编委评论：后内侧半月板根部撕裂的标准修复足够吗？半月板中央化的早期前景
简介
内侧半月板后根部撕裂伴半月板外突是近年研究热点，治疗目标是阻止或延缓内侧间室退变。标准根部修复虽能恢复半月板功能、延缓退变，但无法阻止骨关节炎进展，术后转为全膝关节置换术（TKA）的比例高达33%。在根部修复基础上联合半月板中央化技术，不仅能提供生物力学优势，还可减少术后短期半月板外突，并可能延缓早期影像学骨关节炎进展。该技术是值得深入研究的方向，也是保护高…
英文摘要
Posterior medial meniscal root tears and meniscal extrusion have come under increasing focus in recent years, with management that prevents or delays advancing degenerative changes in the medial compartment being the ultimate goal. Although meniscal root repair can restore meniscal function and slow degeneration, it does not eliminate osteoarthritis progression, with conversion to total knee arthroplasty reported as high as 33%. Augmenting posterior medial meniscal root repair with centralization techniques appears to reduce short-term postoperative extrusion and may mitigate early radiographic progression of osteoarthritis, in addition to its biomechanical superiority. It is certainly a worthy focal point of study, and an increasingly proven surgical technique to support the at-risk medial compartment.