在半月板外翻的病例中，内侧半月板根部修复应与胫骨高位截骨术相结合。

IF 4.4 1区医学 Q1 ORTHOPEDICS Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2024-09-05 DOI:10.1016/j.arthro.2024.08.027

Jesús Alfaro-Adrián

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引用次数: 0

摘要

内侧半月板挤出（MME）的经典定义是胫骨边界外≥3 毫米的径向位移。MME通常见于中年患者，与内侧半月板根（MMR）病变和股胫骨内侧室退行性改变密切相关。MMR撕裂与股骨内侧髁软骨缺损（89%）和MME≥3毫米（67%）有关。如果股内侧软骨撕裂与股内侧髁软骨缺损有关，则高位胫骨截骨术（HTO）与股内侧软骨撕裂修复术相结合可减少股内侧髁软骨缺损，保护股内侧髁。最近的研究表明，结合MMR修复术和高位胫骨截骨术可改善影像学和功能效果。

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Medial Meniscal Root Repair Should Be Combined with High Tibial Osteotomy in Cases of Meniscal Extrusion.

Medial meniscus extrusion (MME) is classically defined as radial displacement of ≥3 mm outside the tibial border. MME is usually seen in middle age patients and it is strongly associated with medial meniscus root (MMR) pathology and medial femorotibial compartment degenerative change. MMR tears are associated with cartilage defects of the medial femoral condyle (89%) and MME ≥3mm (67%). If MMR tears are associated with MME, high tibial osteotomy (HTO) combined with MMR repair may reduce MME and protect the medial compartment. Recent research shows combined MMR repair and HTO yield improved radiographic and functional outcomes.

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.