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膝关节内侧副韧带斯滕纳样损伤的修复：利用骨膜生发层的再生特性

Repair of the Knee Medial Collateral Ligament Stener-Like Lesion: Utilizing the Regenerative Characteristics of Periosteal Cambium Layer.

作者信息

Keyhani Sohrab, Vosoughi Fardis, Movahedinia Mohammad, Oskouie Iman Menbari, Vaziri Arash Sherafat

机构信息

Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Arthrosc Tech. 2024 Nov 12;14(4):103282. doi: 10.1016/j.eats.2024.103282. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103282
PMID:40453012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126024/
Abstract

The medial collateral ligament is the most common knee ligament to be injured. Although mostly treated nonoperatively, a distal tear of the ligament is a clear indication for surgery. High failure rates with unreliable fixation methods have largely made knee surgeons reluctant to perform ligament repairs. Here, we propose a repair technique that uses the periosteal cambium layer to achieve surface contact healing, instead of point contact fixation, and combine mechanical fixation with regenerative enhancement.

摘要

内侧副韧带是膝关节最常受伤的韧带。虽然大多采用非手术治疗，但韧带远端撕裂是明确的手术指征。由于固定方法不可靠导致高失败率，这在很大程度上使膝关节外科医生不愿进行韧带修复。在此，我们提出一种修复技术，该技术利用骨膜生发层实现表面接触愈合，而非点接触固定，并将机械固定与促进再生相结合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97b/12126024/04a296642837/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97b/12126024/cdbef8c5ef11/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97b/12126024/2cd36e42f85b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97b/12126024/04a296642837/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97b/12126024/cdbef8c5ef11/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97b/12126024/2cd36e42f85b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97b/12126024/04a296642837/gr3.jpg

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本文引用的文献

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Determination of Normal Reference Values for Meniscal Extrusion Using Ultrasonography During the Different Range of Motion: A Pilot, Feasibility Study.使用超声技术在不同关节活动度下测量男性半月板外突的正常值：一项初步可行性研究。
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Sonography: a sensitive and specific method for detecting trochlear cartilage pathologies.超声检查：一种检测滑车软骨病变的敏感且特异的方法。
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Distal Knee Medial Collateral Ligament Repair With Suture Augmentation.
采用缝线增强技术修复膝关节远端内侧副韧带
Arthrosc Tech. 2018 Aug 13;7(9):e921-e926. doi: 10.1016/j.eats.2018.05.001. eCollection 2018 Sep.
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Primary Repair of the Medial Collateral Ligament With Internal Bracing.内侧副韧带的内支撑一期修复术
Arthrosc Tech. 2017 Jul 3;6(4):e933-e937. doi: 10.1016/j.eats.2017.03.003. eCollection 2017 Aug.
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Anatomical Repair of Stener-like Lesion of Medial Collateral Ligament: A case Series and Technical Note.内侧副韧带斯滕纳样损伤的解剖修复：病例系列与技术说明
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