Department of Orthopedic Surgery, Division of Sports Medicine Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Linkou, Taoyuan 333, Taiwan.
Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan 333, Taiwan.
Medicina (Kaunas). 2023 Aug 21;59(8):1497. doi: 10.3390/medicina59081497.
This case report describes a new approach to segmental meniscal reconstruction using a peroneal longus autograft in a patient with recurrent traumatic medial meniscus tear and anterior cruciate ligament reconstruction (ACLR) failure. While allograft meniscal transplantation is the preferred method for treating meniscal deficiency, its high cost and various legal regulations have limited its widespread use. Autologous tendon grafts have been proposed as a substitute for allograft meniscus transplantation, but their initial results were poor, leading to little progress in this area. However, recent animal experiments and clinical studies have demonstrated promising results in using autologous tendon grafts for meniscal transplantation, including improvements in pain and quality of life for patients. Further research is needed to evaluate the effectiveness of segmental meniscal reconstruction using autologous tendon grafts, but it could potentially lead to more accessible and cost-effective treatment options for patients with meniscal deficiency.
本病例报告描述了一种使用腓骨长肌腱自体移植物进行半月板节段重建的新方法，该患者患有复发性创伤性内侧半月板撕裂和前交叉韧带重建 (ACLR) 失败。虽然同种异体半月板移植是治疗半月板缺失的首选方法，但由于其高昂的成本和各种法律法规的限制，其应用受到了限制。自体肌腱移植物已被提议作为同种异体半月板移植的替代品，但它们最初的结果较差，导致该领域的进展甚微。然而，最近的动物实验和临床研究表明，使用自体肌腱移植物进行半月板移植具有有前景的结果，包括改善患者的疼痛和生活质量。需要进一步的研究来评估使用自体肌腱移植物进行半月板节段重建的有效性，但它可能为半月板缺失的患者提供更易获得和更具成本效益的治疗选择。
