Shang Ziqi, Li Zhikuan, Zhang Zhuangdai, Niu Yingzhen, Zheng Yi, Wang Li, Dong Jiangtao
Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Arthrosc Tech. 2024 Oct 12;14(2):103197. doi: 10.1016/j.eats.2024.103197. eCollection 2025 Feb.
The meniscus plays an important role in absorbing shock, sharing load, reducing contact stress, and maintaining stability of knee joint movement. We know that there are various ways to repair meniscus injuries under arthroscopy. However, we found some technical limitations during the operation, such as the risk of neurovascular injury and the long operation time of repair. On this basis, we modified the lateral meniscus suture technique. A special technique of lateral meniscus repairs using a single posteromedial portal by all-inside suture is proposed: from posterior to anterior, we believe that this technique can effectively optimize the surgical procedure and reduce the time of repair surgery resulting from angle problems, and the use of this method can effectively reduce the possibility of damage to the nerves, blood vessels, and tendons in the knee joint. Surgeons who are initially exposed to arthroscopic repair of the lateral meniscus can use this repair method, which reduces the surgical threshold for the suture of the lateral meniscus.
半月板在吸收震荡、分担负荷、减轻接触应力以及维持膝关节运动稳定性方面发挥着重要作用。我们知道在关节镜下有多种修复半月板损伤的方法。然而，我们在手术过程中发现了一些技术局限性，比如存在神经血管损伤风险以及修复手术时间长。在此基础上，我们改良了外侧半月板缝合技术。提出了一种通过全关节内缝合使用单一后内侧入路进行外侧半月板修复的特殊技术：从后向前，我们认为该技术能有效优化手术操作并减少因角度问题导致的修复手术时间，且使用此方法能有效降低膝关节内神经、血管和肌腱受损的可能性。初次接触外侧半月板关节镜修复的外科医生可采用这种修复方法，这降低了外侧半月板缝合的手术门槛。
