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采用髓内钛钉对内侧半月板后根部进行关节镜下重新固定

Arthroscopic Refixation of the Medial Meniscal Posterior Root With an Intramedullary Titanium Screw.

作者信息

Vasilchenko Nikita Vadimovich, Radysh Ivan Ivanovich, Vetoshkin Aleksandr Aleksandrovich, Gusev Sergey Sergeevich, Mikhaylova Ksenia Dmitrievna

机构信息

Department of Traumatology and Rehabilitation, Federal State Budgetary Institution Volynskaya Clinical Hospital No. 1, Office of the President of the Russian Federation, Moscow, Russia.

Federal State Budgetary Educational Institution of Further Professional Education, Russian Medical Academy of Continuous Professional Education, Ministry of Healthcare of the Russian Federation, Moscow, Russia.

出版信息

Arthrosc Tech. 2025 May 8;14(7):103577. doi: 10.1016/j.eats.2025.103577. eCollection 2025 Jul.

Abstract

Arthroscopic repair of medial meniscal posterior root tears addresses a complex area of modern traumatology. Meniscal posterior root tear presents challenges owing to its potential post-traumatic consequences, including functional deficiency, as well as increased risk of degenerative changes and osteoarthritis, which significantly deteriorate patients' quality of life. The considerable interest from both clinicians and researchers stems from the serious implications of such injuries, the diagnostic challenges-particularly in the early stages-and the inconsistent clinical outcomes associated with various treatment modalities. Despite the availability of diverse surgical approaches and substantial clinical experience, the prevalence of unsatisfactory results indicates that meniscal posterior root tear remains a complex issue yet to be fully resolved. Moreover, a consensus on the optimal management strategy for this injury has not been established. Consequently, we present an effective, safe, and reproducible technique for arthroscopic intramedullary refixation of the medial meniscal posterior root with a titanium screw, using only standard arthroscopic tools to minimize additional costs.

摘要

关节镜下内侧半月板后根撕裂修复术是现代创伤学中一个复杂的领域。半月板后根撕裂因其潜在的创伤后后果而具有挑战性,这些后果包括功能缺陷,以及退行性改变和骨关节炎风险增加,这会显著降低患者的生活质量。临床医生和研究人员对此相当关注,原因在于此类损伤的严重影响、诊断挑战——尤其是在早期阶段——以及与各种治疗方式相关的不一致的临床结果。尽管有多种手术方法且积累了丰富的临床经验,但不满意结果的发生率表明,半月板后根撕裂仍然是一个尚未完全解决的复杂问题。此外,对于这种损伤的最佳治疗策略尚未达成共识。因此,我们提出一种有效、安全且可重复的技术,使用钛螺钉在关节镜下对内侧半月板后根进行髓内重新固定,仅使用标准关节镜工具以尽量减少额外费用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a064/12350702/c937ca82a249/gr1.jpg

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