前交叉韧带重建术中半月板斜坡损伤的关节镜修复：技术说明
Arthroscopic Repair of Meniscal Ramp Lesions in Anterior Cruciate Ligament Reconstructions: Technical Note.
作者信息
Abreu Felipe Galvão, Canuto Sérgio Marinho de Gusmão, Pádua Vitor Barion Castro de
机构信息
Department of Orthopedics and Traumatology, Hospital de Base, Faculdade de Medicina de São José do Rio Preto (Famerp), São José do Rio Preto, SP, Brazil.
Department of Orthopedics, Faculdade de Medicina, Universidade de Marília, Marília, SP, Brazil.
出版信息
Rev Bras Ortop (Sao Paulo). 2025 Jun 23;60(2):1-5. doi: 10.1055/s-0044-1779312. eCollection 2025 Apr.
Meniscal injuries are frequently associated with anterior cruciate ligament (ACL) tears. Meniscal ramp injuries involve more peripheral structures of the posterior horn of the medial meniscus (MM). Their diagnosis and repair are more challenging compared with common meniscal injuries. Although several ramp suture techniques have been described, their results remain unsatisfactory, and there are potential complications. The present technical note presents the arthroscopic repair of meniscal ramp injuries in ACL reconstruction using a posteromedial portal. Since it provides a direct view of the lesion at surgery, this is a safe technique with good outcomes.
半月板损伤常与前交叉韧带（ACL）撕裂相关。半月板斜坡损伤累及内侧半月板（MM）后角的更多周边结构。与常见的半月板损伤相比，其诊断和修复更具挑战性。尽管已经描述了几种斜坡缝合技术，但其结果仍不尽人意，且存在潜在并发症。本技术说明介绍了使用后内侧入路在ACL重建中对半月板斜坡损伤进行关节镜修复。由于它在手术中能直接观察到病变，所以这是一种安全且效果良好的技术。
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