关节镜下一体式半月板缝合修复术中探钩的应用优化
简介
该文介绍了关节镜探钩在全内半月板修复术中的优化使用技巧。通过探钩辅助评估撕裂形态、组织质量及操作空间，并采用两种策略（直接对抗牵拉力与分步收紧）控制缝线环位置与张力，可减少缝线切割、软骨损伤及关节镜缠绕风险。这些手法尤其适用于复杂或退变性撕裂，能优化半月板边缘对合，提高修复成功率。
英文摘要
Meniscal preservation is essential for knee function and long-term joint health. All-inside meniscus repair achieves outcomes comparable to the inside-out technique, but technical challenges remain, including limited working space, suture cut-out in degenerative tissue, unfavorable suture angles, and risk of cartilage injury or arthroscope entanglement. The arthroscopic probe is used to assess tear pattern, tissue quality, stability, and working space, guiding portal selection or alternative approaches. Twirling the suture along the probe allows controlled loop positioning and tightening. Two strategies are employed: (1) countering the pulling force with the probe directly on the loop and meniscus, and (2) staged tightening using a short working length when resistance, angulation, or limited space hinders suture pulling. These maneuvers provide tactile feedback, reduce suture loop displacement, and minimize cartilage injury. Probe-assisted techniques enhance control during loop positioning and incremental tightening, optimize tear margin apposition, and reduce risk of cut-out in complex or degenerative tears. Incorporating these strategies contributes to successful all-inside repair, maximizing meniscus preservation and overall surgical outcomes.