Simultaneous Meniscal Repair and Temporary Guided Growth Using a Tension Band Plate to Correct Alignment in Pediatric Discoid Lateral Meniscus Patients With Valgus Knee

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques Pub Date : 2024-09-01 DOI:10.1016/j.eats.2024.103039

Yusuke Hashimoto M.D., Ph.D. , Keisuke Nakagawa M.D., Ph.D. , Kazuya Nishino M.D., Ph.D. , Tomohiro Tomihara M.D. , Daichi Takahashi M.D. , Hiroaki Nakamura M.D., Ph.D. , Hiroshi Katsuda M.D.

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引用次数: 0

Abstract

Meniscal stabilization with saucerization has recently been recommended for discoid lateral meniscus (DLM) to preserve the meniscus shape and prevent the progression of osteoarthritis. However, axial alignment of the lower limb causes a significant valgus change after arthroscopic partial meniscectomy and can lead to progressive lateral osteoarthritic changes. Thus, valgus knees in patients with DLM are a suspected predictive factor for poor outcomes after DLM surgery. Valgus malalignment in pediatric patients can be corrected by temporarily tethering one side of the open physis using implant-mediated guided growth to generate differential growth in the coronal plane. This Technical Note describes simultaneous arthroscopic meniscal surgery and temporary hemiepiphysiodesis to treat DLM with valgus deformities to reduce the risk of future chondral damage to the lateral knee compartment.

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使用张力带板同时进行半月板修复和临时引导生长，矫正膝关节外翻的小儿盘状外侧半月板患者的对齐情况

对于盘状外侧半月板（DLM），近来推荐使用碟形半月板稳定术，以保持半月板的形状并防止骨关节炎的发展。然而，关节镜下半月板部分切除术后，下肢的轴向排列会导致明显的外翻变化，并可能导致外侧骨关节炎的进展性变化。因此，DLM 患者的膝外翻是 DLM 手术后不良预后的一个可疑预测因素。儿童患者的外翻错位可以通过暂时拴住一侧开放的髋臼来矫正，使用植入物引导生长，在冠状面上产生不同的生长。本技术说明介绍了同时进行关节镜下半月板手术和临时半骺成形术来治疗伴有外翻畸形的DLM，以降低未来膝关节外侧软骨损伤的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroscopy Techniques ORTHOPEDICS-

CiteScore

2.10

自引率

33.30%

发文量

291

审稿时长

29 weeks