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倒立式垂直锁定环技术：一种用于半月板根部撕裂的单缝线带，构造简单

Inverted Vertical Locking Loop Technique: A Single Suture Tape, Simple Configuration for Meniscal Root Tears.

作者信息

Koukoulias Nikolaos E, Vasiliadis Angelo V, Germanou Evangelia, Koukoulias Dimitris, Dimitriadis Theofilos

机构信息

Sports Trauma and Orthopaedics Department, Saint Luke's Hospital, Panorama, Thessaloniki, Greece.

Aristotle University of Thessaloniki, Panorama, Thessaloniki, Greece.

出版信息

Arthrosc Tech. 2024 Oct 28;14(4):103281. doi: 10.1016/j.eats.2024.103281. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103281
PMID:40452963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126048/
Abstract

Meniscal root tear is an increasingly recognized pathology with well-studied consequences in knee biomechanics. Meniscal root fixation can restore normal knee biomechanics, and this seems to be the optimal treatment. Several repair techniques have been proposed and studied so far to determine efficacy and simplicity. In this technical note, we describe a durable, reproducible, and easy-to-perform transtibial pull-out technique, using a single suture tape and a simple configuration to accomplish the repair.

摘要

半月板根部撕裂是一种日益被认识到的病理情况，其在膝关节生物力学方面的后果已有充分研究。半月板根部固定可恢复正常的膝关节生物力学，这似乎是最佳治疗方法。到目前为止，已经提出并研究了几种修复技术以确定其有效性和简易性。在本技术说明中，我们描述了一种耐用、可重复且易于实施的经胫骨拉出技术，该技术使用单根缝线带并采用简单的构型来完成修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/f6ab6fa1296e/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/2f5d46a36331/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/4205fc0368a1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/7621290031bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/8bc15fe392e2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/3fe54f231379/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/621cecaadbbd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/be1e714e0d30/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/e3fdf4391bef/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/0fd48c52814f/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/75d0ac8b73b1/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/c12dca0798fd/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/f6ab6fa1296e/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/2f5d46a36331/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/4205fc0368a1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/7621290031bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/8bc15fe392e2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/3fe54f231379/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/621cecaadbbd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/be1e714e0d30/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/e3fdf4391bef/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/0fd48c52814f/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/75d0ac8b73b1/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/c12dca0798fd/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6894/12126048/f6ab6fa1296e/gr12.jpg

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本文引用的文献

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Root Repair Has Superior Radiological and Clinical Outcomes Than Partial Meniscectomy and Nonoperative Treatment in the Management of Meniscus Root Tears: A Systematic Review.在半月板根部撕裂的治疗中，与部分半月板切除术和非手术治疗相比，根部修复具有更好的影像学和临床结果：一项系统评价。
Arthroscopy. 2025 Feb;41(2):390-417. doi: 10.1016/j.arthro.2024.02.017. Epub 2024 Feb 22.
2
Concomitant Medial and Lateral Meniscus Posterior Horn Root Repair With ACL Reconstruction Using Trans-Tibial Tunnel Technique.采用经胫骨隧道技术同期进行内侧和外侧半月板后角根部修复及前交叉韧带重建
Arthrosc Tech. 2023 Mar 23;12(4):e477-e482. doi: 10.1016/j.eats.2022.11.031. eCollection 2023 Apr.
3
Meniscal Root Tears: A Decade of Research on their Relevant Anatomy, Biomechanics, Diagnosis, and Treatment.
半月板根部撕裂：十年相关解剖学、生物力学、诊断与治疗研究
Arch Bone Jt Surg. 2022 May;10(5):366-380. doi: 10.22038/ABJS.2021.60054.2958.
4
Arthroscopic Repair of Posterior Root Tears of the Lateral Meniscus with All-Suture Anchor.使用全缝线锚钉进行关节镜下外侧半月板后根部撕裂修复术
Arthrosc Tech. 2022 Apr 22;11(5):e781-e787. doi: 10.1016/j.eats.2021.12.037. eCollection 2022 May.
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Knee Meniscus Posterior Root Repair with FiberTak.使用FiberTak进行膝关节半月板后根修复。
Arthrosc Tech. 2022 Feb 28;11(3):e471-e474. doi: 10.1016/j.eats.2021.11.020. eCollection 2022 Mar.
6
Arthroscopic Transtibial Pull-Out Repair for Meniscal Posterior Root Tear: The Slip Knot Technique.关节镜下经胫骨拉出式修复半月板后根部撕裂：滑结技术
Arthrosc Tech. 2022 Jan 20;11(2):e209-e215. doi: 10.1016/j.eats.2021.10.030. eCollection 2022 Feb.
7
Biomechanical comparison of vertical suture techniques for repairing radial meniscus tear.修复桡侧半月板撕裂的垂直缝合技术的生物力学比较
J Exp Orthop. 2020 Oct 6;7(1):77. doi: 10.1186/s40634-020-00296-w.
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Comparison of the clinical outcomes of transtibial pull-out repair for medial meniscus posterior root tear: Two simple stitches versus modified Mason-Allen suture.经胫骨拉出修复术治疗内侧半月板后根撕裂的临床疗效比较：两种简单缝线与改良梅森-艾伦缝线的对比
Knee. 2020 Jun;27(3):701-708. doi: 10.1016/j.knee.2020.04.023. Epub 2020 May 11.
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Suture configuration techniques have no effect on mid-term clinical outcomes of arthroscopic meniscus root repairs.缝线配置技术对关节镜下半月板根部修复的中期临床结果没有影响。
Knee. 2020 Jun;27(3):676-682. doi: 10.1016/j.knee.2020.04.017. Epub 2020 Apr 30.
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Orthop J Sports Med. 2019 Sep 30;7(9):2325967119873274. doi: 10.1177/2325967119873274. eCollection 2019 Sep.