关节镜下斜行防撕裂技术修复内侧半月板根部
简介
内侧半月板根部修复中，作者针对组织质量差时传统拉出缝合易发生缝线切割的问题，介绍了一种改良斜向ripstop技术，通过斜行水平褥式缝合增强根部抗拔出强度。该技术操作简单、可重复性强，在半月板组织退变或质量不佳时可能具有生物力学优势，但缺乏临床对照数据支持。
英文摘要
Arthroscopic medial meniscal root repair is essential for restoring native meniscal function in patients with root tears, especially when the articular cartilage remains intact. The pull-out technique is commonly used; however, suture cut-through remains a concern when the meniscal tissue is of poor quality. To address this issue, we describe a modified oblique ripstop technique, which incorporates an obliquely oriented horizontal mattress stitch to reinforce the meniscal root and prevent suture cut-through. This configuration aligns the ripstop suture perpendicular to the cinch stitch, thereby enhancing resistance to pull-out forces. This technique is simple, reproducible, and may offer biomechanical advantages in compromised meniscal tissue conditions.