拯救半月板课件.pptxVIP

ave The menis us!拯救半月板莆田九五医院 沈锋Case 1Case 1Case 1Case 2Case 2Case 3Case 4Case 4Case 5疑惑放射状撕裂伤的缝合方法？盘状半月板分层是缝合or去一层？上？下？盘状半月板的肥厚怎么处理？内侧半月板上滑膜缘完整，下缘游离，需要缝合吗？Badlani JT, Borrero C, Golla S, Harner CD, Irrgang JJ (2013) The effects of meniscus injury on the development of knee osteoarthritis: data from the osteoarthritis initiative. Am J Sports Med 41:1238–1244 Becker R, Berth A, Nehring M, Awiszus F (2004) Neuromuscular quadriceps dysfunction prior to osteoarthritis of the knee. J Orthop Res 22:768–773One of the most important clinical achievements highlighted at the third international meeting “The Meniscus: Preserve the future”, held in Porto in early February this year [9], was the improvement made in the field of meniscal repair. The loss of the meniscus can be regarded as a pre-arthritic condition for the knee due to the loss of protective function.今年2月份举办的题为“半月板－守护未来”波尔图国际会议，在半月板的修复上取得长足进步。半月板的缺失被认为是丧失保护功能导致骨关节炎的因素之一。?Bhatia S, Civitarese DM, Turnbull TL, LaPrade CM, Nitri M, Wijdicks CA, LaPrade RF (2016) A novel repair method for radial tears of the medial meniscus: biomechanical comparison of transtibial 2-tunnel and double horizontal mattress suture techniques under cyclic loading. Am J Sports Med. 44:639–645 St?rke C, Kopf S, Petersen W, Becker R (2009) Meniscal repair. Arthroscopy 25:1033–1044In 2016, numerous advanced techniques for meniscal repair are being performed, regardless of the site of the tear [4, 26]如今，各种先进的半月板修复技术正在国际上广泛应用，原先受限于半月板撕裂具体部位的修复（盲区）如今已升级为360度全方位的修复。?Meniscus repair is gaining in popularity among an increasing number of surgeons. A better understanding, more sophisticated devices for meniscus repair and the increasing success rate might be some of the explanations.?修复The increasing popularity of meniscus repair also includes meniscus lesions, which are associated with anterior cruci-ate ligament (ACL) injuries.ACL损伤合并半月板损伤的修复成为关注的焦点。?40－60%At several European centres, meniscal repair procedures are now being performed in up to 40