Kohn D, Moreno B
Orthopaedic Hospital, Medical Hochschule, Hannover, Germany.
Arthroscopy. 1995 Feb;11(1):96-103. doi: 10.1016/0749-8063(95)90095-0.
A morphological cadaveric study was carried out to gain exact data concerning location, shape, and size of the meniscal insertions to bone. Ninety-two knee joints were dissected (46 donors; age 18 to 58 years). Peripheral length of the menisci, including their insertion ligaments, was measured. The peripheral length was 111 +/- 14 mm for the medial and 111 +/- 10 for the lateral meniscus. The tibial insertion ligaments for the medial meniscus were fixed in areas that could be defined by bony landmarks. The posterior insertion area measured 80 +/- 10 mm2, the anterior insertion area measured 139 +/- 43 mm2. Bony tibial insertions of the lateral meniscus were less well defined. The posterior meniscofemoral ligament (Wrisberg) was found in 76% of the knees; the anterior meniscofemoral ligament (Humphry) was found in 50% of the specimens. The meniscofemoral ligaments in the right knee and the left knee of the same individual were frequently different. The anterior transverse ligament was found in 64% of the specimens. We concluded that an anatomical attachment of a medial meniscus substitute should be possible but to restore the lateral meniscus anatomically would be far more complicated.
进行了一项形态学尸体研究，以获取有关半月板在骨上的附着位置、形状和大小的确切数据。解剖了92个膝关节（46名捐献者；年龄18至58岁）。测量了半月板的外周长度，包括其附着韧带。内侧半月板的外周长度为111±14毫米，外侧半月板为111±10毫米。内侧半月板的胫骨附着韧带固定在可由骨性标志界定的区域。后附着区域面积为80±10平方毫米，前附着区域面积为139±43平方毫米。外侧半月板在胫骨上的骨性附着不太明确。在76%的膝关节中发现了后半月板股骨韧带（Wrisberg韧带）；在50%的标本中发现了前半月板股骨韧带（Humphry韧带）。同一个体的右膝和左膝中的半月板股骨韧带常常不同。在64%的标本中发现了前交叉韧带。我们得出结论，内侧半月板替代物进行解剖学附着是可行的，但要在解剖学上恢复外侧半月板则要复杂得多。
