半月板损伤关节镜下缝合技术的进展

王旗鹏; 侯开宇; 何川; 赵庆刚

doi:10.12259/j.issn.2095-610X.S20231228

半月板损伤关节镜下缝合技术的进展

doi: 10.12259/j.issn.2095-610X.S20231228

王旗鹏¹,
侯开宇^2, ,,
何川^3, ,,
赵庆刚²

1.
大理大学临床医学院，云南大理　671000
2.
云南大学附属医院/云南省第二人民医院骨与创伤外科，云南昆明　650021
3.
昆明医科大学第一附属医院运动医学科，云南昆明，650032

基金项目: 国家自然科学基金资助项目（81560372）；昆明医科大学第一附属医院“535”高层次人才学科带头人培养基金资助项目（2023535D11）；云南省“兴滇英才支持计划”青年人才基金资助项目

详细信息

作者简介:
王旗鹏（1996～），男，云南临沧人，在读硕士研究生，主要从事创伤、关节损伤、四肢骨折临床研究工作

通讯作者:
侯开宇，E-mail：wlchmm1971@163.com

何川，E-mail：hczraul@sina.com

中图分类号: R684.7
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出版历程
- 收稿日期: 2023-02-10
- 网络出版日期: 2023-12-22
- 刊出日期: 2023-12-25

Advances in Arthroscopic Suture Techniques for Meniscal Injuries

Qipeng WANG¹,
Kaiyu HOU^{2
, ,},
Chuan HE^{3
, ,},
Qinggang ZHAO²

1.
School of Clinical Medicine，Dali University，Dali Yunnan 671000
2.
Dept.of Orthopedics And Trauma Surgery，Affiliated Hospital of Yunnan University /The 2nd People’s Hospital of Yunnan Province，Kunming Yunnan 650021
3.
Dept. of Sports Medicine，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

摘要

摘要: 半月板在膝关节中有传递负荷、减震、关节润滑、增加膝关节在各个方向上的稳定性等重要的作用。半月板损伤是膝关节损伤的常见疾病，会导致膝关节剧烈疼痛，并伴有膝关节活动受限，严重影响患者的生活质量。关节镜下微创治疗已经成为目前半月板损伤治疗的主要方式，尽可能挽救半月板形态、结构已成为目前治疗半月板损伤的共识。通过介绍半月板的结构与功能，损伤机制，重点介绍关节镜下半月板损伤治疗的几种缝合技术，并分析其优缺点，以期为关节镜下缝合半月板的临床研究提供一定的借鉴作用。
- 关节镜 /
- 半月板损伤 /
- 缝合技术
Abstract: The meniscus in the knee joint plays an important role in bearing load, shock absorption, joint lubrication, and increasing the stability of the knee joint in various directions. Meniscal injury is a common ailment in knee joint injuries, which can cause severe knee pain and limited knee joint movement, significantly affecting the patient's quality of life. Arthroscopic minimally invasive treatment has become the main approach for treating meniscal injuries, with the consensus being to preserve the meniscus morphology and structure as much as possible. By introducing the structure and function of the meniscus, the mechanism of injury, and focusing on several suture techniques for arthroscopic meniscal injury treatment, analyzing their advantages and disadvantages, it aims to provide some reference for clinical research on arthroscopic suture of the meniscus.
- Arthroscopy /
- Meniscus injury /
- Technique of suture

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参考文献(49)

[1]	Cinque M E, DePhillipo N N, Moatshe G, et al. Clinical outcomes of inside-out meniscal repair according to anatomic zone of the meniscal tear[J]. Orthop J Sports Med, 2019, 7（7）: 2325967119860806.
[2]	Ewing M A,Stannard J P,Cook J L. Diagnosis and management of articular cartilage and meniscus pathology in the posterior cruciate ligament-injured knee[J]. J Knee Surg,2021,34(6):599-604. doi: 10.1055/s-0041-1725176
[3]	杨远,张凯搏,付维力,等. 系统评价运动性半月板损伤的流行病学特征[J]. 中国组织工程研究,2019,23(31):5079-5084. doi: 10.3969/j.issn.2095-4344.1345
[4]	Alomar A Z,Al Jedia K M,Shadid A M,et al. Concurrent research around meniscus: A bibliometric analysis and review of the top fifty cited papers[J]. Indian J Orthop,2022,56(5):785-796. doi: 10.1007/s43465-021-00592-2
[5]	仇建军,邹翰林,张磊,等. 富血小板血浆修复半月板损伤的研究进展[J]. 国际骨科学杂志,2021,42(5):305-309.
[6]	宁梓文,王旭,施政良,等. 半月板非血供区损伤的修复方案[J]. 中国组织工程研究,2023,27(3):420-426.
[7]	谭晋殿,胡华明,杨松,等. 影响富血小板血浆联合关节镜治疗Ⅲ度半月板损伤膝关节功能恢复时间的因素分析[J]. 昆明医科大学学报,2023,44(5):111-116.
[8]	闫理想,张正,张德志,等. 关节镜联合富含血小板血浆治疗半月板体部及后根部损伤的术后疗效[J]. 昆明医科大学学报,2020,41(3):50-56. doi: 10.3969/j.issn.1003-4706.2020.03.009
[9]	Kemmochi M,Sasaki S,Takahashi M,et al. The use of platelet-rich fibrin with platelet-rich plasma support meniscal repair surgery[J]. J Orthop,2018,15(2):711-720. doi: 10.1016/j.jor.2018.05.006
[10]	Almaawi A,Awwad W,Bamugaddam A,et al. Prevalence of knee injuries among male college students in Riyadh,Kingdom of Saudi Arabia[J]. J Orthop Surg Res,2020,15(1):126. doi: 10.1186/s13018-020-01638-1
[11]	王枫. 体育运动中膝关节半月板的损伤与修复分析[J]. 健与美, 2022, （4）: 106-109.
[12]	Arner J W,Ruzbarsky J J,Vidal A F,et al. Meniscus repair part 2: Technical aspects,biologic augmentation,rehabilitation,and outcomes[J]. J Am Acad Orthop Surg,2022,30(13):613-619. doi: 10.5435/JAAOS-D-21-01153
[13]	Warren R F. Arthroscopic meniscus repair[J]. Arthroscopy,1985,1(3):170-172. doi: 10.1016/S0749-8063(85)80005-0
[14]	Raoulis V Sr,Fyllos A,Baltas C,et al. Clinical and radiological outcomes after isolated anterior horn repair of medial and lateral meniscus at 24 months' follow-up,with the outside-in technique[J]. Cureus,2021,13(9):e17917.
[15]	Silberberg Muiño J M,Nilo Fulvi A,Gimenez M,et al. Outside-in single-lasso loop technique for meniscal repair: Fast,economic,and reproducible[J]. Arthrosc Tech,2018,7(11):e1191-e1196. doi: 10.1016/j.eats.2018.08.001
[16]	贾洪磊. 关节镜下借助腰穿针过线修复半月板前角撕裂的临床疗效观察[D]. 南昌: 南昌大学, 2018.
[17]	曾伟清,唐刚健,柴晟. 改良无切口针孔式外内多针缝合术在半月板前体部损伤中的应用[J]. 广西医学,2018,40(10):1155-1156,1163.
[18]	Liu Z D,Xu T M,Dang Y,et al. A mid-term clinical follow-up study on repair of the meniscus tears by a modified arthroscopic outside-in puncture suture technique[J]. Beijing Da Xue Xue Bao Yi Xue Ban,2020,52(5):870-874.
[19]	Almeida A M,Rodrigues M B,Rezende M U,et al. Meniscal repair results comparing MRI,arthro-MRI,and arthro-CT[J]. Acta Ortop Bras,2018,26(3):166-169. doi: 10.1590/1413-785220182603184536
[20]	Elmallah R,Jones L C,Malloch L,et al. A meta-analysis of arthroscopic meniscal repair: Inside-out versus outside-in versus all-inside techniques[J]. J Knee Surg,2019,32(8):750-757. doi: 10.1055/s-0038-1668123
[21]	代朋乙,王培召,谭红略,等. 关节镜下外-内-外缝合治疗半月板撕裂的临床效果观察[J]. 中国医刊,2023,58(04):401-404.
[22]	Imada A O,O'Hara J J,Proumen I L,et al. Bucket handle meniscus tears in low-resource settings can be successfully treated with a cost-effective technique[J]. Int Orthop,2022,46(1):43-49. doi: 10.1007/s00264-021-05090-6
[23]	Henning C E,Clark J R,Lynch M A,et al. Arthroscopic meniscus repair with a posterior incision[J]. Instr Course Lect,1988,37:209-221.
[24]	李自钢. 半月板体后部撕裂All-inside （FasT-fix）与Inside-out缝合方法疗效比较研究[D]. 芜湖: 皖南医学院, 2020.
[25]	Aman Z S,Dickens J F,Dekker T J. Meniscal repair techniques for middle- and posterior-third tears[J]. Arthroscopy,2021,37(3):792-794. doi: 10.1016/j.arthro.2021.01.003
[26]	Kamiya T,Suzuki T,Otsubo H,et al. Midterm outcomes after arthroscopic surgery for hypermobile lateral meniscus in adults: Restriction of paradoxical motion[J]. J Orthop Sci,2018,23(6):1000-1004. doi: 10.1016/j.jos.2018.06.003
[27]	Marigi E M,Till S E,Wasserburger J N,et al. Inside-out approach to meniscus repair: still the gold standard?[J]. Curr Rev Musculoskelet Med,2022,15(4):244-251. doi: 10.1007/s12178-022-09764-5
[28]	Gousopoulos L,Grob C,Ahrens P,et al. How to avoid iatrogenic saphenous nerve injury during outside-in or inside-out medial meniscus sutures[J]. Arthrosc Tech,2022,11(2):e127-e132. doi: 10.1016/j.eats.2021.09.012
[29]	Morgan C D. The "all-inside" meniscus repair[J]. Arthroscopy,1991,7(1):120-125.
[30]	Zhuo H,Chen Q,Zhu F,et al. Arthroscopic side-to-side repair for complete radial posterior lateral meniscus root tears[J]. BMC MusculoskeletDisord,2020,21(1):130. doi: 10.1186/s12891-020-3156-1
[31]	Atsumi S,Hara K,Arai Y,et al. Outcomes of arthroscopic repair using the all-inside inter-leaf vertical suture technique for horizontal meniscal tears sustained in sports[J]. Medicine (Baltimore),2020,99(41):e22609.
[32]	Goh J K M,Tan T J,Kon C K K,et al. All-inside repair of bucket handle meniscus tears - mid-term outcomes with postoperative magnetic resonance imaging[J]. Knee,2021,30:195-204. doi: 10.1016/j.knee.2021.03.015
[33]	Doig T,Fagan P,Frush T,et al. The all-inside all-suture technique demonstrated better biomechanical behaviors in meniscus radial tear repair[J]. Knee Surg Sports Traumatol Arthrosc,2020,28(11):3606-3612. doi: 10.1007/s00167-020-06078-2
[34]	Cu é llar A,Cu é llar R,D í az Heredia J,et al. The all-inside meniscal repair technique has less risk of injury to the lateral geniculate artery than the inside-out repair technique when suturing the lateral meniscus[J]. Knee Surg Sports Traumatol Arthrosc,2018,26(3):793-798. doi: 10.1007/s00167-017-4490-1
[35]	Nishino K,Hashimoto Y,Nishida Y,et al. Incidence and risk factors for meniscal cyst after meniscal repair[J]. Arthroscopy,2019,35(4):1222-1229. doi: 10.1016/j.arthro.2018.11.039
[36]	Tanaka A,Tsujii A,Shimomura K,et al. Two uncommon complications related to suture knots after meniscal all-inside suture repair: A case report[J]. JBJS Case Connect,2022,12(3):e22.00014.
[37]	Geeslin A G,Civitarese D,Turnbull T L,et al. Influence of lateral meniscal posterior root avulsions and the meniscofemoral ligaments on tibiofemoral contact mechanics[J]. Knee Surg Sports Traumatol Arthrosc,2016,24(5):1469-77. doi: 10.1007/s00167-015-3742-1
[38]	Hussain Z B,Chahla J,Mandelbaum B R,et al. The role of meniscal tears in spontaneous osteonecrosis of the knee: A systematic review of suspected etiology and a call to revisit nomenclature[J]. Am J Sports Med,2019,47(2):501-507. doi: 10.1177/0363546517743734
[39]	Feucht M J,Kühle J,Bode G,et al. Arthroscopic transtibial pullout repair for posterior medial meniscus root tears: A systematic review of clinical,radiographic,and second-look arthroscopic results[J]. Arthroscopy,2015,31(9):1808-1816. doi: 10.1016/j.arthro.2015.03.022
[40]	Hiranaka T,Furumatsu T,Kamatsuki Y,et al. The distance between the tibial tunnel aperture and meniscal root attachment is correlated with meniscal healing status following transtibial pullout repair for medial meniscus posterior root tear[J]. Knee,2020,27(3):899-905. doi: 10.1016/j.knee.2020.02.025
[41]	Familiari F,Palco M,Russo R,et al. Arthroscopic repair of posterior root tears of the lateral meniscus with all-suture anchor[J]. Arthrosc Tech,2022,11(5):e781-e787. doi: 10.1016/j.eats.2021.12.037
[42]	Wang Y,Chen J,Li D,et al. Single needle all-inside technique for lateral meniscus repair at popliteal hiatus area: Safe,effective,and time-saving[J]. Arthrosc Tech,2023,12(3):e371-e375. doi: 10.1016/j.eats.2022.11.018
[43]	Fang C H,Liu H,Di Z L,et al. Arthroscopic all-inside repair with suture hook for horizontal tear of the lateral meniscus at the popliteal hiatus region: A preliminary report[J]. BMC Musculoskelet Disord,2020,21(1):52. doi: 10.1186/s12891-020-3066-2
[44]	Chen N C,Martin S D,Gill T J. Risk to the lateral geniculate artery during arthroscopic lateral meniscal suture passage[J]. Arthroscopy,2007,23(6):642-646. doi: 10.1016/j.arthro.2007.01.003
[45]	Tomsan H,Gorbachova T,Fritz R C,et al. Knee MRI: meniscus roots,ramps,repairs,and repercussions[J]. Radiographics,2023,43(7):e220208. doi: 10.1148/rg.220208
[46]	Qalib Y O,Tang Y,Wang D,et al. Ramp lesion of the medial meniscus[J]. EFORT Open Rev,2021,6(5):372-379. doi: 10.1302/2058-5241.6.200126
[47]	Liu X,Zhang H,Feng H,et al. Is it necessary to repair stable ramp lesions of the medial meniscus during anterior cruciate ligament reconstruction? A prospective randomized controlled trial[J]. Am J Sports Med,2017,45(5):1004-1011. doi: 10.1177/0363546516682493
[48]	汤明,王寒琪,李谓林,等. 应用Fast-fix 360全内缝合技术修复半月板Ramp区损伤的临床研究[J]. 骨科,2020,11(3):186-191. doi: 10.3969/j.issn.1674-8573.2020.03.002
[49]	Gousopoulos L,Hopper G P,Saithna A,et al. Suture hook versus all-inside repair for longitudinal tears of the posterior horn of the medial meniscus concomitant to anterior cruciate ligament reconstruction: A matched-pair analysis from the SANTI study group[J]. Am J Sports Med,2022,50(9):2357-2366. doi: 10.1177/03635465221100973

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留言板

半月板损伤关节镜下缝合技术的进展

doi: 10.12259/j.issn.2095-610X.S20231228

作者简介:
王旗鹏（1996～），男，云南临沧人，在读硕士研究生，主要从事创伤、关节损伤、四肢骨折临床研究工作

通讯作者:
侯开宇，E-mail：wlchmm1971@163.com

何川，E-mail：hczraul@sina.com

计量

Advances in Arthroscopic Suture Techniques for Meniscal Injuries

计量

目录

[1]	段于平, 赵华磊, 费学良, 唐永新, 徐永升. 关节镜自体腘绳肌腱重建前交叉韧带术后引流的早期疗效比较, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240120
[2]	谭晋殿, 胡华明, 杨松, 林坚平, 吴巨峰. 影响富血小板血浆联合关节镜治疗III度半月板损伤膝关节功能恢复时间的因素分析, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230507
[3]	熊波涵, 秦艺华, 宁梓文, 王旭, 施政良, 卢晓君, 张瑶璋, 王坤. 腕关节镜下单通道腕管松解术治疗腕管综合征疗效分析, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20221019
[4]	李珂佳, 刘昂, 李炎阳, 张志鸿, 邵国辉, 戈佳云. 同步三镜联合胆管一期缝合技术在胆囊结石合并扩张性胆总管结石患者中的应用, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20220707
[5]	潘斯学, 何光雄, 夏吉良, 陈帅, 向俊宜, 保超宇. 基于MRI测量正常成人半月板厚度的形态学研究, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20221219
[6]	廖欣宇, 张瑶璋, 钟瑞颖, 杨登军, 张奇爱, 何璐, 张红, 郑亚星, 王福科. 关节镜下双排缝线固定治疗前交叉韧带胫骨止点撕脱骨折, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20220906
[7]	魏树发, 陈佳晖, 梁一鸣, 刘俊洪, 杨毅, 李彪. 关节镜联合开放胫骨高位截骨术治疗膝关节骨性关节炎的早期疗效对比, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20211224
[8]	姚自红, 王福科, 吴志雄, 庞佳宁. 关节镜下五联手术治疗髌股关节外侧高压综合征, 昆明医科大学学报.
[9]	闫理想, 张正, 张德志, 宋猛, 綦慧, 刘丹平. 关节镜联合富含血小板血浆治疗半月板体部及后根部损伤的术后疗效, 昆明医科大学学报.
[10]	张振光, 彭闰梅, 李玉丹, 何川, 王福科, 蒋元明, 何波. MRI与MR关节造影诊断SLAP损伤对比关节镜检查的相关性, 昆明医科大学学报.
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[12]	王燕燕, 陈俊虎, 张秀果, 陈晓园. 两种缝合技术对形成剖宫产子宫切口疤痕憩室的比较, 昆明医科大学学报.
[13]	郑云江. 关节镜下两种不同固定方式治疗髁间嵴撕脱骨折的疗效比较, 昆明医科大学学报.
[14]	杨艳. 皮肤免缝合技术在骨科脊柱手术中的应用, 昆明医科大学学报.
[15]	朱嘉卫. 鼻中隔矫正术后缝合法关闭术腔30例, 昆明医科大学学报.
[16]	刘维统. 关节镜在创伤性髌骨脱位诊治中的临床价值探讨, 昆明医科大学学报.
[17]	范建楠. 关节镜下射频汽化治疗髌内侧滑膜皱襞综合征26例临床体会, 昆明医科大学学报.
[18]	高岗. 自体腘绳肌腱单束重建前交叉韧带术后疗效评价, 昆明医科大学学报.
[19]	. 关节镜外科进展, 昆明医科大学学报.
[20]	王甄. 磁共振成像对膝关节半月板损伤的诊断价值分析, 昆明医科大学学报.

留言板

半月板损伤关节镜下缝合技术的进展

doi: 10.12259/j.issn.2095-610X.S20231228

作者简介: 王旗鹏（1996～），男，云南临沧人，在读硕士研究生，主要从事创伤、关节损伤、四肢骨折临床研究工作

通讯作者: 侯开宇，E-mail：wlchmm1971@163.com 何川，E-mail：hczraul@sina.com

计量

出版历程

Advances in Arthroscopic Suture Techniques for Meniscal Injuries

计量

出版历程

目录

作者简介:
王旗鹏（1996～），男，云南临沧人，在读硕士研究生，主要从事创伤、关节损伤、四肢骨折临床研究工作

通讯作者:
侯开宇，E-mail：wlchmm1971@163.com

何川，E-mail：hczraul@sina.com