盘状半月体的手术治疗
Marco Turati1, Marco Crippa2, Judith Waldner1
1Department of Orthopaedic and Trauma, Fondazione IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, Monza, Italy; Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
The Knee
|August 28, 2025
概括
现在更重视维护和修复而不是切除. 虽然关节镜化显示出 discoid meniscus 的良好短期结果,但显著的修订率需要进一步调查失败风险因素.
科学领域:
- 整形外科
- 儿童整形医学
- 膝盖关节镜检查
背景情况:
- 椎间板膜是儿童最常见的先天性膝盖疾病.
- 有症状的病例需要进行关节镜手术, discoid meniscus修复的发生率越来越高.
- 诊断依赖于MRI的形状,体积和撕裂模式, 与关节镜检测结果相关.
研究的目的:
- 审查目前的圆盘半手术治疗方法.
- 突出了对保存和修复技术的转变.
- 评估关节镜化的结果和修订率.
主要方法:
- 关节镜化与中部半径切除术恢复正常的半径形状和体积.
- 在周围脱落或不可修复的撕裂的情况下进行半径修复.
- 脑膜切除术只适用于无法修复的眼.
主要成果:
- 盘状半月体治疗的短期临床结果通常很好.
- 关节透视化显示出有利的结果.
- 据报道,20年后的修订率高达44%.
结论:
- 外科治疗已经发展到有利于维护和修复圆盘半.
- 边缘保护性关节化产生了积极的结果,但具有显著的修订率.
- 需要进行进一步的研究,以确定盘状阴茎手术失败和修复的危险因素.
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