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膝关节镜检查术中内侧副韧带松解：关键概念

Medial collateral ligament release during knee arthroscopy: key concepts.

作者信息

da Silva Campos Vicente Carlos, Guerra Pinto Francisco, Constantino Diogo, Andrade Renato, Espregueira-Mendes João

机构信息

Hospital Curry Cabral, Lisboa, Portugal.

Hospital Ortopédico de Sant'Ana, Hospital Cruz Vermelha Portuguesa, Universidad de Barcelona, Nova Medical School, Lisboa, Portugal.

出版信息

EFORT Open Rev. 2021 Aug 10;6(8):669-675. doi: 10.1302/2058-5241.6.200128. eCollection 2021 Aug.

DOI:10.1302/2058-5241.6.200128
PMID:34532074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8419794/
Abstract

Complete access to the posterior medial compartment of the knee may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space.Medial collateral release reduces direct iatrogenic cartilage damage in the medial compartment of the knee through manipulation with instruments.We recommend performing medial collateral release in surgeries that access the posteromedial compartment (e.g. partial meniscectomy for ruptures of the posterior horn of medial meniscus or posterior root repairs) when the patient has a tight tibiofemoral joint space.There are two main techniques to perform medial collateral release: inside-out and outside-in. Regardless of the technique used, releasing medial ligament structures is a safe and effective method to be used in the diagnosis and treatment of injuries to the medial compartment. Cite this article: 2021;6:669-675. DOI: 10.1302/2058-5241.6.200128.

摘要

对于胫股关节间隙狭窄的患者，在关节镜检查过程中，要完全进入膝关节后内侧间室可能是一项技术挑战。内侧副韧带松解可通过器械操作减少膝关节内侧间室直接的医源性软骨损伤。我们建议，当患者胫股关节间隙狭窄时，在进入后内侧间室的手术（如内侧半月板后角撕裂的部分半月板切除术或后根修复术）中进行内侧副韧带松解。进行内侧副韧带松解有两种主要技术：由内向外和由外向内。无论使用哪种技术，松解内侧韧带结构都是用于诊断和治疗内侧间室损伤的一种安全有效的方法。引用本文：2021；6：669 - 675。DOI：10.1302/2058 - 5241.6.200128。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e22f/8419794/860e6a3ec74f/eor-6-669-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e22f/8419794/acdeab72d673/eor-6-669-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e22f/8419794/acdeab72d673/eor-6-669-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e22f/8419794/867ff02f478b/eor-6-669-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e22f/8419794/291bdb6b761f/eor-6-669-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e22f/8419794/6d60d23e023f/eor-6-669-g004.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e22f/8419794/860e6a3ec74f/eor-6-669-g006.jpg

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本文引用的文献

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Iatrogenic Arthroscopic Cartilage Injury: Arthroscrapes Result From Iatrogenesis Imperfecta.医源性关节镜下软骨损伤：关节刮除术源于不完善的医源性损伤。
Arthroscopy. 2020 Aug;36(8):2041-2042. doi: 10.1016/j.arthro.2020.06.003.
2
Arthroscopic pie-crusting release of the posteromedial complex of the knee for surgical treatment of medial meniscus injury.关节镜下膝关节后内侧复合体“饼皮样”松解术治疗内侧半月板损伤
BMC Musculoskelet Disord. 2020 May 14;21(1):301. doi: 10.1186/s12891-020-03336-9.
3
The Outside-In, Percutaneous Release of the Medial Collateral Ligament for Knee Arthroscopy.
用于内侧副韧带松解的派皮样手术技术：增强膝关节镜检查中内侧间室的可视化。
Ann Jt. 2024 Feb 22;9:14. doi: 10.21037/aoj-23-54. eCollection 2024.
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Anchor-Based Meniscal Ramp Repair.基于锚钉的半月板斜坡修复术。
Arthrosc Tech. 2024 Jan 1;13(2):102846. doi: 10.1016/j.eats.2023.09.021. eCollection 2024 Feb.
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Concomitant Medial and Lateral Meniscus Posterior Horn Root Repair With ACL Reconstruction Using Trans-Tibial Tunnel Technique.采用经胫骨隧道技术同期进行内侧和外侧半月板后角根部修复及前交叉韧带重建
Arthrosc Tech. 2023 Mar 23;12(4):e477-e482. doi: 10.1016/j.eats.2022.11.031. eCollection 2023 Apr.
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Arthroscopy. 2019 May;35(5):1520-1524. doi: 10.1016/j.arthro.2018.11.054. Epub 2019 Mar 20.
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