Surgical Management of Traumatic Meniscus Injuries.
Surgical Management of Traumatic Meniscus Injuries.
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DOI：
10.3390/pathophysiology30040044
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发表时间：
2023-12-04
期刊：
影响因子：
--
通讯作者：
Su AW
中科院分区：
文献类型：
--
作者：
Popper HR;Fliegel BE;Elliott DM;Su AW
膝关节韧带增加了膝关节承重的接触面积，从而通过其周向拉伸纤维分散了机械应力。创伤性半月板损伤引起膝关节的机械症状，与老年人群中的退行性撕裂相比，在年轻、更活跃的患者中更常见。创伤性半月板撕裂通常由膝关节中的载荷-剪切机制引起。治疗方法取决于撕裂的大小、位置和类型。对于不可修复的撕裂，部分或全部切除椎间盘会降低其拉伸应力并增加关节接触应力，从而增加关节炎的风险。周边第三红-红区的纵向垂直撕裂模式导致修复后更高的愈合潜力。修复后的术后康复方案包括立即负重、无活动范围限制到不负重和延迟活动数周。儿童和青少年患者可能需要特殊考虑，因为他们的活动水平，或不同的病理，如盘状半月板。需要进一步的生物力学和生物学证据来指导创伤性半月板损伤的手术治疗、术后康复方案和未来的技术应用。
The menisci increase the contact area of load bearing in the knee and thus disperse the mechanical stress via their circumferential tensile fibers. Traumatic meniscus injuries cause mechanical symptoms in the knee, and are more prevalent amongst younger, more active patients, compared to degenerative tears amongst the elderly population. Traumatic meniscus tears typically result from the load-and-shear mechanism in the knee joint. The treatment depends on the size, location, and pattern of the tear. For non-repairable tears, partial or total meniscal resection decreases its tensile stress and increases joint contact stress, thus potentiating the risk of arthritis. A longitudinal vertical tear pattern at the peripheral third red-red zone leads to higher healing potential after repair. The postoperative rehabilitation protocols after repair range from immediate weight-bearing with no range of motion restrictions to non-weight bearing and delayed mobilization for weeks. Pediatric and adolescent patients may require special considerations due to their activity levels, or distinct pathologies such as a discoid meniscus. Further biomechanical and biologic evidence is needed to guide surgical management, postoperative rehabilitation protocols, and future technology applications for traumatic meniscus injuries.
影响因子：
1.4
作者：
Gupta GK;Kumar P;Rani S;Kumari A
通讯作者：
Kumari A
影响因子：
3.1
作者：
Yoon KH;Park KH
通讯作者：
Park KH