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使用传统全内置修复装置和标准关节镜入路进行前角修复治疗桶柄状内侧半月板撕裂

Anterior-Horn Repair Using Conventional All-Inside Repair Device and Standard Arthroscopic Portals for Bucket-Handle Medial Meniscal Tear.

作者信息

Thamrongskulsiri Napatpong, Tantimethanon Thanawat, Limskul Danaithep, Tanpowpong Thanathep, Kuptniratsaikul Somsak, Itthipanichpong Thun

机构信息

Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.

出版信息

Arthrosc Tech. 2024 Sep 23;14(3):103252. doi: 10.1016/j.eats.2024.103252. eCollection 2025 Mar.

DOI:10.1016/j.eats.2024.103252
PMID:40207338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977142/
Abstract

The bucket-handle tear, characterized by its oblique longitudinal and vertical pattern, poses challenges in meniscal repair, particularly when addressing the anterior horn. Although conventional outside-in techniques are common, all-inside approaches face limitations. This article proposes an alternative technique using the Infinity AIM all-inside repair device (ConMed, Utica, NY), which allows deployment after increasing the bend in the device's tip.

摘要

桶柄状撕裂以其斜向纵向和垂直模式为特征，在半月板修复中带来挑战，尤其是在前角修复时。尽管传统的由外向内技术很常见，但全关节镜技术存在局限性。本文提出一种使用Infinity AIM全关节镜修复装置（康美德公司，纽约州尤蒂卡）的替代技术，该装置可在增加其尖端弯曲度后进行部署。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/5116219159a9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/d0bb203fd899/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/55e0cbd16af0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/8a72f3df0771/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/174eaba37e4d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/5116219159a9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/d0bb203fd899/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/55e0cbd16af0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/8a72f3df0771/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/174eaba37e4d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845c/11977142/5116219159a9/gr5.jpg

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本文引用的文献

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Neither All-Inside, nor Inside-Out, nor Outside-In Repair Demonstrates Superior Biomechanical Properties for Vertical Meniscal Tears: A Systematic Review of Human Cadaveric Studies.全内修复、由内而外修复和由外而内修复均未显示出对垂直半月板撕裂具有更优的生物力学特性：一项关于人体尸体研究的系统评价
Arthroscopy. 2025 Apr;41(4):1163-1180.e2. doi: 10.1016/j.arthro.2024.03.049. Epub 2024 Jun 14.
2
All-Inside and Inside-Out Repair Techniques for Bucket-Handle Meniscus Tears Both Result in Improved Patient Outcomes and a Broad Range of Failure Rates: A Systematic Review.全内和内外侧半月板桶柄状撕裂修复技术均能改善患者预后，且失败率差异较大：一项系统评价。
Arthroscopy. 2024 Sep;40(9):2477-2490.e1. doi: 10.1016/j.arthro.2024.01.021. Epub 2024 Feb 2.
3
Previous Isolated Medial Bucket-Handle Meniscus Repair Significantly Increases Risk of Subsequent Ipsilateral Anterior Cruciate Ligament Reconstruction.既往孤立性内侧半月板桶柄样撕裂修复显著增加同侧前交叉韧带重建风险。
Arthrosc Sports Med Rehabil. 2023 May 27;5(3):e671-e678. doi: 10.1016/j.asmr.2023.03.008. eCollection 2023 Jun.
4
Clinical outcome and healing rate after meniscal bucket handle tear repair.半月板桶柄状撕裂修复后的临床结果和愈合率。
BMC Musculoskelet Disord. 2022 Dec 5;23(1):1063. doi: 10.1186/s12891-022-06037-7.
5
Modified Outside-in Repair Technique for Chronic Retracted, Unstable Bucket-Handle Anterior Horn Lateral Meniscal Tear.改良由外向内修复技术治疗慢性回缩性、不稳定型桶柄状前角外侧半月板撕裂
Arthrosc Tech. 2022 Sep 17;11(10):e1747-e1752. doi: 10.1016/j.eats.2022.06.010. eCollection 2022 Oct.
6
How to Avoid Iatrogenic Saphenous Nerve Injury During Outside-In or Inside-Out Medial Meniscus Sutures.在由外向内或由内向外的内侧半月板缝合术中如何避免医源性隐神经损伤。
Arthrosc Tech. 2022 Jan 13;11(2):e127-e132. doi: 10.1016/j.eats.2021.09.012. eCollection 2022 Feb.
7
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Arthrosc Tech. 2021 Jan 29;10(2):e375-e383. doi: 10.1016/j.eats.2020.10.011. eCollection 2021 Feb.
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Surg Radiol Anat. 2017 Jun;39(6):611-618. doi: 10.1007/s00276-016-1781-z. Epub 2016 Nov 22.
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Intra-articular patterns of bucket handle meniscal tears and its relation to reducibility.关节内“桶柄状”半月板撕裂的形态及其与可复性的关系。
Clin Orthop Surg. 2012 Jun;4(2):129-33. doi: 10.4055/cios.2012.4.2.129. Epub 2012 May 17.