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使用牵引缝线和超级标签技术修复桡侧半月板前外侧撕裂

Anterolateral Radial Meniscus Tear Repair using Traction Suture and Super-Hashtag Technique.

作者信息

Milliron Eric M, Moews Logan, Cavendish Parker A, Barnes Ryan H, Flanigan David C

机构信息

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

出版信息

Arthrosc Tech. 2023 Jul 17;12(8):e1347-e1353. doi: 10.1016/j.eats.2023.04.003. eCollection 2023 Aug.

DOI:10.1016/j.eats.2023.04.003
PMID:37654885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466241/
Abstract

Radial meniscus tears occur commonly as traumatic tears in younger patients, as well as in association with concomitant degenerative changes. Traditional management of these tears has centered around partial meniscectomy; however, there has been a more recent trend toward preserving the meniscus and attempting repair. Because of the gapping and displacement that frequently occurs with these tears, repair is often challenging and is done under high amounts of tension. The following article describes a technique using a traction suture to aid in maintaining reduction throughout repair. This is followed by the use of a combination of techniques to form a "super-hashtag" configuration of both vertical and horizontal mattress sutures, leading to a secure repair under little tension.

摘要

桡侧半月板撕裂在年轻患者中通常作为创伤性撕裂出现,也与伴随的退行性改变有关。这些撕裂的传统治疗方法主要围绕部分半月板切除术;然而,最近出现了一种更倾向于保留半月板并尝试修复的趋势。由于这些撕裂经常出现间隙和移位,修复往往具有挑战性,且是在高张力下进行的。以下文章描述了一种使用牵引缝线来辅助在整个修复过程中保持复位的技术。随后使用多种技术组合形成垂直和水平褥式缝线的“超级 hashtag”构型,从而在低张力下实现牢固修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/e3ff034dd43e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/616be9541d2f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/0e78a79a4f31/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/9a67d410fa1d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/27599d6f45ba/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/68c58e10bf3b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/977a69d97763/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/e3ff034dd43e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/616be9541d2f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/0e78a79a4f31/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/9a67d410fa1d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/27599d6f45ba/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/68c58e10bf3b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/977a69d97763/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed2/10466241/e3ff034dd43e/gr7.jpg

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Arthrosc Tech. 2022 Sep 17;11(10):e1811-e1816. doi: 10.1016/j.eats.2022.06.018. eCollection 2022 Oct.
2
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Curr Rev Musculoskelet Med. 2022 Aug;15(4):252-258. doi: 10.1007/s12178-022-09766-3. Epub 2022 Jun 4.
3
Several Techniques Exist With Favorable Biomechanical Outcomes in Radial Meniscus Tear Repair-A Systematic Review.
几种技术在修复放射状半月板撕裂中具有良好的生物力学效果——系统评价。
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Arthroscopy. 2022 Jun;38(6):1919-1929. doi: 10.1016/j.arthro.2021.11.025. Epub 2021 Nov 25.
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