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使用自体肌腱联合开放性楔形高位胫骨截骨术进行半月板重建：一种实现牢固固定并避免锁定螺钉与胫骨骨隧道之间相互干扰的技术。

Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel.

作者信息

Takagawa Shu, Takeuchi Ryohei, Kobayashi Naomi, Yukizawa Yohei, Hirotomi Kunihito, Higashihira Shota, Inaba Yutaka

机构信息

Department of Orthopaedic Surgery, Yokohama City University Medical Centre, Yokohama, Japan.

Department of Orthopaedic Surgery, Yokohama Sekishinkai Hospital, Yokohama, Japan.

出版信息

Arthrosc Tech. 2024 May 28;13(10):103064. doi: 10.1016/j.eats.2024.103064. eCollection 2024 Oct.

DOI:10.1016/j.eats.2024.103064
PMID:39479045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11519849/
Abstract

Meniscal posterior root tears reportedly result in accelerated cartilage degeneration and spontaneous insufficiency fractures of the knee. While meniscus repair combined with open-wedge high tibial osteotomy is an optional method, the healing rate is not sufficiently high. Therefore, this Technical Note describes a technique for meniscal reconstruction combined with open-wedge high tibial osteotomy that may offer improvements in meniscal healing rates and clinical results.

摘要

据报道，半月板后根部撕裂会导致膝关节软骨加速退变和自发性骨软骨骨折。虽然半月板修复联合开放性楔形高位胫骨截骨术是一种可选方法，但愈合率不够高。因此，本技术说明描述了一种半月板重建联合开放性楔形高位胫骨截骨术的技术，该技术可能会提高半月板愈合率和临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/d798ffc68143/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/ca9a942a08c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/66eb21cd8389/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/8527b7380fa1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/d6473fdd9457/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/8d80d672789b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/6cae4d560a43/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/d798ffc68143/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/ca9a942a08c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/66eb21cd8389/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/8527b7380fa1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/d6473fdd9457/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/8d80d672789b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/6cae4d560a43/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc4/11519849/d798ffc68143/gr7.jpg

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本文引用的文献

1
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.
2
Meniscus Root Tear: Extended Classification and Arthroscopic Repair Techniques.半月板根部撕裂：扩展分类及关节镜修复技术
Arthrosc Tech. 2023 Dec 4;13(1):102807. doi: 10.1016/j.eats.2023.08.012. eCollection 2024 Jan.
3
Evaluation of the bone tunnel position and state of healing on second-look arthroscopy after pullout repair of medial meniscus posterior root tear during open-wedge high tibial osteotomy.
关节镜下观察胫骨高位截骨术中开窗修复内侧半月板后根撕裂后抽出固定时骨隧道位置和愈合情况。
Knee. 2023 Jun;42:220-226. doi: 10.1016/j.knee.2023.03.016. Epub 2023 Apr 20.
4
Distal Fixation of Meniscal Root Repair by Transtibial Pullout Technique via Transtibial Tubercle Fixation Without Hardware.经胫骨结节无金属植入物的经胫骨拉出技术对半月板根部修复进行远端固定
Arthrosc Tech. 2023 Jan 18;12(2):e201-e206. doi: 10.1016/j.eats.2022.10.009. eCollection 2023 Feb.
5
Editorial Commentary: High Tibial Osteotomy May Not Be Required With Medial Meniscus Root Repair.社论评论：内侧半月板根修复术可能不需要进行高位胫骨截骨术。
Arthroscopy. 2023 Mar;39(3):647-649. doi: 10.1016/j.arthro.2022.11.005.
6
Editorial Commentary: Spontaneous Insufficiency Fracture of the Knee, Formerly Known as Spontaneous Osteonecrosis of the Knee, May Benefit From Combined Mosaicplasty and High Tibial Osteotomy: Better Together.编辑评论：膝关节自发性骨坏死（现称为膝关节自发性不全骨折）可能从马赛克植骨术和高位胫骨截骨术联合治疗中获益：联合治疗效果更佳。
Arthroscopy. 2023 Feb;39(2):347-348. doi: 10.1016/j.arthro.2022.08.033.
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Meniscal Extrusion Measurements After Posterior Medial Meniscus Root Tears: A Systematic Review and Meta-analysis.后内侧半月板后根部撕裂后半月板挤出测量：系统评价和荟萃分析。
Am J Sports Med. 2023 Oct;51(12):3325-3334. doi: 10.1177/03635465221131005. Epub 2022 Dec 21.
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BMC Musculoskelet Disord. 2022 Dec 14;23(1):1094. doi: 10.1186/s12891-022-06067-1.
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Medial Meniscus Posterior Root Repair Restores Contact Pressure and Contact Area to Its Native State Even After Opening-Wedge High Tibial Osteotomy: A Cadaveric Biomechanical Study.内侧半月板后根修复即使在进行开放楔形高位胫骨截骨术后也能将接触压力和接触面积恢复至其原始状态：一项尸体生物力学研究。
Arthroscopy. 2023 Mar;39(3):638-646. doi: 10.1016/j.arthro.2022.09.009. Epub 2022 Sep 30.
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Arthroscopic Medial Meniscal Root Reconstruction With Gracilis Autograft Is Safe and Improves 2-Year Postoperative Patient-Reported Outcomes.采用自体股薄肌进行关节镜下内侧半月板根部重建术安全且能改善患者术后2年的自我报告结局。
Arthrosc Sports Med Rehabil. 2022 Jun 3;4(4):e1339-e1346. doi: 10.1016/j.asmr.2022.04.018. eCollection 2022 Aug.