ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:Because the menisci play an integral role in the complex biomechanics of the knee, increasing efforts are being made to preserve these structures whenever possible. Experimental studies have shown that the menisci are able to generate a healing response if lesions are located within the peripheral vasculature of the tissue. Understanding the basic science of meniscal healing is essential if one is to appreciate the capabilities and limitations of the meniscus with regard to repair.

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:Indications, techniques, and aftercare guidelines for open meniscus repair are presented. These techniques are suitable for posterior one-third tears at or within 2 mm of the meniscosynovial junction. The author has utilized these techniques since 1976, and they have successfully stood the test of time.

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:Complications occurring with arthroscopic meniscal repair are discussed. Various techniques of repair are presented, with comparisons of the complications of each. Appropriate technical measures are presented to allow the surgeon to perform successful arthroscopic meniscal repair without catastrophic complications. Frequently encountered complications of a lesser nature are also discussed, and appropriate suggestions are made on how to avoid them.

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:An inside-out arthroscopic technique using a single or a double lumen cannula system is an effective means of reducing and stabilizing repairable meniscal tears. Limited posterolateral or posteromedial approaches for capsular exposure are recommended to decrease the incidence of neurovascular complications. Concomitant anterior cruciate ligament (ACL) reconstruction is strongly recommended for ACL-deficient patients with repairable meniscal lesions.

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:The zone-specific system allows arthroscopically controlled repair of all viable meniscus tears. The zone-specific cannulae are anatomically matched to the normal contours of the femoral condyles and tibial spines allowing easy passage of specially designed, double-armed sutures. This arthroscopic inside-out technique allows visualization, preparation, and repair of tears not approachable by open methods. Suture capture and fixation is accomplished using a 3-cm posteromedial or posterolateral incision exposing capsule and protecting the neurovascular structures. As with other techniques, zone-specific meniscus repair demands proper tear selection and preparation prior to suturing (Fig. 1).

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:The “outside-to-inside” meniscus repair is a percutaneous method of suturing a meniscus under arthroscopic control. This method delivers suture through the lumen of an 18-gauge spinal needle directed from an anatomic safe zone outside the knee into an intraarticular location visualized with an arthroscope.

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:The “all-inside” meniscus repair is an entirely intraarticular method of suturing a meniscus under arthroscopic control. This method places sutures across the tear and ties intraarticular knots through an operative cannula, resulting in a vertically oriented suture repair that apposes the meniscus only and excludes the joint capsule.

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Summary:Clinical and experimental studies have demonstrated the importance of the meniscus in load transmission, stability, shock absorption, and articular cartilage nutrition in the knee joint. As a result, clinicians have emphasized preservation of the injured meniscus when possible. Meniscal healing is dependent on a blood supply or factors derived from serum. An exogenous fibrin clot placed in a stable lesion in an avascular portion of the meniscus can support a reparative response by providing such serum factors. In this review we describe the basic science aspects of meniscal repair, and the indications, technique, and results of meniscal repair using an exogenous fibrin clot. Directions for future research on meniscal repair and replacement based on our increasing understanding of meniscal biology are briefly discussed.

ISSN:0885-9698    

出版商:OVID    

年代:1993

数据来源: OVID