...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA >The all-inside meniscal repair technique has less risk of injury to the lateral geniculate artery than the inside-out repair technique when suturing the lateral meniscus
【24h】

The all-inside meniscal repair technique has less risk of injury to the lateral geniculate artery than the inside-out repair technique when suturing the lateral meniscus

机译：全内部半月板修复技术对横向修复技术造成横向修复技术的损伤风险较低

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract Purpose To evaluate the risk of injury to the inferior lateral geniculate artery with two different techniques for lateral meniscus repair. Methods Eight cadaveric knees were used. Inside-out sutures and an all-inside suture device were placed at the most lateral edge of the popliteal hiatus, and 15 and 30?mm anterior to this point. The minimum distances between the sutures and the inferior lateral geniculate artery were measured through a limited lateral arthrotomy. Artery penetration or collapse due to the sutures was also evaluated. Results The median distance between the sutures and the artery when inserted at the lateral edge of the popliteal hiatus was 1.5?mm (interquartile range: 1.3) for the inside-out technique and 1.5?mm (1.3) for the all-inside technique (differences not significant, n.s.). When the sutures were inserted 15?mm anterior to the popliteal hiatus the distances were 1.0?mm (1.1) and 1.3?mm (1.0) for the inside-out technique and the all-inside technique, respectively (n.s.). When the sutures were inserted 30?mm anterior to the popliteal hiatus the distances were 1.0?mm (1.0) and 1.5?mm (1.0) for the inside-out technique and the all-inside technique, respectively (n.s.). The artery was punctured with two of the inside-out sutures placed 15?mm from the popliteal hiatus, no puncturing occurred in the all-inside technique (n.s.). Tying of the inside-out sutures resulted in obliteration of the artery in four of eight sutures placed at 15?mm from the popliteal hiatus and three of eight sutures at 30?mm; no obliteration of the artery was found using the all-inside device (significant differences, p ?=?0.002). Conclusions Although both all-inside and inside-out lateral meniscal repair techniques place sutures very close to the lateral geniculate artery, the inside-out technique is riskier as extra-articular knot tying can cause artery obliteration when suturing the part of the meniscus immediately lateral to the popliteal hiatus. Therefore, all-inside meniscal repair technique shows less risk of injury to the major blood supply of the lateral meniscus.
机译：摘要目的，以评价两种不同技术对侧弯液体修复的两种不同技术造成损伤风险的目的。方法使用八种尸体膝关节。内外缝合线和全内部缝合装置被置于Popliteal中断的最侧面边缘，并向这一点前一个左右。通过有限的横向关节术测量缝合线和下横向核状动脉之间的最小距离。还评估了由于缝合线引起的动脉渗透或崩溃。结果内外技术为1.5Ωmm（四分位数范围：1.3），缝合线和动脉之间的中值距离为1.5Ωmm（四分位数范围：1.3），为全内技术（差异不显着，ns）。当缝合线插入到Popliteal中，分别为进一步技术的距离为1.0Ωmm（1.1）和1.3Ωmm（1.0）。当缝合线插入30μmmberstorior的popliteal中，分别为内外技术的距离为1.0Ωmm（1.0）和1.5？mm（1.0），以及全内部技术（N.S.）。动脉刺穿了来自Popliteal Hiatus的两个内外缝合线，从Popliteal Hiatus中没有发生穿刺，在全内部技术（N.S.）中发生穿刺。围绕内外缝合线导致动脉爆发在八个缝合线中的4个缝合，从Popliteal中断和30毫秒的八个缝合线中排名第3个缝合;使用全内部设备发现动脉的爆发（显着差异，P？= 0.002）。结论虽然全内外和内侧半月板修复技术均匀地靠近横向果皮动脉，但内外技术是风险的，因为在立即缝合侧向弯曲的椎间盘突出时会导致动脉爆发的风险对popliteal的中断。因此，全内部半月板修复技术显示出横向半月板的主要血液供应损伤的风险。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号