Iuchi Ryo, Shiozaki Yoshiki, Horibe Shuji
Department of Orthopedic Sports Medicine, Seifu Hospital, Sakai, JPN.
Department of Orthopedic Sports Medicine, Kansai Rosai Hospital, Amagasaki, JPN.
Cureus. 2024 Dec 15;16(12):e75750. doi: 10.7759/cureus.75750. eCollection 2024 Dec.
To the best of our knowledge, there are no reports on the results of the repair of radial tears of the midbody of the complete discoid lateral meniscus (DLM). A 14-year-old female underwent meniscal replacement with autologous tendon transplantation for early re-tear after repair of the radial tear in the midbody of complete DLM. Two years after the tendon transplantation, there was no effusion or swelling, and the patient was able to exercise completely without symptoms. Repair without saucerization did not allow the placement of multiple sutures at the periphery and allowed destructive forces from the lateral femoral condyle to impact the tear site. Therefore, meniscectomy of the medial zone might be necessary to repair the radial tear of the midbody of complete DLM. Further follow-up is needed to conclude whether the tendon graft can replace the meniscus in the long term.
据我们所知,目前尚无关于完全盘状外侧半月板(DLM)体部放射状撕裂修复结果的报道。一名14岁女性因完全DLM体部放射状撕裂修复术后早期再撕裂,接受了自体肌腱移植半月板置换术。肌腱移植两年后,无积液或肿胀,患者能够完全无症状地进行锻炼。未进行碟形化的修复无法在周边放置多根缝线,且允许来自股骨外侧髁的破坏力冲击撕裂部位。因此,可能有必要切除内侧区域的半月板以修复完全DLM体部的放射状撕裂。需要进一步随访以确定肌腱移植物能否长期替代半月板。