Za Pierangelo, Ambrosio Luca, Vasta Sebastiano, Russo Fabrizio, Papalia Giuseppe Francesco, Vadalà Gianluca, Papalia Rocco
Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.
J Clin Med. 2024 Aug 9;13(16):4688. doi: 10.3390/jcm13164688.
Since the role of the menisci in knee stability, proprioception, and homeostasis has been well established, significant efforts have been made to repair meniscal tears, resulting in excellent clinical outcomes and a reduction in the progression of knee osteoarthritis (OA). However, varying failure rates have been reported, raising questions regarding the healing potential in cases of complex injuries, poorly vascularized and degenerated areas, and generally in the presence of unfavorable biological characteristics. Therefore, over the last few decades, different strategies have been described to increase the chances of meniscal healing. Biological augmentation of meniscal repair through various techniques represents a safe and effective strategy with proven clinical benefits. This approach could reduce the failure rate and expand the indications for meniscal repair. In the present study, we thoroughly reviewed the available evidence on meniscal repair surgery and summarized the main techniques that can be employed to enhance the biological healing potential of a meniscal lesion. Our aim was to provide an overview of the state of the art on meniscal repair and suggest the best techniques to reduce their failure rate.
由于半月板在膝关节稳定性、本体感觉和内环境稳定中的作用已得到充分证实，人们为修复半月板撕裂付出了巨大努力，取得了优异的临床效果，并减缓了膝关节骨关节炎（OA）的进展。然而，报道的失败率各不相同，这引发了关于复杂损伤、血管化不良和退变区域以及一般存在不利生物学特征情况下愈合潜力的问题。因此，在过去几十年里，人们描述了不同的策略来增加半月板愈合的机会。通过各种技术对半月板修复进行生物学增强是一种安全有效的策略，已证明具有临床益处。这种方法可以降低失败率并扩大半月板修复的适应症。在本研究中，我们全面回顾了半月板修复手术的现有证据，并总结了可用于增强半月板损伤生物学愈合潜力的主要技术。我们的目的是概述半月板修复的最新技术，并提出降低其失败率的最佳技术。
