Horibe S, Shino K, Nakata K, Maeda A, Nakamura N, Matsumoto N
Department of Orthopaedic Surgery, Osaka University Medical School, Japan.
J Bone Joint Surg Br. 1995 Mar;77(2):245-9.
From 1986 to 1993, we repaired 278 torn menisci in 264 patients using an arthroscopically assisted inside-out technique. A total of 132 meniscal repairs in 122 patients were evaluated by second-look arthroscopy. At review, only nine patients had meniscal symptoms, such as locking, swelling or pain. Ninety-seven menisci (73%) had healed completely at the repair site, but there were new tears in different areas of 21 menisci, some of which had complete healing at the repair site. Incomplete healing, seen in 23 menisci (17%), was frequently near the popliteus tendon, most commonly where there had been an associated anterior-cruciate-ligament injury. Arthroscopically-assisted meniscal repair seems to be a reliable procedure, but some clinically successful cases had incomplete healing at the repair site or a newly-formed tear in the meniscal body or both. These lesions may cause meniscal symptoms to appear at a later date.
1986年至1993年期间，我们采用关节镜辅助下由内向外技术为264例患者修复了278个撕裂的半月板。通过二次关节镜检查对122例患者的132次半月板修复进行了评估。复查时，只有9例患者出现半月板症状，如绞锁、肿胀或疼痛。97个半月板（73%）在修复部位完全愈合，但21个半月板在不同区域出现了新的撕裂，其中一些在修复部位完全愈合。23个半月板（17%）出现不完全愈合，常出现在腘肌腱附近，最常见于伴有前交叉韧带损伤的部位。关节镜辅助下半月板修复似乎是一种可靠的手术方法，但一些临床成功的病例在修复部位出现不完全愈合，或在半月板体部出现新形成的撕裂，或两者皆有。这些病变可能会导致半月板症状在日后出现。
