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经胫骨拉出技术在同时进行前交叉韧带重建和外侧半月板后根再植入时如何避免缝线损伤：技术说明

How To Avoid Suture Damage in Simultaneous Anterior Cruciate Ligament Reconstruction and Lateral Meniscal Posterior Root Reinsertion With the Transtibial Pullout Technique: A Technical Note.

作者信息

Nlandu Alice, Giurazza Giancarlo, Lahsika Mohammed, An Jae-Sung, Jacome-Pacheco Dunio, Venzo Leonardo, Patel Kaushal, Vieira Thais Dutra, Sonnery-Cottet Bertrand

机构信息

Pied Cheville Nantes Atlantique, Clinique Brétéché, Nantes.

Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Générale de Santé, Hopital Privé Jean Mermoz, Lyon, France.

出版信息

Arthrosc Tech. 2024 Jan 1;13(2):102849. doi: 10.1016/j.eats.2023.09.024. eCollection 2024 Feb.

DOI:10.1016/j.eats.2023.09.024
PMID:38435243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10907902/
Abstract

Lateral meniscus posterior root tears (LMPRTs) are estimated to occur in 7% to 12% of anterior cruciate ligament (ACL)-injured knees. This topic is of great interest because of their biomechanical consequences in terms of interruption of hoop stress distribution. If left unrepaired, the corresponding compartment is exposed to unfavorable contact dynamics, similar to those resulting from a total meniscectomy. This Technical Note describes a transtibial LMPRT repair using a Knee Scorpion and an 18-gauge spinal needle. It is a reproducible arthroscopic LMPR reinsertion technique combined with concomitant standard ACL + anterolateral ligament reconstruction with hamstring tendons and it describes how to safely avoid damage to root traction sutures during the ACL independent tibial tunnel drilling.

摘要

据估计，外侧半月板后根部撕裂（LMPRTs）在7%至12%的前交叉韧带（ACL）损伤膝关节中出现。由于其在环向应力分布中断方面的生物力学后果，这个话题备受关注。如果不进行修复，相应的腔室会暴露于不利的接触动力学中，类似于全半月板切除术所导致的情况。本技术说明描述了一种使用膝关节蝎子装置和18号脊椎穿刺针的经胫骨LMPRT修复方法。这是一种可重复的关节镜下LMPR重新植入技术，同时结合使用腘绳肌腱进行标准ACL + 前外侧韧带重建，并且阐述了在独立于ACL进行胫骨隧道钻孔时如何安全避免损伤根部牵引缝线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/10907902/9cd86696ae7b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/10907902/c4d245cdcdff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/10907902/0f6dd8b9e715/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/10907902/9cd86696ae7b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/10907902/c4d245cdcdff/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/10907902/0f6dd8b9e715/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee81/10907902/9cd86696ae7b/gr3.jpg

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Arthrosc Tech. 2025 Jan 15;14(5):103419. doi: 10.1016/j.eats.2024.103419. eCollection 2025 May.

本文引用的文献

1
Arthroscopic Transosseous Repair of a Medial Meniscal Posterior-Root Tear.关节镜下内侧半月板后根部撕裂的经骨修复术
JBJS Essent Surg Tech. 2021 Oct 7;11(4). doi: 10.2106/JBJS.ST.20.00031. eCollection 2021 Oct-Dec.
2
Arthroscopic Repair of Posterior Root Tears of the Lateral Meniscus with All-Suture Anchor.使用全缝线锚钉进行关节镜下外侧半月板后根部撕裂修复术
Arthrosc Tech. 2022 Apr 22;11(5):e781-e787. doi: 10.1016/j.eats.2021.12.037. eCollection 2022 May.
3
Lateral meniscal posterior root tears experience acceptable healing status after transtibial repair technique.
经胫骨修复技术治疗后，外侧半月板后根部撕裂的愈合状况良好。
J Exp Orthop. 2021 Dec 9;8(1):114. doi: 10.1186/s40634-021-00433-z.
4
Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: A retrospective study.外侧半月板后根撕裂的经胫骨拉出修复联合前交叉韧带重建可减少外侧半月板挤压：一项回顾性研究。
Orthop Traumatol Surg Res. 2020 May;106(3):469-473. doi: 10.1016/j.otsr.2019.10.022. Epub 2020 Apr 8.
5
Lateral Meniscal Posterior Root Repair With Anterior Cruciate Ligament Reconstruction Better Restores Knee Stability.前交叉韧带重建术中修复半月板后外侧根部可更好地恢复膝关节稳定性。
Am J Sports Med. 2019 Jan;47(1):59-65. doi: 10.1177/0363546518808004. Epub 2018 Nov 19.
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Technique for Transtibial Knotless Repair of Lateral Meniscus Root Avulsion.经胫骨外侧半月板根部撕脱无结修复技术
Arthrosc Tech. 2017 Jun 26;6(3):e845-e851. doi: 10.1016/j.eats.2017.05.001. eCollection 2017 Jun.
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Lateral Meniscus Posterior Root and Meniscofemoral Ligaments as Stabilizing Structures in the ACL-Deficient Knee: A Biomechanical Study.外侧半月板后根和半月板股骨韧带在ACL损伤膝关节中的稳定结构作用：一项生物力学研究
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