关节镜下生物性半月板根部修复联合髂胫束自体移植物加强
简介
本文介绍一种关节镜下改良Henning-Piontek技术，采用髂胫束自体移植物增强修复慢性、半月板根部连续性丧失的损伤。移植物在损伤半月板与根部解剖附着点之间建立桥接，以实现根部解剖修复、促进愈合并保留关节自然结构，为此类常需全或次全半月板切除的病例提供替代方案。摘要为手术技术描述，未报告病例数、随访或临床疗效数据。
英文摘要
This paper presents a description of a surgical technique-a modified Henning-Piontek procedure-used for meniscal root salvage. The method is intended for difficult, chronic injuries with loss of continuity of the meniscal root. Such cases would most often result in total or subtotal meniscectomy, which, as is well known, significantly accelerates the degenerative changes in the knee. This technique aligns with the "save the meniscus" approach practiced and promoted by the authors. It involves the use of an iliotibial band graft to create a bridge between the damaged meniscus and the anatomical attachment site of the meniscal root. This enables anatomical repair of the meniscal root, facilitates healing, and preserves the natural structure of the joint.