半月板后根损伤研究进展

刘昊; 逸弘

doi:10.3981/j.issn.1000-7857.2020.06.010

科技导报 >

2020 , Vol. 38 >Issue 6: 72 - 77

DOI: https://doi.org/10.3981/j.issn.1000-7857.2020.06.010

专题：科技冬奥与运动医学新进展

半月板后根损伤研究进展

刘昊 ,
逸弘

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1. 南京医科大学儿科学院, 南京 211166;
2. 南通市第一人民医院, 南通 226001

刘昊,医师,研究方向为儿科外伤与小儿骨科,电子信箱:leuhao123@163.com

收稿日期: 2020-01-07

修回日期: 2020-03-08

网络出版日期: 2020-05-11

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Advances in studies of meniscus posterior root tear

LIU Hao ,
YI Hong

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1. School of Pediatrics, Nanjing Medical University, Nanjing 211166, China;
2. The First People's Hospital of Nantong City, Nantong 226001, China

Received date: 2020-01-07

Revised date: 2020-03-08

Online published: 2020-05-11

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摘要

从解剖、生物力学、分型、治疗方法等方面，综述了半月板后跟损伤的研究进展。生物力学表明，半月板后根损伤使半月板周向纤维的连续性中断，其无法将轴向应力转换为环向应力，从而导致功能失效。临床上根据撕裂的形态将其分为5种类型。治疗方法包括非手术治疗、半月板部分切除和后根修复术，其中修复术的临床疗效较好，是近年研究的热点。目前的修复技术包括锚钉缝合法、经胫骨隧道拉出法和以自体股薄肌重建为代表的新型技术，半月板后根修复结合高位胫骨截骨术也是治疗内翻型膝关节炎的新方法。

关键词： 外侧半月板; 内侧半月板; 后根损伤; 修复

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刘昊 , 逸弘 . 半月板后根损伤研究进展[J]. 科技导报, 2020 , 38(6) : 72 -77 . DOI: 10.3981/j.issn.1000-7857.2020.06.010

Abstract

The meniscus root tears are a specific type of the meniscal injury, and recently, received more and more attention of researchers. The meniscal root tears either are defined as an avulsion of the insertion of the meniscus attachment or the complete radial tears,located within 1 cm of the meniscus insertion. Biomechanical studies show that the meniscal root injuries interrupt the continuity of the circumferential fibers, and hence lead to failure of the normal meniscal function of converting the axial loads into the transverse hoop stresses. The meniscal root tears can be classified into 5 groups based on the tear morphology. The treatments of the meniscal root tears include the nonoperative therapy, the partial meniscectomy, and the meniscal root repair. The repair techniques have better clinic outcomes and become a research focus recently, including the transtibial pullout technique, the suture anchor repair and the anatomic reinforced medial meniscal root reconstruction with gracilis autograft. As a new technique for treatment of the osteoarthritis of Knee varus, the meniscus posterior root tear repair is combined with a high tibial osteotomy. In this review, we focus on the advances of the anatomy, the biomechanics, the classification system, and the treatment methods for the treatment of posterior meniscal root tears.

Key words： lateral meniscus; medial meniscus; meniscus root tear; root repair

参考文献

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