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关节镜下内侧半月板后根部撕裂修复:经胫骨固定,采用2个套索环缝合与1个Samsung Medical Center滑动结进行张力调节,并以胫骨纽扣固定

Arthroscopy techniques · 2026-Oct-27
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Arican Nevzat, Guven Sahan, Karaman Yavuz, Atalay Melih, Bingol Izzet

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简介

技术笔记描述一种内侧半月板后根部撕裂的关节镜下修复技术:经单一胫骨隧道,使用2个套索环缝合(lasso-loop)和1个Samsung Medical Center滑结,并以胫骨皮质纽扣固定,强调在半月板-缝线界面实现可控的解剖复位与均衡张力。摘要称该方法组织抓持强、胫骨固定牢靠,可控制足印区重建并减少缝线松动或切割;但未报告病例数、对照比较、临床或影像结果…

英文摘要

Medial meniscus posterior root tears disrupt the circumferential load-transmission function of the meniscus and negatively affect knee biomechanics. This technical note describes a reliable and reproducible arthroscopic repair technique using 2 lasso-loop sutures and 1 Samsung Medical Center sliding knot through a single transtibial tunnel, secured with a tibial cortical button, emphasizing controlled anatomic reduction and balanced tensioning at the meniscus-suture interface. This method provides strong tissue capture and secure tibial fixation while allowing controlled footprint restoration and minimizing suture loosening or cut-through, thereby enabling anatomic reduction of the meniscal root.

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