退行性与创伤性半月板根部损伤
简介
内、外侧半月板根部撕裂若未处理，生物力学上等同于功能性全半月板切除，因此诊断后常需考虑手术治疗；但治疗决策应结合骨关节炎程度、下肢力线和BMI等个体因素，后内侧根部撕裂尤其如此。主要手术技术包括边对边缝合和经骨道拉出缝合；外侧根部撕裂多发生于年轻患者的创伤性损伤，愈合率通常较好。
英文摘要
Medial and lateral meniscus root tears are clinically relevant lesions that if left untreated are biomechanically equivalent to a functional total meniscectomy. Therefore, after making the diagnosis, surgical treatment is often indicated; however, the treatment decision should always consider individual factors such as the degree of osteoarthritis, lower limb alignment and body mass index (BMI), especially in posteromedial meniscus root tears. The main surgical techniques include side-to-side sutures and transosseous pull-out sutures. Lateral root tears often show favorable healing rates as they are usually occur as traumatic injuries in younger patients.