半月板后根损伤例报道及文献回顾(4)
随着MRI检查的普及和关节镜手术的广泛开展,半月板后根损伤的检诊率不断提高。既往后根损伤主要采取保守或半月板部分切除术治疗,随着对后根损伤发生机制及影响后果的深入认识,越来越多的运动医学医生开始逐渐尝试有条件地修复后根损伤。尽管目前在修复技术方面取得了一些进步,但是应该客观地认识到,虽然后根修复术可以较好地改善临床功能结果,但是目前只能延缓OA的进展,尚无法完全阻止、逆转其进展,而且其中长期结果与手术适应证/禁忌证的选择密切相关。因此,在继续改良优化手术技术的同时,我们更应该严格把握各种治疗方案的指征(重视但不局限于后根修复术),并在术前与患者充分沟通,以期最大程度的挽救膝关节功能。
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