Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio.
The Ohio State University College of Medicine, Columbus, Ohio.
JBJS Rev. 2023 Aug 10;11(8). doi: e23.00042. eCollection 2023 Aug 1.
» Accounting for up to 24% of all meniscus tears, horizontal cleavage tears (HCTs) are a common pathology orthopaedic practitioners should be comfortable managing.» Historically, HCTs were treated with partial meniscectomy; however, recent studies have demonstrated that these procedures have an adverse biomechanical effect, while HCT repairs restore the knee's natural biomechanics.» Indications for the surgical repair of HCTs remain disputed, but surgery is generally considered for young, active patients and older patients without significant concomitant osteoarthritis.» Early clinical findings surrounding HCT repair are promising. They suggest that this treatment adequately restores meniscus mechanics, leads to good knee functional outcomes, and results in a high likelihood of return to preinjury activity levels.
» 水平撕裂（HCT）占所有半月板撕裂的 24%，是骨科医生应熟练处理的一种常见病理。» 历史上，HCT 采用部分半月板切除术治疗；然而，最近的研究表明，这些手术会产生不利的生物力学影响，而 HCT 修复则恢复了膝关节的自然生物力学。» HCT 修复的手术适应证仍存在争议，但一般认为年轻、活跃的患者和无明显伴发骨关节炎的老年患者适合手术。» HCT 修复的早期临床研究结果很有前景。它们表明，这种治疗方法能充分恢复半月板的力学功能，带来良好的膝关节功能结果，并极有可能恢复到受伤前的活动水平。
