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使用单个锚钉对膝关节负重区骨软骨碎片进行关节镜原位固定

Arthroscopic In Situ Fixation of Osteochondral Fragments on the Weightbearing Area of the Knee Joint With a Single Anchor.

作者信息

Huang Wei, Yang Wenbo, Meng Chunqing, Shao Zengwu, Wang Hong

机构信息

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Arthrosc Tech. 2023 Nov 6;12(12):e2133-e2139. doi: 10.1016/j.eats.2023.07.038. eCollection 2023 Dec.

Abstract

Osteochondral fracture of knee joint occurring in the femur is a serious clinical trauma. The presence of osteochondral fragments in the knee joint often necessitates surgery. Arthroscopic repair is a minimally invasive treatment, and there are many methods, among which suture anchor is often adopted by clinicians because of its obvious advantages such as simplicity. In the past, there were many methods for fixing osteochondral fragments, but using suture anchors to fix free osteochondral fragments has become a common approach. Moreover, the local mechanical environment will also be affected because of the increase in the number of bone channels. In this report, we describe a method for fixing 1 or 2 osteochondral fragments using a single suture anchor based on the mechanical characteristics of the femoral weightbearing region of the knee joint. We use relevant case reports to introduce our technology. Through the application of our improved technique, the arthroscopic repair of osteochondral fractures in the weightbearing area of femur can be more convenient and more economical, and the rehabilitation of patients will not be affected.

摘要

发生在股骨的膝关节骨软骨骨折是一种严重的临床创伤。膝关节内存在骨软骨碎片往往需要进行手术。关节镜修复是一种微创治疗方法,有多种方式,其中缝线锚钉因其操作简便等明显优势而常被临床医生采用。过去,固定骨软骨碎片有多种方法,但使用缝线锚钉固定游离骨软骨碎片已成为常用方法。此外,由于骨道数量增加,局部力学环境也会受到影响。在本报告中,我们基于膝关节股骨负重区的力学特性,描述了一种使用单个缝线锚钉固定1个或2个骨软骨碎片的方法。我们通过相关病例报告来介绍我们的技术。通过应用我们改进的技术,股骨负重区骨软骨骨折的关节镜修复可以更加便捷、经济,且不会影响患者康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d122/10772958/5e9b686f5637/gr1.jpg

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