Okutan Ahmet Emin, Surucu Serkan, Öner Kerim, Kehribar Lokman
Department of Orthopaedic Surgery, School of Medicine, Samsun University, Samsun, Turkey.
Department of Orthopaedics and Rehabilitation, School of Medicine, Yale University, New Haven, Connecticut, U.S.A.
Arthrosc Tech. 2024 Sep 15;14(3):103245. doi: 10.1016/j.eats.2024.103245. eCollection 2025 Mar.
The medial meniscal posterior root (MMPR) is essential for absorbing hoop stress and preventing meniscal extrusion. MMPR tears lead to significant alterations in knee joint kinematics, increasing tibiofemoral contact pressure and accelerating knee osteoarthritis. Given the poor prognosis of untreated meniscal root tears, there has been growing interest in surgical repair techniques. The percutaneous spinal needle-assisted suture-passing technique offers a cost-effective, minimally invasive alternative that reduces iatrogenic damage to articular cartilage and eliminates the need for medial collateral ligament release compared with currently widely used suture passers. This technique allows for precise suture placement and minimizes meniscal injury during suture passing, providing a promising option for repair of the MMPR tear.
内侧半月板后根部（MMPR）对于吸收环向应力和防止半月板挤出至关重要。MMPR撕裂会导致膝关节运动学发生显著改变，增加胫股关节接触压力并加速膝关节骨关节炎。鉴于未经治疗的半月板根部撕裂预后较差，人们对手术修复技术的兴趣与日俱增。与目前广泛使用的缝线穿引器相比，经皮脊柱穿刺针辅助缝线穿引技术提供了一种经济高效、微创的替代方法，可减少对关节软骨的医源性损伤，且无需松解内侧副韧带。该技术可实现精确的缝线放置，并在缝线穿引过程中使半月板损伤最小化，为MMPR撕裂的修复提供了一个有前景的选择。
