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内侧半月板同种异体移植:关节镜下全软组织缝合带加强技术

Arthroscopy techniques · 2026-Jun-29
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Kiani Sara N, Flores Sergio E, LaRoque Elly, Colyvas Nicholas

简介

该文介绍一种关节镜下全软组织半月板同种异体移植技术,采用缝线带加强固定。该方法通过缝线带充当“内支架”以抵抗环向应力、减少移植物挤出,相比传统骨栓或骨槽技术操作更简便,且更接近生理半月板的生物力学特性。

英文摘要

Meniscal allograft transplant (MAT) is gaining popularity for treating meniscus deficiency. Various MAT techniques are described. Bony techniques such as bone plugs and bone slot techniques are considerably more technically challenging but show better reduction of extrusion than all-soft-tissue technique. This MAT technique describes an arthroscopic all-soft-tissue fixation, using suture tape augmentation. It combines the technically simpler all-soft-tissue MAT method with suture tape augmentation to mitigate hoop stress and act as an 'internal brace', thereby adding additional resistance to extrusion. By relying on circumferential suture tape augmentation rather than a centralization stitch to reduce extrusion, this technique more closely replicates the biomechanics of the native meniscus.

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