Rubman M H, Noyes F R, Barber-Westin S D
Cincinnati Sportsmedicine and Orthopaedic Center, Ohio, USA.
Clin Sports Med. 1996 Jul;15(3):511-30.
Meniscal repair continues to be an important procedure in patients with meniscal tears. The orthopedic literature has recommended excision of complex tears or tears that are located in the central avascular region. For the past 13 years, the authors have repaired all meniscal tears that can be reduced anatomically and that have healthy tissue that will support the multiple sutures required for a stable repair, regardless of tear pattern or location. Correct patient selection criteria continue to be important. In all cases, the risks of complications and retear must be considered carefully and judged against the potential benefits of repair. A postoperative rehabilitation program that allows early range of motion, and progression of weight bearing is not detrimental to the healing process if the repair is stable. Close postoperative follow-up examinations are necessary to determine the incidence of meniscal symptoms; however, the absence of joint line pain, catching, locking, or effusion does not guarantee complete healing of the tear. Follow-up arthroscopy is currently the most accurate method to determine if complete or partial healing has occurred.
半月板修复对于半月板撕裂患者而言仍是一项重要的手术。骨科文献建议切除复杂撕裂或位于中央无血管区域的撕裂。在过去13年里，无论撕裂类型或位置如何，作者对所有可解剖复位且有健康组织以支撑稳定修复所需多根缝线的半月板撕裂都进行了修复。正确的患者选择标准仍然很重要。在所有情况下，都必须仔细考虑并发症和再撕裂的风险，并权衡修复的潜在益处。如果修复稳定，允许早期活动范围和逐步负重的术后康复计划对愈合过程并无不利影响。术后密切随访检查对于确定半月板症状的发生率很有必要；然而，没有关节线疼痛、卡顿、绞锁或积液并不能保证撕裂完全愈合。目前，随访关节镜检查是确定是否已实现完全或部分愈合的最准确方法。
