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Meniscus tear

骨科

关键词骨科 临床研究术语 膝的机械性疾病

词汇介绍

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解析

Meniscus 英 /mɪ'nɪskəs/ 美 /mə'nɪskəs/   

释义   n. [解剖] 半月板;弯月面;新月形物

复数 meniscuses或menisci

例句   The human knee meniscus is also an opening system rather than the balance at anytime and anywhere.

人体膝半月板在时间和空间上也是一个非平衡的开放系统,能形成和保持耗散结构。

概述

一、疾病概述或定义 膝关节镜治疗具有重要的意义和价值.除了是准确性较高的膝关节内检查手段,同时也是治疗半月板撕裂的一种疗效较好的微创手术,临床怀疑半月板撕裂而无明显手术禁忌证患者多需行关节镜手术治疗。术前明确诊断对手术适应证及手术方案(修补、部分切除、次全切除、全切除等)的制定都有重要意义。 二、致病因素或病理机制 内侧半月板较大和较固定,半月板周围紧密附着在内侧副韧带上,因而易遭受损伤;外侧半月板较小,大小和形态变异大,后半部被腘肌腱和滑囊将其与关节囊分离,故活动

Meniscus Root Repair vs Meniscectomy or Nonoperative Management to Prevent Knee Osteoarthritis After Medial Meniscus Root Tears: Clinical and Economic Effectiveness复制标题

半月板根部修复与半月板切除或非手术治疗预防内侧半月板根部撕裂后膝骨关节炎: 临床和经济效果

发表时间:2019-03-16

影响因子:6.1

作者: Faucett S C

期刊:Am J Sports Med

Biomechanical testing revealed that meniscus root repair restores normal joint kinematics and contact pressures, and clinical studies assessing patients with root repairs documented healing via second-look arthroscopy and magnetic resonance imaging. Moreover, when compared with patients treated with meniscectomy, patients treated with meniscus root repairs demonstrated improved clinical outcomes and slowed progression of radiographic knee osteoarthritis.There is still uncertainty and controversy regarding the effectiveness of treatment strategies in clinical practice for medial meniscus root tears, their associated risks for subsequent procedures, and the associated costs over an extended period. In consideration of one surgical procedure to prevent another condition or knee operation, long-term projections of clinical outcomes and costs may be helpful to make informed decisions or provide accurate recommendations. Therefore, the purpose of the present study was to evaluate the long-term clinical effectiveness and cost-effectiveness of 3 strategies in the management of medial meniscus posterior root tears among those without osteoarthritis: arthroscopic meniscus root repair, arthroscopic meniscectomy, and initial nonoperative management.

译文

生物力学测试显示半月板修复恢复了正常的关节运动学和接触压力,临床研究评估根部修复患者通过二次关节镜和磁共振成像记录愈合。此外,与接受半月板切除术治疗的患者相比,接受半月板修复治疗的患者表现出改善的临床结果并减缓了放射学膝关节骨性关节炎的进展。关于内侧半月板根部撕裂的临床实践中的治疗策略的有效性,其后续手术的相关风险以及相关的长期成本,仍存在不确定性和争议。考虑到一种外科手术来预防其他疾病或膝关节手术,对临床结果和费用的长期预测可能有助于做出明智的决定或提供准确的建议。因此,本研究的目的是评估3种策略在无骨关节炎患者的内侧半月板后根泪管理中的长期临床效果和成本效益:关节镜半月板修复,关节镜半月板切除术和初始非手术治疗。