下肢力线与内侧半月板损伤修复新进展

半月板和下肢力线在膝关节负荷传递中扮演着重要作用且它们之间有着内在联系。目前对于内侧半月板损伤伴膝内翻患者手术方式的选择,不同的学者有不同的观点。近年来众多学者研究表明术式的选择及术后下肢力线异常与内侧半月板损伤修复愈合及临床效果相关。因此,在诊治每例内侧半月板损伤的患者中,应重视下肢力线评估。本文总结半月板和下肢力线的生物力学功能及之间的内在关系,并分别阐述了内侧半月板后根部损伤、退变性损伤和急性撕裂与下肢力线之间的相互影响,表明下肢力线异常及内侧半月板损伤的患者行截骨矫形术对内侧半月板损伤修复和膝骨性关节炎发生发展的重要作用,以期为临床治疗下肢力线异常的内侧半月板损伤患者提供理论指导。

Recent research on relationship of lower limb alignment and repairment of medial meniscus injury

Meniscus and lower limb alignment play an important role in load transfer of knee joint and has internal relationship between them. At present,different scholars have different views on the choice of surgical methods for patients with medial meniscus injury with knee varus. In recent years,many scholars have shown that choice of operation and abnormal lower limb alignment are related to repair and healing of medial meniscus injury and clinical effect. Therefore,evaluation of lower limb alignment should pay attention on diagnosis and treatment for patient with medial meniscus injury. This paper summarizes biomechanical function and internal relationship between meniscus and lower limb alignment,and expounds the interaction between medial meniscus posterior root injury,degenerative injury,acute tear and lower limb alignment,respectively. It shows that osteotomy plays an important role in repairing medial meniscus injury and the occurrence and development of knee osteoarthritis in patients with abnormal lower limb alignment and medial meniscus injury. It is expected to provide theoretical guidance for the clinical treatment of patients with medial meniscus injury with abnormal lower limb alignment.