Restoration of the Meniscus Form and Function
Restoration of the Meniscus Form and Function
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DOI：
10.1177/0363546513498503
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发表时间：
2014-04-01
影响因子：
4.8
通讯作者：
Rodeo, Scott A.
中科院分区：
文献类型：
--
作者：
Hutchinson, Ian D.;Moran, Cathal J.;Rodeo, Scott A.
在过去的二十年里，我们对半月板在膝关节中的作用的认识发生了深刻的变化。现在矫形学的观点倾向于尽可能抢救和修复受损的半月板。基础科学正在描述半月板的形态（解剖学）和功能（生物学和生物力学），试图理解半月板损伤和修复对整个膝关节的影响。半月板是一个复杂的组织，需要广泛的基础科学、转化和临床研究来确定增强愈合甚至替代半月板的技术。定量磁共振图像测序对半月板和受累腔室关节软骨的应用有望为支持半月板修复的临床证据提供可量化的结果测量。本文讨论了半月板修复的最新进展和结果，特别关注半月板修复中增强策略、半月板成像和平移策略的使用。
Over the past 2 decades there has been a profound shift in our perception of the role of the meniscus in the knee joint. Orthopaedic opinion now favors salvaging and restoring the damaged meniscus where possible. Basic science is characterizing its form (anatomy) and functionality (biological and biomechanical) in an attempt to understand the effect of meniscal injury and repair on the knee joint as a whole. The meniscus is a complex tissue and has warranted extensive basic science, translational, and clinical research to identify techniques to augment healing and even replace the meniscus. The application of quantitative magnetic resonance image sequencing to the meniscus and articular cartilage of the affected compartment promises to add a quantifiable outcome measure to the body of clinical evidence that supports restoration of the meniscus. This article discusses the recent advances and outcomes in the pursuit of meniscal restoration with particular focus on the use of augmentation strategies in meniscal repair, meniscal imaging, and translational strategies.