• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

经外侧隧道进行后外侧半月板根部修复及前交叉韧带翻修：如何避免隧道重叠

Posterior Lateral Meniscal Root Repair Through Lateral Tunnel and Anterior Cruciate Ligament Revision: How to Avoid Tunnel Overlapping.

作者信息

Matassi Fabrizio, Taha Zyad A, Civinini Alessandro, Di Muro Andrea, Corti Jacopo, Civinini Roberto

机构信息

Department of Health Sciences, Orthopedic Unit, University of Florence, Firenze, Italy.

出版信息

Arthrosc Tech. 2024 Jun 18;13(10):103089. doi: 10.1016/j.eats.2024.103089. eCollection 2024 Oct.

DOI:10.1016/j.eats.2024.103089
PMID:39479043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11519867/
Abstract

Posterior lateral meniscal root (PLMR) tears are commonly observed in conjunction with anterior cruciate ligament (ACL) injuries. The presence of PLMR tears exacerbates knee instability, increasing stress on ACL grafts and accelerating joint degeneration if left untreated. Anatomical repair of PLMR tears is therefore crucial for restoring native knee kinematics and reducing tibiofemoral contact pressures, thereby safeguarding the ACL graft. However, the standard use of a single medial tunnel approach for concomitant PLMR and revision ACL reconstruction may require reconsideration to prevent the potential risks of tunnel overlapping, which could undermine graft anatomical integrity. This article, to prevent the risk of tunnel overlapping, introduces a surgical approach that employs an additional lateral tibial tunnel for PLMR repair, instead of the typically used single medial one, for PLMR repair during simultaneous revision ACL reconstruction.

摘要

后外侧半月板根部（PLMR）撕裂常与前交叉韧带（ACL）损伤同时出现。若不治疗，PLMR撕裂的存在会加剧膝关节不稳定，增加ACL移植物上的应力并加速关节退变。因此，PLMR撕裂的解剖修复对于恢复膝关节正常运动学和降低胫股关节接触压力至关重要，从而保护ACL移植物。然而，对于同时进行PLMR修复和翻修ACL重建时，标准的单一内侧隧道方法的使用可能需要重新考虑，以防止隧道重叠的潜在风险，这可能会破坏移植物的解剖完整性。本文为防止隧道重叠的风险，介绍了一种手术方法，即在同时进行翻修ACL重建时，采用额外的外侧胫骨隧道进行PLMR修复，而不是通常使用的单一内侧隧道来进行PLMR修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/cb5cc0ca8908/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/c2108e77a82c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/1a57aa739b66/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/477a6dbf5a60/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/ae28122ff381/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/9baa1373466f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/61d2f8a08bfa/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/c15001e162a4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/313043a1e1d5/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/a2efa3fb184a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/7fc40157528d/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/f80d68b35bfc/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/d5bc48755ea7/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/479fb7081810/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/4f7c7f5aa701/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/e8247eaad338/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/cb5cc0ca8908/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/c2108e77a82c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/1a57aa739b66/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/477a6dbf5a60/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/ae28122ff381/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/9baa1373466f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/61d2f8a08bfa/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/c15001e162a4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/313043a1e1d5/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/a2efa3fb184a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/7fc40157528d/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/f80d68b35bfc/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/d5bc48755ea7/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/479fb7081810/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/4f7c7f5aa701/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/e8247eaad338/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa84/11519867/cb5cc0ca8908/gr16.jpg

相似文献

1
Posterior Lateral Meniscal Root Repair Through Lateral Tunnel and Anterior Cruciate Ligament Revision: How to Avoid Tunnel Overlapping.经外侧隧道进行后外侧半月板根部修复及前交叉韧带翻修：如何避免隧道重叠
Arthrosc Tech. 2024 Jun 18;13(10):103089. doi: 10.1016/j.eats.2024.103089. eCollection 2024 Oct.
2
In situ repair of segmental loss posterior lateral meniscal root tears outperforms meniscofemoral ligament imbrication in the ACL reconstructed knee.在ACL重建的膝关节中，外侧半月板后根部撕裂节段性缺损的原位修复优于半月板股骨韧带折叠术。
J Exp Orthop. 2023 Jan 26;10(1):8. doi: 10.1186/s40634-023-00572-5.
3
Optimal Tibial Tunnel Placement for Medial and Lateral Meniscus Root Repair on the Anteromedial Tibia in the Setting of Anterior and Posterior Cruciate Ligament Reconstruction of the Knee.膝关节前交叉韧带和后交叉韧带重建时，在前内胫骨平台行内侧和外侧半月板后根部修复的最佳胫骨隧道位置。
Am J Sports Med. 2022 Apr;50(5):1237-1244. doi: 10.1177/03635465221074312. Epub 2022 Feb 28.
4
Coronal extrusion of the lateral meniscus does not increase after pullout repair of the posterior root of the lateral meniscus at short-term follow-up.外侧半月板后根拉出修复后，短期内外侧半月板冠状突岀并未增加。
Arch Orthop Trauma Surg. 2023 Aug;143(8):5199-5206. doi: 10.1007/s00402-023-04815-z. Epub 2023 Feb 27.
5
Consequences of tibial tunnel reaming on the meniscal roots during cruciate ligament reconstruction in a cadaveric model, Part 1: The anterior cruciate ligament.尸体模型中十字韧带重建时胫骨隧道扩孔对半月板根部的影响，第1部分：前交叉韧带
Am J Sports Med. 2015 Jan;43(1):200-6. doi: 10.1177/0363546514554769. Epub 2014 Oct 31.
6
Isolated Posterior Lateral Meniscofemoral Ligament Tears Show Greater Meniscal Extrusion in Knee Extension, and Isolated Posterior Lateral Meniscal Root Tears Show Greater Meniscal Extrusion at 30° Using Ultrasound: A Cadaveric Study.孤立性后外侧半月板股骨韧带撕裂在膝关节伸展时半月板外突更大，而孤立性后外侧半月板根部撕裂在 30°时半月板外突更大：一项尸体研究。
Arthroscopy. 2023 Aug;39(8):1827-1837.e2. doi: 10.1016/j.arthro.2023.02.007. Epub 2023 Feb 20.
7
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.
8
Incidence and Healing Rates of Meniscal Tears in Patients Undergoing Repair During the First Stage of 2-Stage Revision Anterior Cruciate Ligament Reconstruction.两阶段翻修前交叉韧带重建术第一阶段行半月板修复患者的半月板撕裂发生率和愈合率。
Am J Sports Med. 2019 Dec;47(14):3389-3395. doi: 10.1177/0363546519878421. Epub 2019 Nov 6.
9
Meniscal Tears, Posterolateral and Posteromedial Corner Injuries, Increased Coronal Plane, and Increased Sagittal Plane Tibial Slope All Influence Anterior Cruciate Ligament-Related Knee Kinematics and Increase Forces on the Native and Reconstructed Anterior Cruciate Ligament: A Systematic Review of Cadaveric Studies.半月板撕裂、后外侧和后内侧角损伤、冠状面增加以及矢状面胫骨坡度增加均会影响前交叉韧带相关的膝关节运动学，并增加天然和重建前交叉韧带的受力：尸体研究的系统评价
Arthroscopy. 2022 May;38(5):1664-1688.e1. doi: 10.1016/j.arthro.2021.11.044. Epub 2021 Dec 7.
10
Injury to the Posterior Horn of the Lateral Meniscus from a Misplaced Tibial Tunnel for Anterior Cruciate Ligament Reconstruction: A Case Report.后外侧半月板后角损伤：前交叉韧带重建胫骨隧道定位不当 1 例报告。
Am J Case Rep. 2022 Nov 3;23:e937581. doi: 10.12659/AJCR.937581.

引用本文的文献

1
Planned Tunnel Convergence for Concomitant Posterior Cruciate Ligament Reconstruction and Meniscal Root Repair.同期后交叉韧带重建与半月板根部修复的计划隧道汇聚
Arthrosc Tech. 2025 May 20;14(7):103633. doi: 10.1016/j.eats.2025.103633. eCollection 2025 Jul.

本文引用的文献

1
Complex Anterior Cruciate Ligament Revision and Lateral Extra-Articular Tenodesis With Achilles Tendon Allograft: The "Monoloop" Technique.复杂前交叉韧带翻修术与带跟腱同种异体移植物的外侧关节外肌腱固定术：“单环”技术
Arthrosc Tech. 2023 Dec 18;13(6):102826. doi: 10.1016/j.eats.2023.09.002. eCollection 2024 Jun.
2
Tunnel Overlap Occurs 25% of the Time With Simultaneous Anterior Cruciate Ligament Reconstruction and Lateral Meniscal Root Repair.在同时进行前交叉韧带重建和外侧半月板根部修复时，隧道重叠发生率为25%。
Arthrosc Sports Med Rehabil. 2024 Feb 29;6(3):100917. doi: 10.1016/j.asmr.2024.100917. eCollection 2024 Jun.
3
Root Repair Has Superior Radiological and Clinical Outcomes Than Partial Meniscectomy and Nonoperative Treatment in the Management of Meniscus Root Tears: A Systematic Review.
在半月板根部撕裂的治疗中，与部分半月板切除术和非手术治疗相比，根部修复具有更好的影像学和临床结果：一项系统评价。
Arthroscopy. 2025 Feb;41(2):390-417. doi: 10.1016/j.arthro.2024.02.017. Epub 2024 Feb 22.
4
All-Inside Posterior Cruciate Ligament Reconstruction Using Autologous Quadriceps Tendon-Bone Block.使用自体股四头肌肌腱-骨块进行全关节镜下后交叉韧带重建
Arthrosc Tech. 2023 Oct 30;12(11):e2093-e2098. doi: 10.1016/j.eats.2023.07.031. eCollection 2023 Nov.
5
Lateral meniscus posterior root repair in the setting of anterior cruciate ligament reconstruction restores joint mechanics to the intact state and improves clinical function: a systematic review of biomechanical and clinical outcomes.前交叉韧带重建术中修复外侧半月板后根可使关节力学恢复到正常状态并改善临床功能：生物力学和临床结果的系统评价。
Knee Surg Sports Traumatol Arthrosc. 2023 Oct;31(10):4474-4484. doi: 10.1007/s00167-023-07461-5. Epub 2023 Jul 30.
6
Controversies in ACL revision surgery: Italian expert group consensus and state of the art.前交叉韧带重建术的争议：意大利专家组共识与技术现状。
J Orthop Traumatol. 2022 Jul 15;23(1):32. doi: 10.1186/s10195-022-00652-9.
7
Rehabilitation After Anterior Cruciate Ligament Injury: Review of Current Literature and Recommendations.前交叉韧带损伤后的康复：当前文献综述与建议
Curr Rev Musculoskelet Med. 2022 Jun;15(3):170-179. doi: 10.1007/s12178-022-09752-9. Epub 2022 Apr 6.
8
Optimal Tibial Tunnel Placement for Medial and Lateral Meniscus Root Repair on the Anteromedial Tibia in the Setting of Anterior and Posterior Cruciate Ligament Reconstruction of the Knee.膝关节前交叉韧带和后交叉韧带重建时，在前内胫骨平台行内侧和外侧半月板后根部修复的最佳胫骨隧道位置。
Am J Sports Med. 2022 Apr;50(5):1237-1244. doi: 10.1177/03635465221074312. Epub 2022 Feb 28.
9
Stay Ipsilateral: An Analysis of Tibial Tunnel Distance Between Cruciate Ligament Reconstruction and Posterior Meniscal Root Repair.保持同侧：交叉韧带重建与后半月板根部修复之间胫骨隧道距离的分析
Arthrosc Sports Med Rehabil. 2021 May 17;3(4):e1031-e1035. doi: 10.1016/j.asmr.2021.03.008. eCollection 2021 Aug.
10
Higher Incidence of Complete Lateral Meniscal Root Tears in Revision Compared With Primary Anterior Cruciate Ligament Reconstruction.与初次前交叉韧带重建相比，翻修手术中外侧半月板完全根部撕裂的发生率更高。
Arthrosc Sports Med Rehabil. 2021 Jan 31;3(2):e367-e372. doi: 10.1016/j.asmr.2020.09.027. eCollection 2021 Apr.