Chen Hsin-Ya, Lin Kuan-Yu
Department of Orthopedic Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan.
Arthrosc Tech. 2022 Jan 20;11(2):e209-e215. doi: 10.1016/j.eats.2021.10.030. eCollection 2022 Feb.
A meniscal root tear can increase the tibiofemoral contact pressure to approximate that of total meniscectomy and eventually lead to degenerative change. An anatomic and stable meniscal root repair is essential in restoring the tibiofemoral contact pressure back to that of a normal knee. Suture anchor technique and pull-out suture technique are the 2 main arthroscopic root repair procedures with equivalent success; nonetheless, there remains a lack of an optimal technique with a biomechanical property matching that of the intact root. This article presents a technically simple, fast, and robust pull-out suture construct that incorporates 2 slip-knot locking loops at the meniscus-suture interface. This technique can be used for both medial and lateral posterior root repair, as well as concomitantly with cruciate ligament reconstruction.
半月板根部撕裂会增加胫股关节接触压力，使其接近全半月板切除术时的压力，并最终导致退变改变。解剖学上稳定的半月板根部修复对于将胫股关节接触压力恢复至正常膝关节水平至关重要。缝线锚钉技术和拔出缝线技术是两种主要的关节镜下根部修复手术，成功率相当；然而，目前仍缺乏一种生物力学性能与完整根部相匹配的最佳技术。本文介绍了一种技术上简单、快速且可靠的拔出缝线结构，该结构在半月板-缝线界面处包含两个滑结锁定环。该技术可用于内侧和外侧后根部修复，也可与交叉韧带重建同时进行。
