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盘状外侧半月板损伤手术后下肢的生物力学特征

[Biomechanical characteristics of lower limbs after discoid lateral meniscus injury surgery].

作者信息

Zhou Zirui, Wang Siqi, Tian Xiaojing, Xu Bingbing, Lei Mingming, Wang Jianquan

机构信息

College of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, P. R. China.

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, 100191, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Jul 15;39(7):891-895. doi: 10.7507/1002-1892.202504015.

Abstract

OBJECTIVE

To review the research progress on the lower limb biomechanical characteristics of patients with discoid lateral meniscus (DLM) injury after surgery.

METHODS

By searching relevant domestic and international research literature on DLM, the postoperative characteristics of knee joint movement biomechanics, tibiofemoral joint stress distribution, lower extremity force line, and patellofemoral joint changes in patients with DLM injury were summarized.

RESULTS

Surgical treatment can lead to varying degrees of changes in the lower limb biomechanical characteristics of patients with DLM injury. Specifically, the kinematic biomechanics of the knee joint can significantly improve, but there are still problems such as extension deficits in the affected knee joint. The peak stress of the tibiofemoral joint decreases with the increase of the residual meniscus volume, and the degree of change is closely related to the residual meniscus volume. Preserving a larger volume of the meniscus, especially the anterior horn volume, helps to reduce stress concentration. The lower extremity force line will deviate outward after surgery, and the more meniscus is removed during surgery, the greater the change in the lower extremity force line after surgery. There are conditions such as cartilage degeneration, position and angle changes in the patellofemoral joint after surgery.

CONCLUSION

The changes in the lower limb biomechanical characteristics after DLM injury are closely related to the choice of surgical methods and rehabilitation programs. However, the mechanisms of biomechanical changes in multiple lower limb joints and individual differences still need to be further studied and clarified.

摘要

目的

综述盘状外侧半月板(DLM)损伤患者术后下肢生物力学特征的研究进展。

方法

通过检索国内外有关DLM的相关研究文献,总结DLM损伤患者膝关节运动生物力学、胫股关节应力分布、下肢力线及髌股关节变化的术后特征。

结果

手术治疗可导致DLM损伤患者下肢生物力学特征发生不同程度的改变。具体而言,膝关节的运动生物力学可显著改善,但患侧膝关节仍存在伸直受限等问题。胫股关节的峰值应力随残留半月板体积的增加而降低,且变化程度与残留半月板体积密切相关。保留较大体积的半月板,尤其是前角体积,有助于减轻应力集中。术后下肢力线会向外偏移,手术中切除的半月板越多,术后下肢力线的变化就越大。术后存在软骨退变、髌股关节位置和角度改变等情况。

结论

DLM损伤后下肢生物力学特征的变化与手术方法和康复方案的选择密切相关。然而,多个下肢关节生物力学变化的机制及个体差异仍需进一步研究和阐明。

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