关节镜下建立髁间窝通道治疗内侧半月板后角复杂破裂.pdfVIP

.368. 中国骨伤 2017 年4 月第 30 卷第4 期 China J Orthop Trauma ,Apr.2017 ,VoI.30 ,No .4 ·经验叉流· 关节镜下建立棵间窝通道治疗内侧半月板后角 复杂破裂 董凌岱，那长建，李建林，蔡跃 (山东医学高等专科学校附属吉县人民医院关节外科，山东 日照 276500) [摘要】 目的:探讨在关节镜下建立稼间窝遥遥并经该通道治疗内侧半月板后角复杂破裂。方法:对 127 例经 过寐间窝通道施行了半月板部分切除成形术的骨关节炎病例进行分析总结。 127 例患者均存在内侧半月板后角复杂 裂，男 24 例，女 103 例;年龄 45-78 岁，平均 67 岁 ;127 例中有 112 例通过3 切口(常规前内侧切口、前外侧切口、高位 前外侧切口)顺利完成内侧半月板后角部分切除成形术，有 15 例通过4 切口(常规前内侧切口、前外侧切口、高位前外 1m1 切口、后内侧切口)来完成手术。从4 个方面进行评价:该方法对半月板后角部位能否全面便利观察、器械能否便利 抵达靶部位、对相邻关节软骨的损伤情况和手术时间(处理半月板的时间)。结果:所有病例的半月板后角后根都能 被全面清晰观察，器械都能使利地抵达靶部位，元软骨的医源性破坏发生，3 切口情况下内侧半月板后角部位部分切 除成形术的时间为 5-lO min ， 4 切口的时间为1O-30min。结论:在关节镜下建立棵间窝通道并经此通道治疗内侧半月 板后角复杂破裂，方便快捷，最大程度减少了对关节软骨的医源性损伤。 【关键词] 关节镜; 半月板，腔骨; 膝关节 DOI: 1O.3969/j.i四n.loo3-oo34.2017.04.018 EtTects of creating a tunnel through intercondylar fossa under arthroscopy for the treatment of complex tears at the medial meniscus posterior horn DONG Ling-dai ,BING C加ng-jian ， LI Jian-lin ,rmd CAI Yue. Dep UTtment 0/ Bone rmd Joint ,Juxian People 主 Hospital Affiliated ω ShrmdongH也h Medical Specialized School ,Rizhω276500 ,Shandong , China ABSTRACT Objective: To discuss the advantages of 由e arthroscopic treatment for complex tears of the medial meniscus posterior hom by creating a tunnel passageway through the intercondylar fossa. Methods: All 127 patients including 24 males and 103 females with complex tears at the medial meniscus posterior hom were reviewed. The age of all patients ranged from 45 to 78 years old ,with an average of 67 years old. All 127 patients were treated with partial meniscectomy ,in which 112 patients were treated with partial meniscectomy smoothly with three incisions (anterior medial incision ,anterior lateral incision ,high anterior lateral incision) ,and 15 patients were treated with four incisions (anterior medial incision ,anterior lateral i