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社论评论:半月板修复(如果可能的话)比半月板切除术更有益于患者。

Editorial Commentary: Meniscal Repair, When Possible, Is Better for Patients Than Meniscectomy.

出版信息

Arthroscopy. 2022 Oct;38(10):2884-2886. doi: 10.1016/j.arthro.2022.06.020.

DOI:10.1016/j.arthro.2022.06.020
PMID:36192048
Abstract

Patients do not do as well after meniscectomy as after repair. Although saving the meniscus is not always easy and the success rate of repair is not 100%, repair-when possible-remains the best option for patients in the long run. Meniscal repair rates are on the rise, especially in younger patients, but are not high enough. Recent research has shown that more than 95% of meniscal procedures are partial meniscectomies. Improved surgical techniques and instrumentation, as well as a continued increase in understanding the importance of repair, are leading to an increase in meniscal repair rates. Preserve as much meniscus as possible and as often as possible.

摘要

患者在接受半月板切除术(meniscectomy)后的恢复情况不如接受半月板修复术(repair)。尽管保留半月板并不总是容易的,而且修复的成功率并非 100%,但从长远来看,修复仍然是患者的最佳选择。半月板修复率正在上升,尤其是在年轻患者中,但还不够高。最近的研究表明,超过 95%的半月板手术是半月板部分切除术(partial meniscectomies)。不断改进的手术技术和器械,以及对修复重要性的认识不断提高,正在导致半月板修复率的上升。尽可能多地保留半月板,并尽可能经常地进行修复。

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1
Editorial Commentary: Meniscal Repair, When Possible, Is Better for Patients Than Meniscectomy.社论评论:半月板修复(如果可能的话)比半月板切除术更有益于患者。
Arthroscopy. 2022 Oct;38(10):2884-2886. doi: 10.1016/j.arthro.2022.06.020.
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Am J Sports Med. 2020 Jan;48(1):128-132. doi: 10.1177/0363546519888212. Epub 2019 Nov 25.
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Editorial Commentary: Meniscal Repair-Why Bother?社论评论:半月板修复——有何必要?
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The cost-effectiveness of meniscal repair versus partial meniscectomy: A model-based projection for the United States.半月板修复与部分半月板切除术的成本效益:美国基于模型的预测。
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Analysis of the trends in arthroscopic meniscectomy and meniscus repair procedures in France from 2005 to 2017.法国 2005 年至 2017 年关节镜半月板切除术和半月板修复手术趋势分析。
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Editorial Commentary: Meniscal Allograft Transplantation Is Effective for Adolescents With Meniscal Insufficiency, Although Outcomes May Decline Over Time.社论评论:半月板同种异体移植对于半月板不全的青少年是有效的,尽管其疗效可能随时间推移而下降。
Arthroscopy. 2024 Apr;40(4):1195-1196. doi: 10.1016/j.arthro.2023.09.005. Epub 2024 Jan 16.

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