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内侧半月板后根撕裂:我们已经走了多远,还有什么要做的?

Medial Meniscus Posterior Root Tear: How Far Have We Come and What Remains?

机构信息

Arthroscopy and Joint Research Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.

Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of Korea.

出版信息

Medicina (Kaunas). 2023 Jun 21;59(7):1181. doi: 10.3390/medicina59071181.

Abstract

Medial meniscus posterior root tears (MMRTs), defined as tears or avulsions that occur within 1 cm of the tibial attachment of the medial meniscus posterior root, lead to biomechanically detrimental knee conditions by creating a functionally meniscal-deficient status. Given their biomechanical significance, MMRTs have recently been gaining increasing interest. Accordingly, numerous studies have been conducted on the anatomy, biomechanics, clinical features, diagnosis, and treatment of MMRTs, and extensive knowledge has been accumulated. Although a consensus has not yet been reached on several issues, such as surgical indications, surgical techniques, and rehabilitation protocols, this article aimed to comprehensively review the current knowledge on MMRTs and to introduce the author's treatment strategies.

摘要

内侧半月板后根撕裂(MMRTs),定义为发生在距内侧半月板后根胫骨附着处 1cm 以内的撕裂或撕脱,通过造成功能性半月板缺失状态,导致膝关节生物力学恶化。鉴于其生物力学意义,MMRTs 最近越来越受到关注。因此,已经有许多关于 MMRTs 的解剖、生物力学、临床特征、诊断和治疗的研究,并积累了广泛的知识。尽管在一些问题上尚未达成共识,例如手术适应证、手术技术和康复方案,但本文旨在全面回顾 MMRTs 的现有知识,并介绍作者的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aba6/10386469/567a5f950e9c/medicina-59-01181-g001.jpg

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