Research progress of knee meniscal repair techniques.
10.7507/1002-1892.202302103
- Author:
Jianhao FENG
1
;
Yihong XU
2
;
Weidong XU
2
Author Information
1. Department of Orthopaedics, Tongji Hospital, Tongji University, Shanghai, 200065, P. R. China.
2. Department of Joint Surgery, the First Affiliated Hospital of Naval Medical University (Shanghai Changhai Hospital), Shanghai, 200433, P. R. China.
- Publication Type:Journal Article
- Keywords:
Knee;
meniscal repair;
meniscectomy;
meniscus
- MeSH:
Humans;
Menisci, Tibial/surgery*;
Knee Joint/surgery*;
Meniscectomy/methods*;
Lower Extremity;
Osteoarthritis
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(7):885-894
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To review the research progress of meniscus repair in recent years, in order to provide help for the clinical decision-making of meniscus injury treatment.
METHODS:The domestic and foreign literature related to meniscal repair in recent years was extensively reviewed to summarize the reasons for the prevalence of meniscal repair, surgical indications, various repair methods and long-term effectiveness, the need to deal with mechanical structural abnormalities, biological enhancement repair technology, rehabilitation treatment, and so on.
RESULTS:In order to delay the occurrence of osteoarthritis, the best treatment of meniscus has undergone an important change from partial meniscectomy to meniscal repair, and the indications for meniscal repair have been expanding. The mid- and long-term effectiveness of different meniscal repair methods are ideal. During meniscus repair, the abnormality of lower limb force line and meniscus protrusion should be corrected at the same time. There are controversies about the biological enhancement technology to promote meniscus healing and rehabilitation programs, which need further study.
CONCLUSION:Meniscal repair can restore the normal mechanical conduction of lower limbs and reduce the incidence of traumatic osteoarthritis, but the poor blood supply and healing ability of meniscal tissue bring difficulties to meniscal repair. Further development of new biological enhanced repair technology and individualized rehabilitation program and verification of its effectiveness will be an important research direction.
