半月板损伤的外科处理.pdfVIP

56 Bulletin of the NYU Hospital for Joint Diseases 2011;69(1):56-62 Surgical Management of Meniscal Tears Theodore Shybut, M.D., and Eric J. Strauss, M.D. Abstract sports, particularly soccer, football, and basketball. There The menisci have an essential function in force transmis- are over 636,000 knee arthroscopies performed annually in sion across the knee. Injuries to the menisci are common. 3 the USA, and arthroscopic treatments of meniscal injuries The indications for repair should be expanded, as the are among the most common orthopaedic procedures per- results of partial meniscectomy may deteriorate over formed, constituting 10% to 20% of all surgeries at some time. Tears in younger, higher demand patients should 4 centers. Surgery is increasingly the choice management be prepared to optimize the healing environment and be for younger patients, athletes, and acute tears. Operative meticulously repaired, particularly in the setting of con- treatments for meniscal injuries have evolved in tandem current anterior cruciate ligament reconstruction. For with our understanding of the structure, function, and biol- complex, recurrent, or avascular zone tears, particularly ogy of the meniscus. This paper will trace the development when surgery is limited to meniscal work, consideration of meniscal surgery from total meniscectomy to partial can be given to augmenting the repair with a fibrin clot meniscectomy, evolving methods of repair, meniscal scaf- or platelet rich plasma.