Head of Orthopedic and Traumatology Service of North Clinic Foundation, Av. 38#59-50, Bello, Antioquia, 051050, Colombia.
Orthopedic and Traumatology Service of North Clinic Foundation, Av. 38#59-50, Bello, Antioquia, 051050, Colombia.
J ISAKOS. 2024 Jun;9(3):418-421. doi: 10.1016/j.jisako.2024.02.013. Epub 2024 Feb 27.
Several surgical procedures for the repair of bucket handle meniscus tears have been reported in the literature. However, even the most skilled surgeon can find it difficult to treat chronic and locked lesions, which typically result in meniscectomies. Therefore, a repair method for bucket-handle meniscus tears that are chronic and locked is shown, along with a case series where this procedure was used. The technique consists of a release of the joint capsule attachment to the meniscal body, which increases the mobility of the meniscus and facilitates the reduction of the injury, allowing subsequent repair through a combination of both all-inside and inside-out repair techniques. The main objective of this technique is to reduce the need for meniscectomies in difficult cases of bucket-handle meniscus tears, protect the meniscal tissue, and slow the progression of osteoarthritis in the process.
文献中报道了几种修复桶柄状半月板撕裂的手术方法。然而，即使是最熟练的外科医生也可能难以治疗慢性和锁定病变，这些病变通常导致半月板切除术。因此，本文展示了一种治疗慢性和锁定桶柄状半月板撕裂的修复方法，并介绍了一系列使用该方法的病例。该技术包括释放半月板体的关节囊附着，从而增加半月板的活动性，并便于损伤的复位，随后通过内外结合的修复技术进行修复。该技术的主要目的是减少在困难的桶柄状半月板撕裂病例中进行半月板切除术的需要，保护半月板组织，并减缓骨关节炎的进展。
