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用于腘肌腱裂孔区域纵向外侧半月板撕裂的环形十字缝合法

Circumferential Cross-Stitch Suture for Longitudinal Lateral Meniscal Tear Around the Popliteal Tendon Hiatus Region.

作者信息

Sanada Takaki, Murakami Tomoki, Iwaso Hiroshi, Eisaburo Honda, Sameshima Shin, Ishida Yutaro, Inagawa Miyu

机构信息

Department of Sports Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki, Japan.

出版信息

Arthrosc Tech. 2024 Apr 4;13(5):102947. doi: 10.1016/j.eats.2024.102947. eCollection 2024 May.

DOI:10.1016/j.eats.2024.102947
PMID:38835462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11144842/
Abstract

Lateral meniscal repair of the popliteal hiatus is technically demanding. The inside-out technique requires an additional incision and carries the risk of posterolateral soft tissue damage to the knee joint. In addition, the presence of the popliteal tendon limits the route of the suture thread. Within the current trend of the all-inside suture technique, meniscal suture-based all-inside repair demonstrates biomechanical advantages over anchor-based all-inside repair. We introduce a meniscal suture-based all-inside meniscal repair technique for longitudinal lateral meniscal tears.

摘要

腘肌腱裂孔外侧半月板修复技术要求较高。由外向内技术需要额外做切口，且有损伤膝关节后外侧软组织的风险。此外，腘肌腱的存在限制了缝线的走行路径。在全关节镜缝合技术的当前趋势下，基于半月板缝合的全关节镜修复相较于基于锚钉的全关节镜修复具有生物力学优势。我们介绍一种用于外侧半月板纵向撕裂的基于半月板缝合的全关节镜半月板修复技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/64a19e4eecb9/gr9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/a4d5d46be418/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/e95a0ba9fa65/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/04ddafa06c30/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/1aa30c8d0fe9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/c88b261eed8f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/64a19e4eecb9/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/cb238e6306aa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/863b1e13a5c6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/8f7bfe8506f5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/a4d5d46be418/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/e95a0ba9fa65/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/04ddafa06c30/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/1aa30c8d0fe9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/c88b261eed8f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a656/11144842/64a19e4eecb9/gr9.jpg

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本文引用的文献

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Inside-Out Approach to Meniscus Repair: Still the Gold Standard?半月板修复的由内而外技术：仍是金标准吗？
Curr Rev Musculoskelet Med. 2022 Aug;15(4):244-251. doi: 10.1007/s12178-022-09764-5. Epub 2022 Apr 30.
2
Circumferential-Surrounding ("Sandwich") Meniscal Repair: A Salvage Technique to Save the Meniscus.环形周围（“三明治”）半月板修复：一种挽救半月板的补救技术。
Arthrosc Tech. 2020 Sep 24;9(10):e1467-e1473. doi: 10.1016/j.eats.2020.06.008. eCollection 2020 Oct.
3
Biomechanical Comparison of Vertical Mattress and Cross-stitch Suture Techniques and Single- and Double-Row Configurations for the Treatment of Bucket-Handle Medial Meniscal Tears.
垂直褥式与十字缝合法修复桶柄状内侧半月板撕裂的生物力学比较：单排与双排固定方式的比较
Am J Sports Med. 2019 Apr;47(5):1194-1202. doi: 10.1177/0363546519830402. Epub 2019 Mar 21.
4
Circumferential Suture Repair of Isolated Horizontal Meniscal Tears Augmented With Fibrin Clot.采用纤维蛋白凝块增强的孤立性水平半月板撕裂的环周缝合修复术
Arthrosc Tech. 2017 Oct 12;6(5):e1567-e1572. doi: 10.1016/j.eats.2017.06.031. eCollection 2017 Oct.
5
Meniscal repair: Technique.半月板修复：技术
Orthop Traumatol Surg Res. 2018 Feb;104(1S):S137-S145. doi: 10.1016/j.otsr.2017.04.016. Epub 2017 Nov 23.
6
Biomechanical Comparison of Parallel and Crossed Suture Repair for Longitudinal Meniscus Tears.平行与交叉缝合修复纵向半月板撕裂的生物力学比较。
Orthop J Sports Med. 2016 Apr 8;4(4):2325967116640263. doi: 10.1177/2325967116640263. eCollection 2016 Apr.
7
Biomechanical evaluation of an all-inside suture-based device for repairing longitudinal meniscal tears.一种用于修复半月板纵向撕裂的全内置缝线装置的生物力学评估。
Arthroscopy. 2015 Mar;31(3):428-34. doi: 10.1016/j.arthro.2014.08.027. Epub 2014 Oct 18.
8
Repair integrity evaluated by second-look arthroscopy after arthroscopic meniscal repair with the FasT-Fix during anterior cruciate ligament reconstruction.关节镜下前交叉韧带重建术中使用 FasT-Fix 进行半月板修复后的二次关节镜检查评估修复完整性。
Am J Sports Med. 2010 May;38(5):965-71. doi: 10.1177/0363546509356977. Epub 2010 Mar 2.