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关节镜下治疗盘状外侧半月板。技术与长期疗效。

Arthroscopic treatment of the discoid lateral meniscus. Technique and long-term results.

作者信息

Ikeuchi H

出版信息

Clin Orthop Relat Res. 1982 Jul(167):19-28.

PMID:6896480
Abstract

Forty-five patients (49 knees) who had torn complete or incomplete discoid lateral menisci were treated during the period from 1968 to 1980. Both instrumentation and specific techniques considerably evolved in the arthroscopic complete excision the torn discoid meniscus. The current technique involves the initial removal of the anterior portion of the meniscus, as this allows clearer visualization during the procedure, more space for manipulating surgical instruments, and a reduced operative time. Twenty-four knees (22 patients) were followed for a mean of four years three months. Of this group, 78% were rated excellent or good and 21% were rated fair. There were no poor results. The results in the group treated by total meniscectomy were better than those in the group treated with partial meniscectomy. Three patients were treated by peripheral meniscal repair under arthroscopic control, but the long-term results are not available.

摘要

1968年至1980年期间,对45例(49个膝关节)完全或不完全盘状外侧半月板撕裂的患者进行了治疗。在关节镜下完全切除撕裂的盘状半月板过程中,器械和具体技术都有了很大发展。目前的技术包括首先切除半月板的前部,因为这样可以在手术过程中获得更清晰的视野、为手术器械操作提供更多空间并缩短手术时间。对24个膝关节(22例患者)进行了平均4年3个月的随访。在该组中,78%的患者评定为优或良,21%评定为可。没有差的结果。全半月板切除术组的结果优于部分半月板切除术组。3例患者在关节镜控制下进行了半月板周边修复,但尚无长期结果。

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