[关节镜下膝关节内侧半月板后角损伤的治疗进展]。

Q4 Medicine
Shi-Xue Lu, Lei Ding, Qi Chen, You-Zhi Xu, Gan Huang, Jun Li
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引用次数: 0

摘要

膝关节内侧半月板后角损伤在临床上十分常见,膝关节的关节镜治疗一直是首选。然而,关节镜治疗存在许多困难,如膝关节内侧后角空间狭窄、处理受伤半月板的空间不足、30°屈曲下的变位和外侧旋转、膝关节内侧副韧带的松解、膝关节腔旋转器的扩张等,都会使膝关节内侧空间暴露和扩张。因此,有必要掌握和平衡使用,以避免附带伤害。在关节镜下治疗时还需要确定半月板损伤的原因,如退行性损伤,单纯的半月板修复和形成很难解决患者的疼痛。前交叉损伤容易引起膝关节失稳,这与膝关节内侧半月板后角损伤密切相关。为了达到最大的治疗效果,应同时进行生理修复。内侧半月板后角损伤有多种类型,其中坡道损伤、根骨折和板半月板损伤受关节退变、膝关节间隙狭窄或膝关节稳定性的影响较大,在治疗时应充分考虑各种影响因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Progress on treatment of posterior angle injury of medial meniscus of knee joint under arthroscopy].

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.

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