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血管导管辅助的全内侧半月板斜坡损伤修复术:一种简单且经济有效的技术

Arthroscopy techniques · 2026-Jun-01
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Ayati Firoozabadi Mohammad, Rastegar Mohammad, Tabatabaei Irani Pouya, Azimi Rahmatullah, Akbarzadeh Armin, Mortazavi Seyed Mohammad Javad

简介

该研究介绍了一种血管导管辅助的全内侧半月板ramp lesion修复技术,通过前内侧入路使用18G血管导管装载FiberWire缝线进行全内缝合,无需后内侧入路或专用器械。该方法操作简便、可重复性强,能缩短手术时间并降低对昂贵植入物的依赖,在常规修复系统不可及时提供一种经济实用的替代方案。

英文摘要

Ramp lesions of the medial meniscus are frequently associated with anterior cruciate ligament injuries and contribute to persistent instability if untreated. Diagnosis is challenging, and repair techniques often require posteromedial portals or specialized devices. We describe a simplified angiocatheter-assisted all-inside repair performed entirely through anterior portals. Using an 18-gauge angiocatheter loaded with FiberWire sutures (Arthrex, Naples, FL), sutures are passed across the meniscocapsular junction and secured with a sliding Duncan knot. This method avoids posteromedial dissection, reduces operative time, and eliminates dependence on costly implants. It is safe, reproducible, and cost-effective, offering a practical alternative when conventional repair systems are unavailable.

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