Manocha R K, Vaish Atul
Department of Orthopaedics, Northern Railway Central Hospital, Basant Lane, New Delhi-, 110055 India.
Indian J Orthop. 2022 Jul 27;56(9):1613-1624. doi: 10.1007/s43465-022-00703-7. eCollection 2022 Sep.
Meniscus tear coexisting with tibial plateau fractures may be found in 2-49% of cases. Literature accepts that torn meniscus can be retracted towards the center to improve visualization of the peripheral plateau which is ordinarily concealed by the overlying meniscus. We hypothesized that easing in microscope through a coexisting tear may be much less disruptive with little or no adverse effects with respect to either the propagation of tear or its later repair. This strategy improved visualization as well as the extended reach of interventional instrumentation access to otherwise concealed areas of plateau and endoscopic trans-focal access to a vertical limb of fracture split on the anterior cortex of proximal tibia without any impact on the stability of repaired meniscus. The experience in a series of six cases is shared.
The online version contains supplementary material available at 10.1007/s43465-022-00703-7.
半月板撕裂与胫骨平台骨折并存的情况在2%至49%的病例中可见。文献表明，撕裂的半月板可向中心回缩，以改善通常被覆盖其上的半月板遮挡的外周平台的可视化。我们推测，通过并存的撕裂口插入显微镜对撕裂的扩展或后期修复几乎没有或没有不良影响，干扰性会小得多。该策略改善了可视化效果，还扩大了介入器械进入原本隐蔽的平台区域的范围，以及通过内镜经聚焦进入胫骨近端前皮质骨折垂直分支的范围，且对修复后的半月板稳定性没有任何影响。分享了一系列6例病例的经验。
在线版本包含可在10.1007/s43465-022-00703-7获取的补充材料。
