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髂胫束半月板增强术用于翻修由内向外缝合的半月板径向撕裂及水平分层撕裂

Arthroscopy techniques · 2026-Jan
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Behnke Rylan A, Retzer Nicholas K, Wilebski Benjiman J, Tollefson Luke V, Sawyer Ethan R, Freetly Taylor J et al.

简介

该技术笔记描述了一种采用髂胫束(ITB)移植物增强修复外侧半月板放射状及水平状复杂撕裂的方法,用于半月板翻修手术。术者将ITB移植物缝合于半月板修复区域,以增加半月板容积并提高愈合概率。该技术为半月板翻修提供了新思路,但尚缺乏长期临床结果验证。

英文摘要

Surgical repair of complex meniscal tears can be quite challenging, especially in the case of a failed meniscus repair. In this setting, meniscal volume may be lost, leading to an increased risk of osteoarthritis development. To prevent this from occurring, care should be taken to revise these complex tears using an inside-out technique. Further, a meniscal augmentation may be indicated to increase the volume of the meniscus. This technical note describes a technique using an iliotibial band (ITB) meniscal augmentation for a lateral meniscus revision inside-out radial and horizontal cleavage tear repair. An ITB graft is sutured over the meniscal repair zone with inside-out sutures to increase the meniscal volume and chance of meniscus healing.

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