Sha Shi-Yu, Liang Tao, Liu Yi, Jin Quan-He, Liu Wen-Guang, Yin Qing-Feng
Department of Sports Medicine, The Second Hospital of Shandong University, Jinan, China.
Department of Orthopedics, The First People's Hospital of Ningyang County, Taian, China.
Arthrosc Tech. 2024 Sep 19;14(3):103250. doi: 10.1016/j.eats.2024.103250. eCollection 2025 Mar.
The positive effect of the capsular closure in maintaining the integrity of the joint capsule has been demonstrated, but most capsular closure techniques are primarily for interportal capsulotomy, with few techniques described for longitudinal capsulotomy. In our clinical practice, the incomplete closure of the proximal capsule in longitudinal capsulotomy may result in weakness or nonunion of the proximal capsule. Thus, we propose a technique of anatomic repair of the joint capsule with the indirect head of the rectus femoris as proximal augmentation in cases of longitudinal capsulotomy. This technique could provide a plausible and feasible solution for complete capsular closure of the longitudinal capsulotomy, which could decrease the risk of weakness or nonunion of the proximal capsule.
关节囊闭合在维持关节囊完整性方面的积极作用已得到证实，但大多数关节囊闭合技术主要用于经皮关节囊切开术，针对纵行关节囊切开术描述的技术较少。在我们的临床实践中，纵行关节囊切开术中近端关节囊闭合不完全可能导致近端关节囊薄弱或不愈合。因此，我们提出一种在纵行关节囊切开术病例中，以股直肌间接头作为近端增强进行关节囊解剖修复的技术。该技术可为纵行关节囊切开术的完全关节囊闭合提供一种合理可行的解决方案，从而降低近端关节囊薄弱或不愈合的风险。
