From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (Arner), The Steadman Clinic and Steadman Philippon Research Institute, Aspen, CO (Ruzbarsky), The Steadman Clinic and Steadman Philippon Research Institute, Vail, CO (Vidal), and the Department of Orthopaedic Surgery, University of Colorado, Denver, CO (Frank).
J Am Acad Orthop Surg. 2022 Jul 1;30(13):613-619. doi: 10.5435/JAAOS-D-21-01153. Epub 2022 Apr 16.
Multiple meniscal repair techniques exist, and successful healing and excellent patient outcomes have been reported with a variety of all-inside and open techniques. Increased awareness and recognition of root tears and meniscocapsular separations are topics of recent interest. The ideal treatment of these injuries remains uncertain, and definitive recommendations regarding their treatment are lacking. Postoperative protocols regarding weight bearing and range of motion are controversial and require future study. The role of biologics in the augmentation of meniscal repair remains unclear but promising. An evidence-based individualized approach for meniscal repair focusing on clinical outcomes and value is essential.
存在多种半月板修复技术,各种全内和开放技术都有报道称能成功愈合并获得良好的患者结局。根撕裂和半月板-囊分离的认识不断提高,是近期关注的话题。这些损伤的理想治疗方法仍不确定,缺乏关于其治疗的明确建议。关于负重和活动范围的术后方案存在争议,需要进一步研究。生物制剂在半月板修复中的作用仍不清楚,但有很大的应用前景。以临床结果和价值为重点,对半月板修复采用基于证据的个体化方法至关重要。