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半月板修复第 1 部分:生物学、功能、撕裂形态和特殊考虑因素。

Meniscus Repair Part 1: Biology, Function, Tear Morphology, and Special Considerations.

机构信息

From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (Arner), the The Steadman Clinic and Steadman Philippon Research Institute, Aspen, CO (Ruzbarsky), the The Steadman Clinic and Steadman Philippon Research Institute, Vail, CO (Vidal), and the Department of Orthopaedic Surgery, University of Colorado, Denver, CO (Frank).

出版信息

J Am Acad Orthop Surg. 2022 Jun 15;30(12):e852-e858. doi: 10.5435/JAAOS-D-21-00993. Epub 2022 Apr 21.

Abstract

Knowledge of anatomy and physiology of the meniscus is essential for appropriate treatment. The unique anatomy of the medial and lateral meniscus and blood supply play an important role in decision making. Controversy exists regarding the optimal treatment of meniscal tears including débridement, repair, root repair, and transplantation. The unique tear location and morphology thus plays an essential role in determination of appropriate treatment. Repair is generally advised in tear types with healing potential to preserve meniscal function and joint health.

摘要

了解半月板的解剖结构和生理学知识对于进行适当的治疗至关重要。内侧和外侧半月板的独特解剖结构和血液供应在决策中起着重要作用。对于半月板撕裂的最佳治疗方法,包括清创、修复、根部修复和移植,存在争议。因此,撕裂的位置和形态对于确定适当的治疗方法至关重要。对于具有愈合潜力的撕裂类型,一般建议进行修复,以保留半月板功能和关节健康。

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