Feng Jianhao, Xu Yihong, Xu Weidong
Department of Orthopaedics, Tongji Hospital, Tongji University, Shanghai, 200065, P. R. China.
Department of Joint Surgery, the First Affiliated Hospital of Naval Medical University (Shanghai Changhai Hospital), Shanghai, 200433, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Jul 15;37(7):885-894. doi: 10.7507/1002-1892.202302103.
To review the research progress of meniscus repair in recent years, in order to provide help for the clinical decision-making of meniscus injury treatment.
The domestic and foreign literature related to meniscal repair in recent years was extensively reviewed to summarize the reasons for the prevalence of meniscal repair, surgical indications, various repair methods and long-term effectiveness, the need to deal with mechanical structural abnormalities, biological enhancement repair technology, rehabilitation treatment, and so on.
In order to delay the occurrence of osteoarthritis, the best treatment of meniscus has undergone an important change from partial meniscectomy to meniscal repair, and the indications for meniscal repair have been expanding. The mid- and long-term effectiveness of different meniscal repair methods are ideal. During meniscus repair, the abnormality of lower limb force line and meniscus protrusion should be corrected at the same time. There are controversies about the biological enhancement technology to promote meniscus healing and rehabilitation programs, which need further study.
Meniscal repair can restore the normal mechanical conduction of lower limbs and reduce the incidence of traumatic osteoarthritis, but the poor blood supply and healing ability of meniscal tissue bring difficulties to meniscal repair. Further development of new biological enhanced repair technology and individualized rehabilitation program and verification of its effectiveness will be an important research direction.
回顾近年来半月板修复的研究进展,为半月板损伤治疗的临床决策提供帮助。
广泛查阅近年来国内外与半月板修复相关的文献,总结半月板修复盛行的原因、手术指征、各种修复方法及长期疗效、处理机械结构异常的必要性、生物增强修复技术、康复治疗等。
为延缓骨关节炎的发生,半月板的最佳治疗已从部分半月板切除术发生了重要转变,变为半月板修复,且半月板修复的指征不断扩大。不同半月板修复方法的中长期疗效理想。在半月板修复过程中,应同时纠正下肢力线异常和半月板突出。关于促进半月板愈合的生物增强技术和康复方案存在争议,有待进一步研究。
半月板修复可恢复下肢正常的力学传导,降低创伤性骨关节炎的发生率,但半月板组织血供差、愈合能力弱给半月板修复带来困难。进一步研发新的生物增强修复技术和个体化康复方案并验证其有效性将是重要的研究方向。