness.半月板根修复与半月板切除术或非手术治疗预防内侧半月板根撕裂后膝关节骨关节炎的临床和经济效果。
Am J Sports Med. 2019 Mar;47(3):762-769. doi: 10.1177/0363546518755754. Epub 2018 Mar 8.
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Second look arthroscopic evaluation of repaired radial/oblique tears of the midbody of the lateral meniscus in stable knees.
稳定膝关节中外侧半月板体部桡侧/斜形撕裂修复后的二期关节镜评估
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