Krych Aaron J, Meta Fabien, Kang Louis, Hevesi Mario, Smith Patrick A
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Columbia Orthopaedic Group, Columbia, Missouri, U.S.A.
Arthrosc Tech. 2024 Oct 16;14(3):103274. doi: 10.1016/j.eats.2024.103274. eCollection 2025 Mar.
Meniscal root tears have been shown to significantly impact tibiofemoral mechanics and contribute to accelerated development of osteoarthritis. A common finding in conjunction with a meniscal root tear is extrusion of the meniscus. Meniscal extrusion is an independent risk factor for tibiofemoral cartilage loss and the progression of osteoarthritis. Meniscus centralization was first introduced to directly address extrusion alongside root repair techniques. To date, reported techniques for meniscus centralization generally involve anchoring the meniscus directly to the tibia in some fashion, which can limit the normal anatomic motion of the meniscus. We present a technique for meniscus centralization that aims to maintain natural meniscal motion by utilizing the meniscotibial ligaments.
半月板根部撕裂已被证明会显著影响胫股关节力学，并促使骨关节炎加速发展。与半月板根部撕裂相关的一个常见发现是半月板挤出。半月板挤出是胫股关节软骨损伤和骨关节炎进展的独立危险因素。半月板复位术最初是为了在进行根部修复技术的同时直接解决半月板挤出问题而引入的。迄今为止，报道的半月板复位技术通常以某种方式将半月板直接固定于胫骨，这可能会限制半月板的正常解剖运动。我们提出一种半月板复位技术，旨在通过利用半月板胫骨韧带维持半月板的自然运动。
