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经胫骨双隧道拉出技术及锚钉固定的后半月板根部修复术

Posterior Meniscal Root Repair With Transtibial Double Tunnel Pullout Technique and Anchor Fixation.

作者信息

Barnes Ryan H, Hobayan C Grace P, Cavendish Parker A, Milliron Eric M, Flanigan David C

机构信息

Ohio State University Wexner Medical Center, Department of Orthopaedics, Columbus, OH U.S.A.

出版信息

Arthrosc Tech. 2023 Jun 19;12(7):e1133-e1138. doi: 10.1016/j.eats.2023.03.001. eCollection 2023 Jul.

DOI:10.1016/j.eats.2023.03.001
PMID:37533914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390842/
Abstract

Meniscus root tears are tears that occur within 1 cm of the meniscus root attachment to the tibia. If not repaired, root tears will lead to altered knee biomechanics and accelerated degenerative changes in the knee. In this surgical technique, we demonstrate repair of a meniscus root tear with an all-inside suture repair of the posterior meniscus that is then passed through 2 transtibial tunnels and then fixed with an anchor. After surgery, patients are non-weightbearing for 4 weeks and can return to activity by 6 months.

摘要

半月板根部撕裂是指在半月板根部附着于胫骨的1厘米范围内发生的撕裂。如果不进行修复,根部撕裂将导致膝关节生物力学改变以及膝关节加速退变。在这项手术技术中,我们展示了一种通过半月板后角全关节内缝合修复半月板根部撕裂的方法,该缝合线随后穿过2个经胫骨隧道,然后用锚钉固定。术后,患者需4周不负重,6个月可恢复活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/c98ce4699cb3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/5ad35a6c2eb1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/6388f30cc449/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/cdc888f9da23/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/012f9b22a0e6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/a0e56774a210/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/c98ce4699cb3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/5ad35a6c2eb1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/6388f30cc449/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/cdc888f9da23/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/012f9b22a0e6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/a0e56774a210/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b9/10390842/c98ce4699cb3/gr6.jpg

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本文引用的文献

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2
Are Outcomes of Acute Meniscus Root Tear Repair Better Than Debridement or Nonoperative Management? A Systematic Review.急性半月板根部撕裂修复的效果是否优于清创术或非手术治疗?一项系统评价。
Am J Sports Med. 2022 Sep;50(11):3130-3139. doi: 10.1177/03635465211031250. Epub 2021 Oct 11.
3
Platelet-Rich Plasma Augmentation of Meniscal Repair in the Setting of Anterior Cruciate Ligament Reconstruction.
富血小板血浆在重建前交叉韧带的情况下对半月板修复的增强作用。
Am J Sports Med. 2021 Oct;49(12):3287-3292. doi: 10.1177/03635465211036471. Epub 2021 Sep 3.
4
A comparison of the transtibial pullout technique and all-inside meniscal repair in medial meniscus posterior root tear: Prognostic factors and midterm clinical outcomes.经胫骨拉出技术与半月板全内修复治疗内侧半月板后根部撕裂的比较:预后因素及中期临床结果
J Orthop. 2021 Aug 6;26:130-134. doi: 10.1016/j.jor.2021.08.001. eCollection 2021 Jul-Aug.
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Surgical treatment of complex meniscus tear and disease: state of the art.复杂半月板撕裂和疾病的外科治疗:现状。
J ISAKOS. 2021 Jan;6(1):35-45. doi: 10.1136/jisakos-2019-000380. Epub 2020 Sep 17.
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Midterm Outcomes of Posterior Medial Meniscus Root Tear Repair: A Systematic Review.后内侧半月板根部撕裂修复的中期结果:系统评价。
Am J Sports Med. 2022 Feb;50(2):545-553. doi: 10.1177/0363546521998297. Epub 2021 Mar 29.
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Arthroscopic Centralization of the Extruded Medial Meniscus.关节镜下挤压内侧半月板的复位术
Arthrosc Tech. 2020 Dec 19;10(1):e43-e48. doi: 10.1016/j.eats.2020.09.005. eCollection 2021 Jan.
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Comparison of the clinical outcomes of transtibial pull-out repair for medial meniscus posterior root tear: Two simple stitches versus modified Mason-Allen suture.经胫骨拉出修复术治疗内侧半月板后根撕裂的临床疗效比较:两种简单缝线与改良梅森-艾伦缝线的对比
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The Outside-In, Percutaneous Release of the Medial Collateral Ligament for Knee Arthroscopy.膝关节镜下内侧副韧带由外向内经皮松解术
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