自体肌腱移植能起到半月板移植的作用吗？

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-06-18 DOI:10.1016/j.knee.2025.05.033

Ahmed Mahmoud Gad, Mohamed Hussein Khalil

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引用次数: 0

摘要

背景：对于半月板切除术后出现症状的患者，有多种治疗方法，包括同种异体半月板移植（MAT）、胶原半月板植入物、合成聚合物半月板植入物和自体肌腱移植。本研究的目的是评估腓骨长肌腱自体移植作为半月板移植后的功能结果，这些患者在先前的全半月板切除术或次全半月板切除术后因负重加重了膝关节线疼痛。方法于2022年5月至2022年12月期间，采用PL自体移植物替代半月板移植治疗25例患者。男性19例，女性6例。内侧半月板受累17例，外侧半月板受累8例。所有患者术后随访至少2年。术前和术后2年使用Lysholm和膝关节损伤及骨关节炎评分和预后（oos）评估功能结局。结果术前与随访2年的Lysholm评分和kos评分均有统计学意义的改善。结论对半月板全切除或次全切除后出现半月板术后症状的患者，应用自体PL肌腱移植半月板可获得满意的功能效果。

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Can tendon autograft function as a meniscal transplant?

Background

Various options have been advocated for the treatment of patients who developed post-meniscectomy symptoms, including meniscus allograft transplant (MAT), collagen meniscus implants, synthetic polymer meniscal implants, and tendon autografts. The aim of this study was to evaluate the functional outcomes after using the peroneus longus (PL) tendon autograft as meniscal transplantation in patients with knee joint line pain exacerbated by weight bearing following prior total or subtotal meniscectomy.

Methods

Twenty-five patients were treated using PL autograft as an alternative for meniscal transplantation between May 2022 and December 2022. Nineteen patients were male, and six patients were female. The medial meniscus was involved in 17 patients, while the lateral meniscus was affected in eight patients. All patients were followed up for at least 2 years following surgery. Functional outcomes were assessed using the Lysholm and Knee Injury and Osteoarthritis and Outcome (KOOS) scores preoperatively and at 2 years following surgery.

Results

A statistically significant improvement was found between preoperative and 2 years follow up values in terms of both the Lysholm and KOOS scores.

Conclusions

Meniscus transplantation using PL tendon autograft may be a successful treatment with satisfactory functional results for patients with post-meniscectomy symptoms following previous total or subtotal meniscectomy.

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.