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经关节镜入路与经胫骨隧道联合使用硬膜外针进行后半月板根部修复

Posterior Meniscal Root Repair with Epidural Needle through the Combination of Arthroscopic Portals and Transtibial Tunnel.

作者信息

Nakahashi Eiji Rafael, Lemes Igor Leal Clemente, Albano Mauro Batista, Stieven Filho Edmar, Namba Mario Massatomo, Nunes Carolline Popovicz

机构信息

Grupo de Cirurgia do Joelho e Trauma do Esporte, Complexo Hospital do Trabalhador, Universidade Federal do Paraná, Curitiba, PR, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Dec 21;59(6):e997-e1002. doi: 10.1055/s-0044-1790214. eCollection 2024 Dec.

Abstract

Posterior meniscal root repair is an expensive procedure because its performance often requires the use of specific devices. This issue is a limiting factor, especially in the public health system. Given this context, the development of alternative methods to treat these injuries became necessary. Among the available options, the technique combining the use of anterior portals and a tibial bone tunnel with an epidural needle has been proven to be effective and relevant due to its low cost. The present study aimed to provide technical guidance and suggestions to increase the success rate of this procedure, to enable its performance by knee surgeons in low-resource settings.

摘要

后半月板根部修复是一种昂贵的手术,因为其实施通常需要使用特定的器械。这个问题是一个限制因素,尤其是在公共卫生系统中。鉴于这种情况,开发治疗这些损伤的替代方法变得必要。在现有的选择中,将前外侧入路和带硬膜外穿刺针的胫骨骨隧道相结合的技术因其成本低而被证明是有效且实用的。本研究旨在提供技术指导和建议,以提高该手术的成功率,使资源匮乏地区的膝关节外科医生能够开展该手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b66/11663058/0dc845c0cd23/10-1055-s-0044-1790214-i2300250en-1.jpg

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