半月板放射状撕裂的手术修复可获得良好愈合率：一项系统综述
简介
该系统综述纳入18项研究、316例半月板径向撕裂修复患者，平均随访36.1个月。结果显示，术后Lysholm、IKDC、Tegner评分较术前显著改善，82.5%的撕裂达到完全或部分愈合，并发症率仅3.7%。尽管证据等级为IV级，但半月板径向撕裂修复术后愈合率高、功能恢复良好，是避免半月板切除后骨关节炎的可行选择。
英文摘要
PURPOSE: To report on current surgical techniques, patient-reported outcome measures (PROMs), and quantify healing rates following repair of radial meniscus tears. METHODS: A systematic literature search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using the PubMed, Cochrane Library, Embase and Scopus databases up to November 15, 2025. Studies included reported ≥ 6-month mean follow-up on radial meniscus tear repair, were published in English (or translated) after January 1, 1990. Technical reports and biomechanical or cadaveric research were excluded. Search terms included MeSH and keywords for "meniscal/meniscus AND radial/vertical tears" and repair concepts. Quality was assessed using both the Methodological Index for Non-Randomized Studies (MINORS) and the Modified Coleman Methodology Score (MCMS). RESULTS: Eighteen studies (316 patients, 321 radial repairs) met criteria. Mean follow-up was 36.1 ± 6.4 months (range 6.2-71). Lateral tears predominated (n = 279, 87%). Inside-out and all-inside techniques were most common. Postoperative PROMs demonstrated statistically significant improvement from pre- to postoperative assessments (p < 0.01 for Lysholm, IKDC, Tegner scores), generally indicating good to excellent functional outcomes and activity levels. Satisfactory healing (complete or partial) was reported in 82.5% of assessed tears, with a low complication rate (3.7%). Quality assessment indicated predominantly medium risk of bias according to MINORS criteria, and moderate quality based on MCMS scores (mean 55 ± 8.7). CONCLUSIONS: Despite variations in repair techniques, postoperative subjective outcomes indicated significant patient improvement following radial tear repair, with high reported healing rates. CLINICAL RELEVANCE: As concern for post-meniscectomy osteoarthritis grows, meniscal preservation via radial tear repair offers a promising approach to improve clinical outcomes. LEVEL OF EVIDENCE: Level IV, systematic review of Level III and IV studies.