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关节镜下全内/全缝线技术经皮单针修复外侧半月板完全径向撕裂

Arthroscopy techniques · 2026-Jun-25
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Sánchez Cruz Diego, Gaona Ricardo Castro, Larrota Gabriel, Dicelis Néstor Sánchez

简介

该文介绍了一种经皮单针全内交叉缝合技术,用于修复外侧半月板中段完全性或近完全性径向撕裂。该技术以半月板为基础进行缝合,避免了传统关节囊止裂缝合可能导致的半月板挤压和活动受限,旨在平衡修复稳定性与保留半月板活动度和血供。目前仅有技术描述,长期疗效尚需前瞻性临床研究验证。

英文摘要

Radial tears of the lateral meniscus have limited healing potential and unfavorable biomechanics, and current suture constructs that use capsular rip-stop stitches may increase meniscal extrusion and constrain native motion. This technical note describes an all-inside, crossed, meniscus-based repair for complete or near-complete radial tears of the lateral midbody using a percutaneous needle. Key steps, indications, and rehabilitation are detailed. This construct aims to balance stability with preservation of meniscal mobility and vascularity; prospective clinical studies are required to confirm its long-term efficacy.

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