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在由外向内或由内向外的内侧半月板缝合术中如何避免医源性隐神经损伤。

How to Avoid Iatrogenic Saphenous Nerve Injury During Outside-In or Inside-Out Medial Meniscus Sutures.

作者信息

Gousopoulos Lampros, Grob Charles, Ahrens Philip, Levy Yoann, Vieira Thais Dutra, Sonnery-Cottet Bertrand

机构信息

Centre Orthopédique Santy, FIFA Medical Center of Excellence, Hôpital Privé Jean Mermoz, Groupe GDS-Ramsay, Lyon, France.

OrthoPlus Munich, Munich Germany.

出版信息

Arthrosc Tech. 2022 Jan 13;11(2):e127-e132. doi: 10.1016/j.eats.2021.09.012. eCollection 2022 Feb.

DOI:10.1016/j.eats.2021.09.012
PMID:35155103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8821034/
Abstract

Medial meniscal sutures using outside-in or inside-out techniques are very popular. Nevertheless, a saphenous nerve entrapment may occur with these techniques. This Technical Note describes a modified outside-in medial meniscus suture without any additional skin incisions. By dissecting the space between the subcutaneous and the capsule, which is performed by grasping and knotting the sutures through the anteromedial portal, iatrogenic saphenous nerve injury is avoided.

摘要

使用由外向内或由内向外技术进行内侧半月板缝合非常普遍。然而，这些技术可能会导致隐神经卡压。本技术说明描述了一种改良的由外向内内侧半月板缝合方法，无需额外的皮肤切口。通过在皮下组织和关节囊之间进行解剖，这是通过经前内侧入路抓取和打结缝线来完成的，从而避免了医源性隐神经损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/7b0a470e135f/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/4ccee7add573/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/b413ad667c0c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/5bdffb1626d6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/b2a38995dda2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/743fe56dd1a7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/39afff0e6511/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/6fa4aa5713c6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/b8df2fd86af2/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/66de914ad3a6/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/7b0a470e135f/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/4ccee7add573/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/b413ad667c0c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/5bdffb1626d6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/b2a38995dda2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/743fe56dd1a7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/39afff0e6511/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/6fa4aa5713c6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/b8df2fd86af2/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/66de914ad3a6/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/8821034/7b0a470e135f/gr10.jpg

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