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[半月板缺失对骨关节炎进展的相关性及早期关节炎的治疗选择]

[Relevance of meniscus loss for the progression of osteoarthritis and treatment options for early arthritis].

作者信息

Patsch C, Dirisamer F, Schewe B

机构信息

Orthopädie & Sportchirurgie, Karl-Leitl-Straße 1, 4048, Linz-Puchenau, Österreich.

Orthopädisch Chirurgisches Centrum Tübingen, Tübingen, Deutschland.

出版信息

Orthopade. 2021 May;50(5):366-372. doi: 10.1007/s00132-021-04101-z. Epub 2021 Apr 13.

DOI:10.1007/s00132-021-04101-z
PMID:33847792
Abstract

Meniscal tears are still one of the most frequent lesions in the knee joint. The relevance of meniscus loss for the development of osteoarthritis is undisputed. Meniscus repair, replacement and transplantation play an important role in the treatment of early arthritis, especially when they are a part of a master plan including alignment correction, stabilization and cartilage surgery, if needed. Scientific data show evidence concerning the protection of osteoarthritis, even though a lack of studies including comparison groups has to be admitted.

摘要

半月板撕裂仍是膝关节最常见的损伤之一。半月板缺失对骨关节炎发展的影响是毋庸置疑的。半月板修复、置换和移植在早期关节炎的治疗中发挥着重要作用,尤其是当它们作为一个总体规划的一部分,包括必要时的对线矫正、稳定和软骨手术时。科学数据显示了有关预防骨关节炎的证据,尽管不得不承认缺乏包含对照组的研究。

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[Relevance of meniscus loss for the progression of osteoarthritis and treatment options for early arthritis].[半月板缺失对骨关节炎进展的相关性及早期关节炎的治疗选择]
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2
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The role of meniscal tissue in joint protection in early osteoarthritis.半月板组织在早期骨关节炎关节保护中的作用。
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引用本文的文献

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Biomechanical effects of the medial meniscus horizontal tear and the resection strategy on the rabbit knee joint under resting state: finite element analysis.静息状态下内侧半月板水平撕裂及切除策略对兔膝关节的生物力学影响:有限元分析
Front Bioeng Biotechnol. 2023 Jun 22;11:1164922. doi: 10.3389/fbioe.2023.1164922. eCollection 2023.

本文引用的文献

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Microvascular Anatomy and Intrinsic Gene Expression of Menisci From Young Adults.年轻人半月板的微血管解剖结构和内在基因表达。
Am J Sports Med. 2020 Nov;48(13):3147-3153. doi: 10.1177/0363546520961555. Epub 2020 Oct 12.
2
Polyurethane Meniscal Scaffold for the Treatment of Partial Meniscal Deficiency: 5-Year Follow-up Outcomes: A European Multicentric Study.用于治疗半月板部分缺损的聚氨酯半月板支架:5年随访结果:一项欧洲多中心研究
Am J Sports Med. 2020 May;48(6):1347-1355. doi: 10.1177/0363546520913528. Epub 2020 Apr 8.
3
Excellent clinical outcome and low complication rate after proximal hamstring tendon repair at mid-term follow up.
中期随访结果显示,近端腘绳肌腱修复术后临床效果极佳,并发症发生率低。
Knee Surg Sports Traumatol Arthrosc. 2020 Apr;28(4):1230-1235. doi: 10.1007/s00167-019-05748-0. Epub 2019 Oct 24.
4
Superior Capsule Reconstruction for Reinforcement of Arthroscopic Rotator Cuff Repair Improves Cuff Integrity.关节镜肩袖修复中加强上囊重建可改善肩袖完整性。
Am J Sports Med. 2019 Feb;47(2):379-388. doi: 10.1177/0363546518816689. Epub 2018 Dec 31.
5
The concomitant lateral meniscus injury increased the pivot shift in the anterior cruciate ligament-injured knee.伴随的外侧半月板损伤增加了前交叉韧带损伤膝关节的关节内旋转不稳定。
Knee Surg Sports Traumatol Arthrosc. 2019 Feb;27(2):646-651. doi: 10.1007/s00167-018-5209-7. Epub 2018 Oct 11.
6
Video-tube thoracostomy in trauma resuscitation: A pilot study.创伤复苏中的电视胸腔造口术:一项初步研究。
Injury. 2019 Jan;50(1):90-95. doi: 10.1016/j.injury.2018.08.007. Epub 2018 Aug 11.
7
Anterolateral Knee Extra-articular Stabilizers: A Robotic Study Comparing Anterolateral Ligament Reconstruction and Modified Lemaire Lateral Extra-articular Tenodesis.膝关节前外侧关节外稳定结构:机器人研究比较前外侧韧带重建与改良 Lemaire 外侧关节外腱固定术
Am J Sports Med. 2018 Mar;46(3):607-616. doi: 10.1177/0363546517745268. Epub 2017 Dec 21.
8
Greater pre-operative anxiety, pain and poorer function predict a worse outcome of a total knee arthroplasty.术前焦虑程度更高、疼痛更剧烈、功能更差,预示着全膝关节置换术的预后更差。
Knee Surg Sports Traumatol Arthrosc. 2017 Nov;25(11):3403-3410. doi: 10.1007/s00167-016-4314-8. Epub 2016 Oct 12.
9
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Orthopade. 2016 Dec;45(12):1015-1026. doi: 10.1007/s00132-016-3301-6.
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