簡易檢索 / 詳目顯示

研究生: 陳柏睿
Chen, Bo-Rui
論文名稱: 經脛骨隧道重建半月板後跟撕裂傷的縫合方法結構的生物力學比較
Biomechanical Comparison of Suture Constructs for Transtibial Pull-Out Repair of Meniscal Root Tear
指導教授: 楊岱樺
Yang, Tai-Hua
學位類別: 碩士
Master
系所名稱: 工學院 - 生物醫學工程學系
Department of BioMedical Engineering
論文出版年: 2023
畢業學年度: 111
語文別: 英文
論文頁數: 53
中文關鍵詞: 膝蓋半月板根部根部拉出修復滑結
外文關鍵詞: knee, meniscus root, root tear, pull-out repair, slip-knot
相關次數: 點閱:148下載:0
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 摘要 i Abstract ii 致謝 iii List of tables vi List of figures vii Abbreviation ix Chapter 1 Introduction 1 1.1 Meniscus anatomy 1 1.2 Meniscal root tear 2 1.2.1Meniscal root tear classification 4 1.3 Clinical treatments for meniscal root tear 6 1.3.1 Meniscectomy 6 1.3.2 Posterior meniscal root tear repair 8 1.3.2.1 Suture anchor repair 8 1.3.2.2 Transtibial pull-out repair 10 1.4 Experiment purpose 12 Chapter 2 Materials and Methods 13 2.1 Specimen preparation 13 2.2 Suture technique 16 2.3 Testing equipment 20 2.4 Mounting 23 2.5 Biomechanical testing 24 2.6 Statistical analysis 25 Chapter 3 Results 26 3.1 Cyclic displacement 26 3.2 Load to failure 28 3.3 Stiffness 29 3.4 Results figures 31 Chapter 4 Discussion 42 4.1 Effect of treatments for meniscal root tear 42 4.2 Limitation 46 Chapter 5 Conclusion 47 Reference 48

    1. Abulhasan, J.F. and M.J. Grey, Anatomy and Physiology of Knee Stability. Journal of Functional Morphology and Kinesiology, 2017. 2(4): p. 34.
    2. Kaplan, E.B., Some aspects of functional anatomy of the human knee joint. Clinical Orthopaedics and Related Research®, 1962. 23: p. 18-29.
    3. Hirschmann, M.T. and W. Müller, Complex function of the knee joint: the current understanding of the knee. Knee Surgery, Sports Traumatology, Arthroscopy, 2015. 23: p. 2780-2788.
    4. Śmigielski, R., et al., Medial meniscus anatomy—from basic science to treatment. Knee Surgery, Sports Traumatology, Arthroscopy, 2015. 23: p. 8-14.
    5. Allen, A.A., G.L. Caldwell Jr, and F.H. Fu, Anatomy and biomechanics of the meniscus. Operative techniques in orthopaedics, 1995. 5(1): p. 2-9.
    6. Fox, A.J.S., et al., The human meniscus: A review of anatomy, function, injury, and advances in treatment. Clinical Anatomy, 2015. 28(2): p. 269-287.
    7. Bonasia, D.E., et al., Meniscal root tear repair: why, when and how? Orthopedic reviews, 2015. 7(2).
    8. Petersen, W., et al., Posterior root tear of the medial and lateral meniscus. Archives of orthopaedic and trauma surgery, 2014. 134: p. 237-255.
    9. Bhatia, S., et al., Meniscal root tears: significance, diagnosis, and treatment. The American journal of sports medicine, 2014. 42(12): p. 3016-3030.
    10. Koenig, J.H., et al., Meniscal root tears: diagnosis and treatment. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2009. 25(9): p. 1025-1032.
    11. Kim, S.B., et al., Medial meniscus root tear refixation: comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2011. 27(3): p. 346-354.
    12. Pache, S., et al., Meniscal root tears: current concepts review. Archives of Bone and Joint Surgery, 2018. 6(4): p. 250.
    13. Anz, A.W., E.A. Branch, and J.D. Saliman, Biomechanical comparison of arthroscopic repair constructs for meniscal root tears. The American journal of sports medicine, 2014. 42(11): p. 2699-2706.
    14. LaPrade, R.F., et al., Cyclic displacement after meniscal root repair fixation: a human biomechanical evaluation. The American journal of sports medicine, 2015. 43(4): p. 892-898.
    15. LaPrade, C.M., et al., Meniscal root tears: a classification system based on tear morphology. The American journal of sports medicine, 2015. 43(2): p. 363-369.
    16. DePhillipo, N.N., et al., Type II medial meniscus root repair with peripheral release for addressing meniscal extrusion. Arthroscopy Techniques, 2019. 8(9): p. e941-e946.
    17. Banovetz, M.T., et al., Meniscal root tears: A decade of research on their relevant anatomy, biomechanics, diagnosis, and treatment. Archives of Bone and Joint Surgery, 2022. 10(5): p. 366.
    18. McDermott, I. and A. Amis, The consequences of meniscectomy. The Journal of bone and joint surgery. British volume, 2006. 88(12): p. 1549-1556.
    19. Salata, M.J., A.E. Gibbs, and J.K. Sekiya, A systematic review of clinical outcomes in patients undergoing meniscectomy. The American journal of sports medicine, 2010. 38(9): p. 1907-1916.
    20. Jeong, H.-J., S.-H. Lee, and C.-S. Ko, Meniscectomy. Knee Surgery and Related Research, 2012. 24(3): p. 129-136.
    21. McGinity, J., L. Geuss, and R. Marvin, Partial or total meniscectomy: a comparative analysis. JBJS, 1977. 59(6): p. 763-766.
    22. Tapper, E.M. and N.W. HOOVER, Late results after meniscectomy. JBJS, 1969. 51(3): p. 517-603.
    23. Fairbank, T., Knee joint changes after meniscectomy. The Journal of bone and joint surgery. British volume, 1948. 30(4): p. 664-670.
    24. Burks, R.T., M.H. Metcalf, and R.W. Metcalf, Fifteen-year follow-up of arthroscopic partial meniscectomy. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 1997. 13(6): p. 673-679.
    25. JOHNSON, R.J., et al., Factors affecting late results after meniscectomy. JBJS, 1974. 56(4): p. 719-729.
    26. Faunø, P. and A.B. Nielsen, Arthroscopic partial meniscectomy: a long-term follow-up. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 1992. 8(3): p. 345-349.
    27. Chatain, F., et al., A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2003. 19(8): p. 842-849.
    28. Jorgensen, U., et al., Long-term follow-up of meniscectomy in athletes. A prospective longitudinal study. The Journal of bone and joint surgery. British volume, 1987. 69(1): p. 80-83.
    29. Levy, I.M., et al., The effect of lateral meniscectomy on motion of the knee. JBJS, 1989. 71(3): p. 401-406.
    30. Jung, Y.-H., et al., All-inside repair for a root tear of the medial meniscus using a suture anchor. The American journal of sports medicine, 2012. 40(6): p. 1406-1411.
    31. Kim, J.-H., et al., Arthroscopic suture anchor repair versus pullout suture repair in posterior root tear of the medial meniscus: a prospective comparison study. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2011. 27(12): p. 1644-1653.
    32. Jung, W.-h., et al., Arthroscopic, suture anchor repair through a novel medial quadriceptal portal for medial meniscal root tear. Knee Surgery, Sports Traumatology, Arthroscopy, 2012. 20(12): p. 2391-2394.
    33. Lee, D.W., J.K. Ha, and J.G. Kim, Medial meniscus posterior root tear: a comprehensive review. Knee surgery & related research, 2014. 26(3): p. 125.
    34. Kodama, Y., et al., Pullout repair of a medial meniscus posterior root tear using a FasT-Fix® all-inside suture technique. Orthopaedics & Traumatology: Surgery & Research, 2016. 102(7): p. 951-954.
    35. LaPrade, R.F., C.M. LaPrade, and E.W. James, Recent advances in posterior meniscal root repair techniques. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 2015. 23(2): p. 71-76.
    36. Rankin, C.C., et al., A biomechanical analysis of meniscal repair techniques. The American journal of sports medicine, 2002. 30(4): p. 492-497.
    37. Kim, J.-H., et al., Arthroscopic suture anchor repair of posterior root attachment injury in medial meniscus. Archives of orthopaedic and trauma surgery, 2009. 129: p. 1085-1088.
    38. Zantop, T., et al., Cyclic testing of flexible all-inside meniscus suture anchors: biomechanical analysis. The American journal of sports medicine, 2005. 33(3): p. 388-394.
    39. Cerminara, A.J., et al., Biomechanical evaluation of a transtibial pull-out meniscal root repair: challenging the bungee effect. The American journal of sports medicine, 2014. 42(12): p. 2988-2995.
    40. Feucht, M.J., et al., Biomechanical evaluation of different suture materials for arthroscopic transtibial pull-out repair of posterior meniscus root tears. Knee Surgery, Sports Traumatology, Arthroscopy, 2015. 23: p. 132-139.
    41. Krych, A.J., et al., A simple cinch is superior to a locking loop for meniscus root repair: a human biomechanical comparison of suture constructs in a transtibial pull-out model. Knee Surgery, Sports Traumatology, Arthroscopy, 2018. 26: p. 2239-2244.
    42. Chen, H.-Y. and K.-Y. Lin, Arthroscopic Transtibial Pull-Out Repair for Meniscal Posterior Root Tear: The Slip Knot Technique. Arthroscopy Techniques, 2022. 11(2): p. e209-e215.
    43. Feucht, M.J., et al., Biomechanical comparison between suture anchor and transtibial pull-out repair for posterior medial meniscus root tears. The American journal of sports medicine, 2014. 42(1): p. 187-193.
    44. Kopf, S., et al., Meniscal root suturing techniques: implications for root fixation. The American journal of sports medicine, 2011. 39(10): p. 2141-2146.
    45. Lee, Y.H.D., et al., Repair of peripheral vertical meniscus lesions in porcine menisci: in vitro biomechanical testing of 3 different meniscus repair devices. The American Journal of Sports Medicine, 2013. 41(5): p. 1074-1081.
    46. Anz, A.W., E.A. Branch, and J.D. Saliman, Biomechanical comparison of arthroscopic repair constructs for meniscal root tears. Am J Sports Med, 2014. 42(11): p. 2699-706.
    47. Feucht, M.J., et al., Biomechanical evaluation of different suture techniques for arthroscopic transtibial pull-out repair of posterior medial meniscus root tears. The American journal of sports medicine, 2013. 41(12): p. 2784-2790.
    48. Vertullo, C.J., et al., Biomechanical comparison of an all-inside meniscal repair device construct versus pullout sutures for arthroscopic transtibial repair of posterior medial meniscus root tears: a matched-pair cadaveric study. Orthopaedic Journal of Sports Medicine, 2021. 9(4): p. 23259671211000464.
    49. Stärke, C., et al., Tensile forces on repaired medial meniscal root tears. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2013. 29(2): p. 205-212.

    無法下載圖示 校內:2028-08-23公開
    校外:2028-08-23公開
    電子論文尚未授權公開,紙本請查館藏目錄
    QR CODE