Mameri Enzo S, Kerzner Benjamin, Jackson Garrett R, Jawanda Harry, Khan Zeeshan A, Kaplan Daniel J, Chahla Jorge
Midwest Orthopaedics at Rush, Chicago, Illinois.
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
Arthrosc Tech. 2023 Jun 5;12(7):e1039-e1049. doi: 10.1016/j.eats.2023.02.053. eCollection 2023 Jul.
Although historically overlooked, medial meniscus posterior root (MMPR) tears are now increasingly recognized as a substantial cause of biomechanical impairment and morbidity. MMPR tears, when left untreated, are strongly correlated to meniscal extrusion and ultimately lead to altered kinematics and loading functionally equivalent to a total meniscectomy. To prevent progressive joint degeneration and alleviate pain while re-establishing native joint kinematics, MMPR repair is generally recommended in appropriately selected patients. In this Technical Note, the authors describe a detailed checklist with 10 crucial points of emphasis when performing the gold-standard transtibial pull-out repair of the MMPR, with an additional centralization stitch, providing technical pearls backed up by previous literature and ample experience treating this condition.
尽管内侧半月板后根（MMPR）撕裂在历史上被忽视，但现在越来越被认为是生物力学损伤和发病的重要原因。MMPR撕裂若不治疗，与半月板挤出密切相关，并最终导致运动学改变和负荷变化，其功能等同于全半月板切除术。为防止关节进行性退变、减轻疼痛并重建自然关节运动学，通常建议在适当选择的患者中进行MMPR修复。在本技术说明中，作者描述了一份详细的清单，其中包含在进行MMPR的金标准经胫骨拉出修复时需重点强调的10个关键点，以及额外的中心化缝合，并提供了以往文献和治疗该病症的丰富经验所支持的技术要点。
