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采用自体股薄肌移植进行内侧半月板后根重建的经胫骨拉出技术

Transtibial Pullout for Medial Meniscus Posterior Root Reconstruction With Split-Gracilis Autograft.

作者信息

Franco Piero, Jolly Angad, Abermann Elisabeth, Fink Christian, Hoser Christian

机构信息

Department of General Orthopedic, University of Florence, A.O.U. Careggi CTO, Florence, Italy.

Department of Orthopaedics, FMHS, SGT University, Gurugram, India.

出版信息

Arthrosc Tech. 2024 Jul 1;13(11):103107. doi: 10.1016/j.eats.2024.103107. eCollection 2024 Nov.

DOI:10.1016/j.eats.2024.103107
PMID:39711896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662870/
Abstract

Meniscal root tears are recognized as an important pathology. Failure to recognize and to treat this pathology could lead to early-onset osteoarthritis, similar to a total meniscectomy. Surgical treatment is essential to restore meniscal function and to normalize compartment contact pressures, whenever there is joint overload and not severe cartilaginous damage. Still, the biological healing property of the medial meniscus is poor, and failure of the surgical procedure may occur. This Technical Note proposes a technical procedure for revision of medial meniscus posterior root reconstruction with a split-gracilis autograft tendon anatomical transtibial pullout technique.

摘要

半月板根部撕裂被认为是一种重要的病理情况。未能识别和治疗这种病理情况可能导致早发性骨关节炎，类似于全半月板切除术。只要存在关节负荷且软骨损伤不严重，手术治疗对于恢复半月板功能和使关节间接触压力正常化至关重要。然而，内侧半月板的生物愈合能力较差，手术可能会失败。本技术说明提出了一种采用自体股薄肌腱劈开解剖经胫骨拉出技术修复内侧半月板后根重建的技术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/6ab7adfca710/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/948226246095/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/7c1f475bd0ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/5708cf7f34aa/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/9a7dd8bfcc49/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/8abed00c1bc6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/49a960f0f3a0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/c3a1af33e8c9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/6ab7adfca710/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/948226246095/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/7c1f475bd0ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/5708cf7f34aa/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/9a7dd8bfcc49/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/8abed00c1bc6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/49a960f0f3a0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/c3a1af33e8c9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5b/11662870/6ab7adfca710/gr8.jpg

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本文引用的文献

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Arthroscopy. 2025 Feb;41(2):390-417. doi: 10.1016/j.arthro.2024.02.017. Epub 2024 Feb 22.
2
Satisfactory Clinical Outcome, Complications, and Provisional Results of Meniscus Centralization with Medial Meniscus Root Repair for the Extruded Medial Meniscus at Mean 2-Year Follow-Up.平均随访 2 年后，半月板中央化联合内侧半月板后根修复治疗外侧半月板挤压伤的满意临床疗效、并发症及初步结果。
Arthroscopy. 2024 May;40(5):1578-1587. doi: 10.1016/j.arthro.2023.10.003. Epub 2023 Oct 12.
3
Medial meniscus posterior root tear reconstructed with gracilis autograft improve healing rate and patient reported outcome measures.后根撕裂的内侧半月板用自体腘绳肌重建可提高愈合率和患者报告的结局测量。
BMC Musculoskelet Disord. 2022 Dec 14;23(1):1094. doi: 10.1186/s12891-022-06067-1.
4
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。
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The potential of using semitendinosus tendon as autograft in rabbit meniscus reconstruction.使用半腱肌腱作为兔半月板重建的自体移植物的潜力。
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Posterior Meniscal Root Repairs: Outcomes of an Anatomic Transtibial Pull-Out Technique.后半月板根部修复：解剖经胫骨拉出技术的结果
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