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内侧半月板后根部经胫骨拉出修复失败。

Failed transtibial pullout repair of the medial meniscus posterior root.

作者信息

Wasilewski Gabrielle, Drammeh Hamidou, Belal Mohamed, Khokhar Zuhaib, Pasion Andrew, Allam Emad

机构信息

Loyola University Chicago and Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USA.

出版信息

Radiol Case Rep. 2023 Feb 3;18(4):1507-1510. doi: 10.1016/j.radcr.2023.01.006. eCollection 2023 Apr.

DOI:10.1016/j.radcr.2023.01.006
PMID:36816339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9932288/
Abstract

Transtibial pullout repair is increasingly being utilized for repair of meniscal root tears. Loosening and suture pullout may occur after such a repair but has not been reported in the radiology literature. We present a case of a transtibial pullout repair complicated by suture pullout, recognized on MRI and confirmed on subsequent arthroscopy. This complication may occur in the immediate postoperative period and is important to recognize as it requires surgical management.

摘要

经胫骨拉出修复术越来越多地用于半月板根部撕裂的修复。这种修复术后可能会出现松动和缝线拉出的情况，但放射学文献中尚未有报道。我们报告一例经胫骨拉出修复术后并发缝线拉出的病例，该情况在磁共振成像（MRI）上得以识别，并在随后的关节镜检查中得到证实。这种并发症可能在术后即刻发生，认识到这一点很重要，因为它需要手术处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/9932288/abe74b016724/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/9932288/f751f10a4726/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/9932288/abe74b016724/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/9932288/f751f10a4726/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/9932288/abe74b016724/gr2.jpg

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Orthop Surg. 2024 Mar;16(3):775-780. doi: 10.1111/os.13975. Epub 2024 Jan 5.

本文引用的文献

1
The Natural History of Medial Meniscal Root Tears: A Biomechanical and Clinical Case Perspective.内侧半月板根部撕裂的自然史：生物力学与临床病例视角
Front Bioeng Biotechnol. 2021 Sep 23;9:744065. doi: 10.3389/fbioe.2021.744065. eCollection 2021.
2
Loosening of Transtibial Pullout Meniscal Root Repairs due to Simulated Rehabilitation Is Unrecoverable: A Biomechanical Study.模拟康复导致经胫骨半月板根修复的松动是不可恢复的：一项生物力学研究。
Arthroscopy. 2019 Apr;35(4):1232-1239. doi: 10.1016/j.arthro.2018.11.041. Epub 2019 Mar 11.
3
Posterior Root Meniscal Tears: Preoperative, Intraoperative, and Postoperative Imaging for Transtibial Pullout Repair.
后根半月板撕裂：经胫骨拉出修复术的术前、术中和术后影像学表现
Radiographics. 2016 Oct;36(6):1792-1806. doi: 10.1148/rg.2016160026.
4
Meniscal Root Tear Repair: Why, When and How?半月板根部撕裂修复：为何、何时以及如何进行？
Orthop Rev (Pavia). 2015 Jun 11;7(2):5792. doi: 10.4081/or.2015.5792. eCollection 2015 Jun 3.