关节镜下利用前半月板股骨韧带修复外侧半月板后根部撕裂
简介
该文介绍了一种利用前半月板股骨韧带(Humphrey韧带)修复外侧半月板后根部撕裂的关节镜技术。通过游离该韧带并固定于胫骨隧道,旨在利用其与半月板后角的解剖连续性增强固定强度与生物愈合潜力。目前仅为技术描述,尚缺乏临床疗效数据。
英文摘要
Posterolateral meniscus root tears are frequently associated with anterior cruciate ligament injuries and contribute to altered knee biomechanics, increased joint loading, and potential graft failure. Despite various described repair techniques, the use of the anterior meniscofemoral ligament (aMFL, ligament of Humphrey) for repair is not widely popular, a structure that remains intact in most posterolateral meniscus root tears cases and shows strong anatomical and biomechanical integration with the posterior horn of the lateral meniscus. This article describes an arthroscopic technique utilizing the aMFL for the anatomical reconstruction and stabilization of lateral meniscus posterior root tears. This method aims to improve fixation strength and biological healing by leveraging an existing ligament with a favorable insertion trajectory and structural continuity with the meniscal root. The aMFL is arthroscopically dissected, sutured at its femoral attachment and then detached above the suture. A tibial tunnel is placed in the area of the remnants of the posterior root; then, the aMFL is shuttled through the tunnel and fixated within it using an interference screw or in the hybrid form with extracortical fixation.