| 关节镜下膝关节内侧半月板后角损伤的治疗进展 |
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Received:July 02, 2024
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| 作者 | Author | 单位 | Unit | E-Mail |
| 卢士学 |
LU Shi-xue |
皖西卫生职业学院附属医院骨科, 安徽 六安 237008 |
Department of Orthopaedics, the Affiliated Hospital of West Anhui Health Vocational College, Lu'an 237008, Anhui, China |
lushixue2015@163.com |
| 丁磊 |
DING Lei |
皖西卫生职业学院附属医院骨科, 安徽 六安 237008 |
Department of Orthopaedics, the Affiliated Hospital of West Anhui Health Vocational College, Lu'an 237008, Anhui, China |
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| 陈琪 |
CHEN Qi |
皖西卫生职业学院附属医院骨科, 安徽 六安 237008 |
Department of Orthopaedics, the Affiliated Hospital of West Anhui Health Vocational College, Lu'an 237008, Anhui, China |
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| 许有智 |
XU You-zhi |
皖西卫生职业学院附属医院骨科, 安徽 六安 237008 |
Department of Orthopaedics, the Affiliated Hospital of West Anhui Health Vocational College, Lu'an 237008, Anhui, China |
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| 黄干 |
HUANG Gan |
皖西卫生职业学院附属医院骨科, 安徽 六安 237008 |
Department of Orthopaedics, the Affiliated Hospital of West Anhui Health Vocational College, Lu'an 237008, Anhui, China |
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| 李俊 |
LI Jun |
皖西卫生职业学院附属医院骨科, 安徽 六安 237008 |
Department of Orthopaedics, the Affiliated Hospital of West Anhui Health Vocational College, Lu'an 237008, Anhui, China |
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| 期刊信息：《中国骨伤》2025年38卷，第6期，第651-656页 |
| DOI：10.12200/j.issn.1003-0034.20240088 |
| 基金项目:安徽省教育厅自然科学重点项目(编号:2023AH053361) |
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| 膝关节内侧半月板后角损伤在临床很常见,膝关节镜下治疗已作为首选方案。但关节镜下治疗存在较多的难点,如膝关节内侧后角处间隙狭窄,无充足的空间处理损伤的半月板,30°屈曲位下外翻外旋掰开方式,膝关节内侧副韧带松解方式,膝关节腔撑开器撑开方式,均能显露和扩大膝关节内侧间隙,需熟练掌握和权衡使用,避免副损伤。关节镜下治疗时也需判断半月板损伤的原因,如退变性的损伤,单纯半月板修复、成形很难解决患者的痛苦。前交叉韧带损伤易导致膝关节不稳,与膝关节内侧半月板后角损伤关系紧密,治疗时需同时生理修复,才能达到最佳的治疗效果。内侧半月板后角损伤类型多样,其中Ramp损伤、根部断裂、层裂的半月板损伤治疗时受到关节退变、狭窄的膝关节间隙或膝关节稳定性影响较大,治疗时需充分考虑各方影响因素。 |
| [关键词]:关节镜 内侧半月板后角损伤 膝关节 综述 |
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| Progress on treatment of posterior angle injury of medial meniscus of knee joint under arthroscopy |
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| Abstract:The injury of the posterior Angle of the medial meniscus of the knee joint is very common in clinic,and the arthroscopic treatment of the knee joint has been the first choice. However,there are many difficulties in arthroscopic treatment,such as narrow space in the medial posterior corner of the knee joint,insufficient space to deal with the injured meniscus,varion and lateral rotation under 30° flexion,release of the medial collateral ligament of the knee joint,and expansion of the knee joint cavity spinner,all of which could expose and expand the medial space of knee joint. Therefore,it is necessary to master and balance the use to avoid collateral injury. It is also necessary to determine the cause of meniscus injury during arthroscopic treatment,such as degenerative injury,simple meniscus repair and forming can hardly solve the pain of patients. Anterior cross injury is easy to cause instability of the knee joint,which is closely related to the injury of the posterior angle of the medial meniscus of the knee joint. In order to achieve the maximum therapeutic effect,physiological repair should be performed at the same time. There are various types of medial meniscus posterior angle injury,among which the Ramp injury,root fracture and laminae meniscus injury are greatly affected by joint degeneration,narrow knee space or knee stability,and all influencing factors should be fully considered in treatment. |
| KEYWORDS:Arthroscopy Posterior medial meniscal tear Knee joint Review |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 卢士学,丁磊,陈琪,许有智,黄干,李俊.关节镜下膝关节内侧半月板后角损伤的治疗进展[J].中国骨伤,2025,38(6):651~656 |
| 英文格式: | LU Shi-xue,DING Lei,CHEN Qi,XU You-zhi,HUANG Gan,LI Jun.Progress on treatment of posterior angle injury of medial meniscus of knee joint under arthroscopy[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(6):651~656 |
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