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编辑评论:在半月板挤出的病例中,内侧半月板根部修复应与高位胫骨截骨术相结合。

Editorial Commentary: Medial Meniscal Root Repair Should Be Combined With High Tibial Osteotomy in Cases of Meniscal Extrusion.

作者信息

Alfaro-Adrián Jesús

出版信息

Arthroscopy. 2025 May;41(5):1472-1473. doi: 10.1016/j.arthro.2024.08.027. Epub 2024 Sep 6.

DOI:10.1016/j.arthro.2024.08.027
PMID:39243994
Abstract

Medial meniscus extrusion (MME) is classically defined as radial displacement of ≥3 mm outside the tibial border. MME is usually seen in middle-aged patients, and it is strongly associated with medial meniscus root (MMR) pathology and medial femorotibial compartment degenerative change. MMR tears are associated with cartilage defects of the medial femoral condyle (89%) and MME ≥3 mm (67%). If MMR tears are associated with MME, high tibial osteotomy combined with MMR repair may reduce MME and protect the medial compartment. Recent research shows combined MMR repair and high tibial osteotomy yield improved radiographic and functional outcomes.

摘要

内侧半月板挤压(MME)传统上定义为在胫骨边缘外侧径向位移≥3毫米。MME通常见于中年患者,并且与内侧半月板根部(MMR)病变和内侧股胫关节间室退变密切相关。MMR撕裂与内侧股骨髁软骨缺损(89%)和MME≥3毫米(67%)相关。如果MMR撕裂与MME相关,高位胫骨截骨术联合MMR修复可能会减少MME并保护内侧间室。最近的研究表明,MMR修复与高位胫骨截骨术联合应用可改善影像学和功能结果。

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Editorial Commentary: Medial Meniscal Root Repair Should Be Combined With High Tibial Osteotomy in Cases of Meniscal Extrusion.编辑评论:在半月板挤出的病例中,内侧半月板根部修复应与高位胫骨截骨术相结合。
Arthroscopy. 2025 May;41(5):1472-1473. doi: 10.1016/j.arthro.2024.08.027. Epub 2024 Sep 6.
2
High Tibial Osteotomy Alone Does Not Decrease Medial Meniscus Extrusion in the Setting of Medial Meniscus Posterior Root Tear: A Cadaveric Study.单纯高位胫骨截骨术并不能减少内侧半月板后根撕裂情况下的内侧半月板挤出:一项尸体研究。
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Posteromedial opening wedge high tibial osteotomy has favourable outcomes in simultaneous medial meniscus posterior root repair and varus medial knee osteoarthritis patients without concomitant root tear.后内侧开放楔形高位胫骨截骨术对于同时进行内侧半月板后根修复且无伴随根部撕裂的膝内翻型内侧膝关节骨关节炎患者具有良好疗效。
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引用本文的文献

1
Posteromedial opening wedge high tibial osteotomy has favourable outcomes in simultaneous medial meniscus posterior root repair and varus medial knee osteoarthritis patients without concomitant root tear.后内侧开放楔形高位胫骨截骨术对于同时进行内侧半月板后根修复且无伴随根部撕裂的膝内翻型内侧膝关节骨关节炎患者具有良好疗效。
J Orthop Surg Res. 2025 Jan 25;20(1):97. doi: 10.1186/s13018-025-05519-3.