Meng Xiang-Yu, Zhu Yi-Chuan, Wang Ding-Yu, Dou Yun, Zhang Zhen, Jiang Dong
Sports Medicine Department, Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, Beijing, China.
Institute of Sports Medicine of Peking University, Beijing, China.
Arthrosc Tech. 2022 Jun 21;11(7):e1317-e1320. doi: 10.1016/j.eats.2022.03.016. eCollection 2022 Jul.
Lateral meniscal posterior root tears are defined as tears of meniscus within 9 mm from the bony root attachment. Unrepaired root tears significantly compromise the biomechanical functions of the meniscus, resulting in early and accelerated osteoarthritis. Several authors have described various techniques to reattach the posterior root of the lateral meniscus, and decent short-term results have been observed. Although most previous techniques are capable of repairing radial root tears, difficulties are encountered when repairing oblique type IV tears. In this technique note, the author describes an efficient side-to-side repair technique using the FAST-FIX system, which is practical in repairing the type IV tears of the lateral meniscus. This technique includes certain sequence of the stitches and skills of controlling the root remnant, which makes it easy to penetrate the meniscus and to achieve anatomic repair.
外侧半月板后根部撕裂被定义为半月板在距骨性根部附着点9毫米范围内的撕裂。未修复的根部撕裂会严重损害半月板的生物力学功能，导致早期和加速的骨关节炎。几位作者描述了多种重新附着外侧半月板后根部的技术，并观察到了不错的短期效果。尽管之前的大多数技术都能够修复放射状根部撕裂，但在修复斜行IV型撕裂时会遇到困难。在本技术说明中，作者描述了一种使用FAST-FIX系统的高效端端修复技术，该技术在修复外侧半月板IV型撕裂方面很实用。此技术包括特定的缝合顺序和控制根部残端的技巧，这使得穿透半月板并实现解剖修复变得容易。
