Operative Techniques in Orthopaedics最新文献

Meniscus Allograft Transplantation 半月板同种异体移植

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101186

Garrett R. Jackson, Clayton W. Nuelle

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All-Inside, Inside-Out, and Outside-In Meniscus Repair Techniques and Outcomes 全内，内外，外内半月板修复技术和结果

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101182

Mikalyn T. DeFoor , Benjamin J. Wie , Senah E. Stephens , Kevin F. Bonner

{"title":"All-Inside, Inside-Out, and Outside-In Meniscus Repair Techniques and Outcomes","authors":"Mikalyn T. DeFoor , Benjamin J. Wie , Senah E. Stephens , Kevin F. Bonner","doi":"10.1016/j.oto.2025.101182","DOIUrl":"10.1016/j.oto.2025.101182","url":null,"abstract":"<div><div>The benefits of meniscus repair are clear when performed in the optimal patient population and tear characteristics. Fundamental principles of meniscus repair remain the same regardless of the fixation technique, including anatomic reduction, circumferential compression and biological stimulation. With the advancement of contemporary all-inside devices, all-inside techniques have gained significant popularity with their ease of use and shorter operative times without the need for an open exposure. The inside-out repair generally remains the gold standard for larger, more extensive or complex meniscus tears due to the greater versatility and allowing for more points of fixation with less iatrogenic damage to the meniscus. Both all-inside and inside-out techniques can be used for middle and posterior third zone meniscal tears. Outside-in repair techniques are generally reserved for the anterior one-third of the meniscus. High strength nonabsorbable braided suture or tape has become the standard for meniscus repair. Contemporary suture passing devices have been developed in more recent years, which may allow for the placement of circumferential compression sutures but with the potential downside of having intra-articular knot stacks on the meniscus. Although outcomes are generally positive, they will vary based on clinical factors including tear pattern, chronicity, tissue quality and knee stability. Complications may occur with each technique, but recurrent tearing or failure is the most common, even in the setting of optimal indications. Orthopaedic sports medicine surgeons should become proficient with a comprehensive armamentarium of meniscal repair techniques to optimize meniscus preservation, especially in younger patients.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 2","pages":"Article 101182"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Horizontal Cleavage and Radial Meniscus Tears: A Review of Treatment Options, Surgical Techniques, and Outcomes 水平劈裂和桡骨半月板撕裂：治疗方案、手术技术和结果的综述

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101185

Jelle P. van der List , David C. Flanigan

{"title":"Horizontal Cleavage and Radial Meniscus Tears: A Review of Treatment Options, Surgical Techniques, and Outcomes","authors":"Jelle P. van der List , David C. Flanigan","doi":"10.1016/j.oto.2025.101185","DOIUrl":"10.1016/j.oto.2025.101185","url":null,"abstract":"<div><div>The meniscus plays an important role in resisting and distributing axial loads and has a chondroprotective function. Meniscus injuries are common with an estimated lifetime prevalence of 9% to 12%. Over the last decade, the knowledge and awareness around meniscus injuries has increased and there is better understanding on the consequences of different treatment of meniscus injuries. These were historically often treated with nonoperative treatment or partial or subtotal meniscectomy, but developments in diagnosis, surgical techniques and outcomes have changed this paradigm. Horizontal cleavage tears are often located in the medial meniscus and benefit from meniscus repair as this decreases the peak stresses on the cartilage. Radial tears are most often located in the lateral meniscus – excluding posterior horn medial meniscus tears – and lead to complete loss of meniscus function and should also be treated with meniscus repair. In this overview article, the epidemiology, different treatment options, surgical techniques, rehabilitation and surgical outcomes of horizontal cleavage and radial meniscus tears are discussed.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 2","pages":"Article 101185"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Meniscus Tears Associated with ACL Injuries: The Multicenter Orthopaedic Outcomes Network (MOON) Experience 与前交叉韧带损伤相关的半月板撕裂：多中心矫形预后网络（MOON）经验

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101188

Sercan Yalcin , Andrew J. Sheean , Morgan H. Jones , Kurt P. Spindler , MOON Knee Group

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Biomechanics of the Meniscus and Meniscal Injury 半月板和半月板损伤的生物力学

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101180

Daniel J. Cognetti , Asheesh Bedi

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Operative Techniques: Orthobiologics in the Treatment/Augmentation of Meniscal Injuries 手术技术：半月板损伤的矫形术治疗/增强

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101187

Kyla A. Petrie , Aniket Pratapneni , Justin Jabara , Drew A. Lansdown

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Table of Contents (pick up from previous issue w/updates) 目录（选自上一期的内容和更新）

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1053/S1048-6666(25)00037-0

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Arthroscopic Partial Meniscectomy 关节镜半月板部分切除术

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101181

Justin J. Ernat

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Epidemiology: Prevalence, Incidence, and Implications of Ramp Lesions 流行病学：Ramp病变的流行、发病率和影响

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1016/j.oto.2025.101183

C. Onyeukwu , R. Vieider , E. Krakora , R. Cristiani , V. Musahl

{"title":"Epidemiology: Prevalence, Incidence, and Implications of Ramp Lesions","authors":"C. Onyeukwu , R. Vieider , E. Krakora , R. Cristiani , V. Musahl","doi":"10.1016/j.oto.2025.101183","DOIUrl":"10.1016/j.oto.2025.101183","url":null,"abstract":"<div><div>Meniscal ramp lesions are defined as longitudinal peripheral tears in the medial meniscus where the meniscocapsular and meniscotibial ligaments connect to the posterior horn. Meniscal ramp lesions are commonly associated with ACL tears but can easily be overlooked due to low sensitivity of diagnosis via MRI and their location posterior to the posterior horn of the medial meniscus. Left untreated, ramp lesions can lead to pain, decreased knee function, altered knee kinematics, and a decreased quality of life. Due to the impact meniscal ramp lesions can have on a patients' overall function, it is recommended to have a high index of suspicion for meniscal ramp lesions. Also, it is imperative to establish and utilize a posteromedial portal to directly probe the posterior horn of the medial meniscus when investigating the presence and stability of meniscal ramp lesions. Treatment options for meniscal ramp lesions can be non-operative, biological treatment, or meniscal repair with suture fixation. Non-operative management can be considered for stable lesions, while different operative techniques including inside-out, and all-inside repair have been described for meniscal ramp lesions requiring surgical fixation. Overall, Meniscus ramp lesions show good healing potential, as an excellent healing rate of 89% after meniscus ramp lesion repair has been reported and biological treatment such as trephination or rasping has also been shown to have positive results, whether done in isolation for more stable lesions or done in conjunction with suture fixation.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 2","pages":"Article 101183"},"PeriodicalIF":0.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Contributors (pick up from previous issue w/updates) 贡献者（从以前的问题和更新中挑选）

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Operative Techniques in Orthopaedics Pub Date : 2025-06-01 DOI: 10.1053/S1048-6666(25)00038-2

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