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采用髂胫束移植和胶原膜包裹增强术进行半月板修复。

Meniscal Repair With Iliotibial Band Grafting and Collagen Membrane Wrapping Augmentation.

作者信息

Rubczak Szymon, Jakubowski Filip, Naczk Jakub, Babik Bartosz, Bakowski Pawel, Piontek Tomasz

机构信息

Rehasport Clinic, Poznan, Poland.

出版信息

Arthrosc Tech. 2024 Apr 26;13(6):102974. doi: 10.1016/j.eats.2024.102974. eCollection 2024 Jun.

DOI:10.1016/j.eats.2024.102974
PMID:39036400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11258815/
Abstract

This work contains a description of the modified Henning operation. This technique can be proven especially useful in difficult cases of damaged meniscus (complex injuries). It consists of three stages: stable suturing of the meniscus, placement of the graft from the iliotibial band on the meniscus, and covering the graft with a collagen membrane. Stitching the meniscus provides initial stabilization, the graft from the iliotibial band provides scaffolding for the reconstructed tissue, and the collagen membrane provides biological stimulation for healing.

摘要

这项工作包含了改良亨宁手术的描述。该技术在半月板损伤的困难病例（复杂损伤）中已被证明特别有用。它包括三个阶段：半月板的稳定缝合、将髂胫束移植物放置在半月板上以及用胶原膜覆盖移植物。缝合半月板可提供初始稳定性，髂胫束移植物为重建组织提供支架，而胶原膜为愈合提供生物刺激。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/1e7c74e64a37/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/9077f23ca191/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/f9b55e90d400/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/145744fdac2f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/e5858f611392/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/984a2cb4bb17/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/93b4698b5996/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/ce52aa94331b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/eb767b5b3b49/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/1e7c74e64a37/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/9077f23ca191/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/f9b55e90d400/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/145744fdac2f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/e5858f611392/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/984a2cb4bb17/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/93b4698b5996/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/ce52aa94331b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/eb767b5b3b49/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd78/11258815/1e7c74e64a37/gr9.jpg

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本文引用的文献

1
Meniscectomy is associated with a higher rate of osteoarthritis compared to meniscal repair following acute tears: a meta-analysis.半月板切除术与半月板修复相比，在急性撕裂后与更高的骨关节炎发生率相关：一项荟萃分析。
Knee Surg Sports Traumatol Arthrosc. 2023 Dec;31(12):5485-5495. doi: 10.1007/s00167-023-07600-y. Epub 2023 Oct 9.
2
Anterior Cruciate Ligament Reconstruction Using a Fascia Lata Graft With FiberTape Augmentation.使用阔筋膜移植并辅以纤维带增强进行前交叉韧带重建
Arthrosc Tech. 2022 Dec 21;12(1):e127-e133. doi: 10.1016/j.eats.2022.09.002. eCollection 2023 Jan.
3
Meniscus repair via collagen matrix wrapping and bone marrow injection: clinical and biomolecular study.
半月板修复通过胶原基质包裹和骨髓注射：临床和生物分子研究。
Int Orthop. 2023 Oct;47(10):2409-2417. doi: 10.1007/s00264-023-05711-2. Epub 2023 Feb 11.
4
Risk factors for knee osteoarthritis after traumatic knee injury: a systematic review and meta-analysis of randomised controlled trials and cohort studies for the OPTIKNEE Consensus.创伤性膝关节损伤后膝关节骨关节炎的风险因素：OPTIKNEE 共识的随机对照试验和队列研究的系统评价和荟萃分析。
Br J Sports Med. 2022 Dec;56(24):1406-1421. doi: 10.1136/bjsports-2022-105496. Epub 2022 Sep 2.
5
Biologic Augmentation during Meniscal Repair.半月板修复术中的生物增强。
J Knee Surg. 2023 Apr;36(5):498-506. doi: 10.1055/s-0041-1739198. Epub 2021 Nov 15.
6
Meniscectomy is still a frequent orthopedic procedure: a pending need for education on the meniscus treatment possibilities.半月板切除术仍然是一种常见的骨科手术：对半月板治疗可能性的教育需求仍然存在。
Knee Surg Sports Traumatol Arthrosc. 2022 Apr;30(4):1430-1435. doi: 10.1007/s00167-021-06612-w. Epub 2021 Jun 4.
7
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8
Meniscal repair: The current state and recent advances in augmentation.半月板修复：增强技术的现状与最新进展。
J Orthop Res. 2021 Jul;39(7):1368-1382. doi: 10.1002/jor.25021. Epub 2021 Mar 19.
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Cartilage. 2021 Dec;13(1_suppl):228S-238S. doi: 10.1177/1947603520924762. Epub 2020 Jun 1.
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Arthroscopic Superior Capsular Reconstruction With a Minimally Invasive Harvested Fascia Lata Autograft Produces Good Clinical Results.关节镜下采用微创获取的阔筋膜自体移植进行上盂唇重建可产生良好的临床效果。
Orthop J Sports Med. 2018 Nov 27;6(11):2325967118808242. doi: 10.1177/2325967118808242. eCollection 2018 Nov.