Li Qinwen, Qiu Man, Nie Shixin, Chen Fuling, Wang Xuming, Zhang Hua
Department of Orthopedics, The First College of Clinical Medical Science, China Three Gorges University, Yichang Central People's Hospital, Yichang, China.
Endoscopy Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Arthrosc Tech. 2024 May 10;14(2):102926. doi: 10.1016/j.eats.2024.102926. eCollection 2025 Feb.
Arthroscopic treatment of lateral meniscus tear at popliteal hiatus area remains challenging due to the complex anatomy of the popliteal hiatus and limited operating space of the lateral compartment. Subtle injuries to attachments of the popliteal hiatus may be overlooked. Thus, this article presents an all-inside suture technique stitching the torn lateral meniscus to popliteomeniscal fascicles that avoids leaving the lateral meniscus unstable in at popliteal hiatus area postoperatively. Concern about entrapping the popliteal tendon or all-inside meniscus suture anchor migration in the joint cavity is not necessary.
由于腘肌裂孔解剖结构复杂且外侧间室手术空间有限，关节镜下治疗腘肌裂孔区域外侧半月板撕裂仍具有挑战性。腘肌裂孔附着处的细微损伤可能被忽视。因此，本文介绍一种全关节内缝合技术，将撕裂的外侧半月板缝合至腘半月板束，避免术后腘肌裂孔区域的外侧半月板不稳定。无需担心腘肌腱陷入或全关节内半月板缝合锚钉在关节腔内移位。
