■半月板病理学构成了大量患者遭受膝盖疼痛的主要原因。是的,总的来说,归因于半月板撕裂或变性。清创术和半月板部分切除术,或修理,如果可能,是治疗由半月板变性或撕裂引起的顽固性膝关节疼痛的主要手术方法。有时候,患者有半月板病理的临床症状,但是尽管有这些高度暗示性的临床症状,病人发现,在膝关节镜检查期间,半月板变性和硬化的半月板没有坦率的撕裂。
■要启动半月板环入术,我们首先进行诊断性膝关节镜检查以检查髌上间隙,排水沟,和任何病理的前膝盖空间。在此之后,检查两个半月板是否有撕裂或硬化的迹象。为了我们研究的目的,如果内侧半月板表现出变性或硬化的迹象,则认为它是病理性的,这就证明了我们的干预。一根18号脊柱针,手动弯曲的程序,通过入口插入,以在硬化的半月板上进行环钻。注意适当地间隔针插入点,以防止意外撕裂。我们的钻孔技术旨在软化半月板,促进其在患者走动时压缩和压缩的能力。此外,针头插入点有助于吸引血液流向半月板,从而使其富含可能有助于改善退行性疾病的生长因子和干细胞。
■半月板是良性的,对半月板退行性病变有效。该程序允许更健康的半月板,免于退化,否则会使病人残疾。该干预措施没有长期不良反应。为此,需要更多的比较试验来确认该技术的有效性,并确保最小或无相关副作用.
UNASSIGNED: Meniscal pathology constitutes a major reason for a vast number of patients suffering from knee pain. It is, in general, attributed either to meniscal tearing or
degeneration. Debridement and partial meniscectomy, or repair, when possible, is the mainstay surgical approach for refractory knee pain from meniscal
degeneration or tears. Sometimes, the patient has clinical symptoms of meniscal pathology, but despite those highly suggestive clinical symptoms, the patient turns out, during knee arthroscopy, to have meniscal
degeneration and hardening of the meniscus without frank tearing of the meniscus.
UNASSIGNED: To initiate meniscal trephination, we first conduct a diagnostic knee arthroscopy to examine the suprapatellar space, the gutters, and the anterior knee space for any pathologies. Following this, both menisci are inspected for any signs of tearing or hardening. For the purposes of our study, the medial meniscus is considered pathological if it shows signs of
degeneration or hardening, which then justifies our intervention. An 18-gauge spinal needle, manually bent for the procedure, is inserted through the portal to perform trephination on the hardened menisci. Care is taken to adequately space the needle insertion points to prevent accidental tearing. Our trephination technique aims to soften the meniscus, facilitating its ability to compact and compress when patients ambulate. Additionally, the needle insertion points help attract blood flow to the meniscus, thereby enriching it with growth factors and stem cells that may aid in improving the degenerative condition.
UNASSIGNED: Meniscal trephination is benign and effective for meniscal degenerative pathologies. The procedure allows for a healthier meniscus, free from
degeneration, that would otherwise disable patients. The intervention does not have long-term adverse effects. To this end, more comparative trials are required to confirm the effectiveness of the technique and to ensure minimal to no associated side effects.