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关节镜下使用连环无结全缝线锚钉固定膝关节剥脱性骨软骨炎

Arthroscopic Fixation of Knee Osteochondritis Dissecans With Interlinked Knotless All-Suture Anchors.

作者信息

Hsu Jim C, Tran Duong H

机构信息

The Polyclinic, Seattle, Seattle, Washington, U.S.A.

出版信息

Arthrosc Tech. 2022 May 11;11(6):e1013-e1019. doi: 10.1016/j.eats.2022.02.004. eCollection 2022 Jun.

DOI:10.1016/j.eats.2022.02.004
PMID:35782848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9245000/
Abstract

Unstable, displaced, and persistently symptomatic osteochondritis dissecans of the knee typically requires surgical treatment. An arthroscopic, knotless fixation method using interlinked all-suture anchors is presented, with potential advantages over other current techniques in fixation over a broad zone, treatment versatility for a wide range of fragment types, retensioning ability after stressing, decreased risk of implant-breakage complications, and avoidance of additional surgery for implant removal.

摘要

膝关节不稳定、移位且持续有症状的剥脱性骨软骨炎通常需要手术治疗。本文介绍了一种使用相互连接的全缝线锚钉的关节镜下无结固定方法,与目前其他技术相比,该方法在广泛区域的固定、对多种类型碎片的治疗通用性、受力后重新张紧的能力、降低植入物断裂并发症的风险以及避免植入物取出的额外手术等方面具有潜在优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/a5bfdaad0f18/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/d58ba7ae63b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/eb234846fab9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/89e0246b4945/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/d92306c8c24e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/6bf8e55b790e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/b56db616b014/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/a5bfdaad0f18/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/d58ba7ae63b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/eb234846fab9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/89e0246b4945/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/d92306c8c24e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/6bf8e55b790e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/b56db616b014/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b878/9245000/a5bfdaad0f18/gr7.jpg

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本文引用的文献

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Arthrosc Tech. 2021 Nov 9;10(11):e2547-e2551. doi: 10.1016/j.eats.2021.07.038. eCollection 2021 Nov.
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Descriptive Epidemiology From the Research in Osteochondritis Dissecans of the Knee (ROCK) Prospective Cohort.描述性流行病学:来自膝关节骨软骨炎(ROCK)前瞻性队列研究。
Am J Sports Med. 2022 Jan;50(1):118-127. doi: 10.1177/03635465211057103. Epub 2021 Nov 24.
3
Internal Fixation of Osteochondritis Dissecans Using PushLock Suture Anchors.
使用PushLock缝线锚钉对剥脱性骨软骨炎进行内固定
Arthrosc Tech. 2021 Feb 10;10(3):e705-e709. doi: 10.1016/j.eats.2020.10.080. eCollection 2021 Mar.
4
Osteochondritis Dissecans of the Knee: Arthroscopic Suture Anchor Fixation.膝关节剥脱性骨软骨炎:关节镜下缝线锚钉固定术
Arthrosc Tech. 2020 Aug 7;9(8):e1203-e1209. doi: 10.1016/j.eats.2020.04.021. eCollection 2020 Aug.
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Magnetic resonance evaluation of the pediatric knee after arthroscopic fixation of osteochondral lesions with biodegradable nails.关节镜下可吸收钉固定治疗儿童骨软骨病变后膝关节的磁共振评估。
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Osteochondritis dissecans of the knee.膝关节剥脱性骨软骨炎
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Implant failure after biodegradable screw fixation in osteochondritis dissecans of the knee in skeletally immature patients.骨骼未成熟患者膝关节剥脱性骨软骨炎采用可生物降解螺钉固定后的植入物失败情况。
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Knot Strength Varies Widely Among Expert Arthroscopists.关节镜专家打结的强度差异很大。
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