変法関節鏡視下内側半月板同種移植術:再調整可能な縫合アンカー固定と中央安定化縫合
Patrick A Smith1, Jason G Ina2, Julia F Cuny3
1Hospital for Special Surgery at Naples Comprehensive Health, Naples, Florida, U.S.A.
Abstract:
Meniscus allograft transplant (MAT) can provide meaningful improvement in patient outcomes in those who are otherwise meniscus deficient. A common finding in the setting of a failed MAT is meniscus extrusion. Meniscus centralization is a technique performed to reduce the meniscus to its intra-articular location and has been shown to improve postoperative pain and function in patients with an extruded meniscus. Prior techniques have been described for meniscus centralization in the setting of a meniscus root tear or with the use of single tension devices that are tensioned after meniscocapsular fixation. We present a minimally invasive technique for meniscus centralization that can be performed in conjunction with MAT using a centralization stabilization suture and re-tensionable root-fixation subchondral anchors that can be secured prior to meniscocapsular fixation.

