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1、Mitek半月板修復(fù)系統(tǒng)AnatomyProductoverviewInstructionsforuseHands-onworkshopAgendaMeniscalfunctionLoadtransmission負(fù)荷轉(zhuǎn)移Jointstability穩(wěn)定關(guān)節(jié)Shockabsorption振蕩吸收J(rèn)ointlubrication潤(rùn)滑關(guān)節(jié)Jointnutrition營(yíng)養(yǎng)關(guān)節(jié)AnatomyCrescent-shapedfibrocartilage新月形纖維軟骨組織Collagenfibersarranged膠原纖維分布longitud
2、inallyandradially縱形放射狀分布Triangularincrosssection橫切面呈三角型MeniscalAnatomyLateral-circularshapedMedial-C-shapedConnectedanteriorlybytransversemeniscalligament在前部由半月板橫韌帶連接Directbonyattachmentsatanteriorandposteriorhorns前后角骨性連接Lateralandmedialcoronaryligaments內(nèi)外側(cè)有冠狀韌帶Late
3、ralMedialMeniscalAnatomyAnatomyThreeZonesRed-RedZoneRed-WhiteZoneWhite-WhiteZoneMeniscalBloodSupplyLocationinrelationshiptocircumferenceAnterior1/3Middle1/3Posterior1/3ClassificationofTearsTRAUMATIC創(chuàng)傷性-Youngerpatients-Usuallysportsrelated-Moreperipheralthusrepairabl
4、e外圍可以修補(bǔ)-MaybeassociatedwithACLDEGENERATIVE變性性-Olderpatients-Complextears-Usuallynotrepairable-AgegrouptypicallynotsuitedforrepairMeniscalTearsTreatmentPartialMenisectomyComplexdegenerativetears復(fù)雜變性撕裂。Centralorradialtears放射狀撕裂Deformedorirreparablebucket-handletears嚴(yán)重
5、桶狀裂Tearsoftheinneredgeofmeniscus半月板內(nèi)緣撕裂PreservestablemeniscustopreservejointfunctionTreatment-RepairFactorstoconsider因素Patientage年齡Chronicityofinjury是否慢性損傷Type,locationandlengthoftear類(lèi)型、位置、長(zhǎng)度Associatedligamentousinjuries聯(lián)合損傷Idealcandidate理想條件Youngperson年輕Acutelongit
6、udinalperipheraltear急性縱相外周損傷1-2cminlength1-2cm長(zhǎng)TypesofTearsBuckethandle/verticallongitudinalFlap,parrotbeak/obliqueRadial/transverseTypesofTearsCleavage/horizontalDegenerative/complexWhatIsIt?Rapidloc?MeniscalRepairSystemBackstop(PLA)Tophat(PLA/PDS)Panacryl/Ethibond
7、SutureRapidloc?ImplantRapidLocPDSPDSTophatMaintains80%strengthat6weeks10%at12weeksRapidloc?MeniscalRepairSystem27°curvedneedle22832212°curvedneedle228321Straightneedle228320Rapidloc?MeniscalRepairSystemArthroscopicPusherRequired-Otherpushersdonotwork.NewPusher-Cutte
8、rArthroscopicPusher-CutterforRapidLocWorksasaKnot-PusherCutssutureaftertophatiscompressedtotissueRapidloc?MeniscalRepairSystemDeliverySyst
