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采用环形压迫缝线修复周围桶柄状半月板撕裂的“下、上”技术

The "Under, Over" Technique for Repair of a Peripheral Bucket-Handle Meniscus Tear With Circumferential Compression Stitches.

作者信息

Lipson Sophie E, Morris Allyn, Chan Ferdinand J

机构信息

Tufts University School of Medicine, Boston, Massachusetts, U.S.A.

Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, New York, U.S.A.

出版信息

Arthrosc Tech. 2023 Jun 19;12(7):e1139-e1143. doi: 10.1016/j.eats.2023.03.002. eCollection 2023 Jul.

DOI:10.1016/j.eats.2023.03.002
PMID:37533922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390879/
Abstract

The benefits of preserving the meniscus are well-established. Several arthroscopic meniscal repair techniques have been described, such as the inside-out, outside-in, and all-inside. All-inside self-retrieving suture devices can be used to repair vertical, horizontal, and radial tears. However, this technique becomes difficult with large tears, as the jaw of the device cannot reach the peripheral edge of the meniscal tear. We present an all-inside technique using circumferential compression stitches to address large peripheral meniscus tears.

摘要

保留半月板的益处已得到充分证实。已经描述了几种关节镜下半月板修复技术,如由内向外、由外向内和全内技术。全内自取回缝线装置可用于修复垂直、水平和放射状撕裂。然而,对于大的撕裂,这种技术会变得困难,因为该装置的钳口无法到达半月板撕裂的周边边缘。我们提出一种使用环形加压缝线的全内技术来处理半月板周边大撕裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234b/10390879/47c45f114176/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234b/10390879/f943bc7d7e30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234b/10390879/47c45f114176/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234b/10390879/f943bc7d7e30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234b/10390879/47c45f114176/gr2.jpg

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BMC Musculoskelet Disord. 2022 Dec 5;23(1):1063. doi: 10.1186/s12891-022-06037-7.
2
Repair of a Horizontal Cleavage Tear of the Lateral Meniscus with Circumferential Compression Stitches and Marrow Venting Augmentation.采用环周加压缝合及骨髓减压增强技术修复外侧半月板水平劈裂撕裂
Arthrosc Tech. 2022 Oct 20;11(11):e1937-e1944. doi: 10.1016/j.eats.2022.07.008. eCollection 2022 Nov.
3
Arthroscopic Repair of Radial Tears in the Junction of the Anterior Horn and Body of the Lateral Meniscus Using an All-Inside Device.
使用全内置装置对外侧半月板前角与体部交界处的放射状撕裂进行关节镜修复。
Arthrosc Tech. 2022 Sep 17;11(10):e1811-e1816. doi: 10.1016/j.eats.2022.06.018. eCollection 2022 Oct.
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Meniscal Repair Outcomes at Greater Than 5 Years: A Systematic Review and Meta-Analysis.半月板修复后 5 年以上的结果:系统评价和荟萃分析。
J Bone Joint Surg Am. 2022 Jul 20;104(14):1311-1320. doi: 10.2106/JBJS.21.01303. Epub 2022 Apr 19.
5
Meniscus Tear: Pathology, Incidence, and Management.半月板撕裂:病理学、发病率及治疗
Cureus. 2022 May 18;14(5):e25121. doi: 10.7759/cureus.25121. eCollection 2022 May.
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All-Inside Meniscus Repair.全内半月板修复术
Curr Rev Musculoskelet Med. 2022 Aug;15(4):252-258. doi: 10.1007/s12178-022-09766-3. Epub 2022 Jun 4.
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