Rocha de Faria José Leonardo, Pavão Douglas Mello, Pires E Albuquerque Rodrigo Sattamini, de Sousa Eduardo Branco, Guimarães João Antônio Matheus, Mozella Alan de Paula, Roesler Carlos Rodrigo de Mello, Salim Rodrigo, Mandarino Marcelo, LaPrade Robert F
National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro.
Medical Science Faculty, State University of Rio de Janeiro, Rio de Janeiro.
Arthrosc Tech. 2021 Jun 20;10(7):e1763-e1772. doi: 10.1016/j.eats.2021.03.026. eCollection 2021 Jul.
The key to preventing early knee osteoarthritis is meniscal preservation. The main functions of the meniscus are impact absorption, mechanical load transmission, lubrication, joint stability, and proprioception. Radial lesions that extend to the joint capsule are called complete radial tears. This type of injury compromises 2 of the main meniscal functions, which are impact absorption and load distribution, which is equivalent, from a biomechanical perspective, to a total meniscectomy. In the recent past, the treatment of choice for this type of injury was partial meniscectomy. However, several studies have observed progressive joint degeneration after this type of treatment. Recently, different types of meniscal sutures involving radial lesions of the meniscus have been developed. It is believed that such repairs may bring a decrease in future osteoarthritis in this patient profile. The purpose of this article is to describe the steps of continuous meniscal suture for the treatment of radial tears of the medial and lateral menisci.
预防早期膝关节骨关节炎的关键在于半月板保留。半月板的主要功能包括冲击吸收、机械负荷传递、润滑、关节稳定和本体感觉。延伸至关节囊的放射状损伤称为完全放射状撕裂。这种损伤会损害半月板的两项主要功能，即冲击吸收和负荷分布，从生物力学角度来看，这等同于全半月板切除术。过去，这类损伤的首选治疗方法是部分半月板切除术。然而，多项研究观察到这种治疗后关节会逐渐退变。最近，已开发出针对半月板放射状损伤的不同类型的半月板缝合术。人们认为，此类修复可能会减少该类患者未来患骨关节炎的几率。本文的目的是描述用于治疗内侧和外侧半月板放射状撕裂的连续半月板缝合步骤。
