vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2023.3.CLIN.6vmireaviz-734Research ArticleКлиническая медицинаClinical medicineСовременные методы оперативного лечения пациентов с повреждениями менисков (обзор литературы)Modern methods of surgical treatment of patients with meniscus injuries (literature review)https://orcid.org/0000-0001-7456-6160КотельниковГ. П.Kotel'nikovG. P.

Котельников Геннадий Петрович, академик РАН, д-р мед. наук, профессор, президент и заведующий кафедрой травматологии, ортопедии и экстремальной хирургии имени академика РАН А.Ф. Краснова

ул. Чапаевская, д. 89, Самара, 443099

Gennady P. Kotelnikov, Academician of the Russian Academy of Sciences, Dr. Sci. (Med.), Professor, President and Head of the RAS Academician A.F. Krasnov Chair of Traumatology, Orthopaedics and Extreme Surgery

89 Chapaevskaya str., Samara, 443099

g.p.kotelnikov@samsmu.ruhttps://orcid.org/0009-0005-1609-3955ГазиевК. Э.GazievK. E.

Газиев Камал Эльмар оглы, клинический ординатор кафедры травматологии, ортопедии и поликлинической хирургии

ул. Чапаевская, д. 89, Самара, 443099

Kamal E. Gaziev, Clinical Resident of the Department of Traumatology, Orthopedics and Polyclinic Surgery

89 Chapaevskaya str., Samara, 443099

k.gaziev@inbox.ruhttps://orcid.org/0000-0002-9300-2704КимЮ. Д.KimYu. D.

Ким Юрий Дмитриевич, канд. мед. наук, ассистент кафедры травматологии, ортопедии и экстремальной хирургии имени академика РАН А.Ф. Краснова

ул. Чапаевская, д. 89, Самара, 443099

Yuriy D. Kim, Cand. Sci. (Med.), Assistant of the Department of Traumatology, Orthopedics and Extreme Surgery named after RAS Academician A.F. Krasnov

89 Chapaevskaya str., Samara, 443099

drkim@mail.ruhttps://orcid.org/0000-0001-6471-123XЗуев-РатниковС. Д.Zuev-RatnikovS. D.

Зуев-Ратников Сергей Дмитриевич, канд. мед. наук, доцент кафедры травматологии, ортопедии и экстремальной хирургии имени академика РАН А.Ф. Краснова

ул. Чапаевская, д. 89, Самара, 443099

Sergey D. Zuev-Ratnikov, Cand. Sci. (Med.), Associate Professor of the Department of Traumatology, Orthopedics and Extreme Surgery named after Academician of the Russian Academy of Sciences A.F. Krasnov

89 Chapaevskaya str., Samara, 443099

s.d.zuev-ratnikov@samsmu.ruСамарский государственный медицинский университетРоссияSamara State Medical UniversityRussian Federation2023040520231336471Copyright © Котельников Г.П., Газиев К.Э., Ким Ю.Д., Зуев-Ратников С.Д., 20232023Котельников Г.П., Газиев К.Э., Ким Ю.Д., Зуев-Ратников С.Д.Kotel'nikov G.P., Gaziev K.E., Kim Y.D., Zuev-Ratnikov S.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/734

На сегодняшний день артроскопия является универсальным методом диагностики и лечения коленного сустава. Благодаря артроскопической визуализации, она позволила подразделять разрывы менисков на их морфологические типы, такие как горизонтальный разрыв, продольный разрыв, радиальный разрыв, разрыв по типу ручки лейки, разрыв корня мениска. Однако, операции, которые выполняются вследствие повреждения менисков, являются одними из наиболее частых в травматологии и ортопедии. Основными и чаще всего выполняющимися видами артроскопических операций при повреждении менисков являются парциальная резекция и реконструкция менисков путём наложения швов. В настоящее время наиболее современной является концепция оперативного лечения повреждений менисков не только с учётом морфологического типа разрывов, но и регенеративной способности менисков с выделением зон кровоснабжений. В то же время специалисты, даже имея общую информацию об анатомии менисков, морфологии разрывов, методах диагностики и осложнениях, не имеют общего мнения о современных методах оперативного лечения разрывов менисков. Поэтому мы решили проанализировать данные современной литературы и выяснить, какие существуют современные методы оперативного лечения пациентов с разрывами менисков. Наша цель состоит в том, чтобы познакомить читателей с современными методами оперативного лечения пациентов с разрывами менисков. В представленном обзоре литературы на основе научных данных за последние 10 лет из научных баз данных NCBI Pubmed, ScienceDirect, Healio Orthopedics, Medline освещены такие способы оперативного лечения менисков, как парциальная резекция, реконструкция менисков с помощью техник снаружи-внутрь, изнутри-наружу, всё внутри, в том числе с использованием саморегулирующегося фиксатора, а также подход к оперативному лечению разрыва корня мениска.

To date, arthroscopy is a universal method of diagnosis and treatment of the knee joint. Thanks to arthroscopic visualization, it made it possible to subdivide meniscal ruptures into their morphological types, such as horizontal rupture, longitudinal rupture, radial rupture, watering can handle-type rupture, meniscus root rupture. However, operations that are performed due to meniscus damage are among the most frequent in traumatology and orthopedics. The main and most commonly performed types of arthroscopic operations for meniscal damage are partial resection and reconstruction of menisci by suturing. Currently, the most modern concept is the surgical treatment of meniscal injuries, not only taking into account the morphological type of ruptures, but also the regenerative ability of menisci with the allocation of blood supply zones. At the same time, specialists, even with general information about the anatomy of menisci, morphology of ruptures, diagnostic methods and complications, do not have a common opinion about modern methods of surgical treatment of meniscus ruptures. Therefore, we decided to analyze the data of modern literature and find out what modern methods of surgical treatment of patients with meniscus ruptures exist. Our goal is to introduce readers to modern methods of surgical treatment of patients with meniscus ruptures. In the presented literature review, based on scientific data over the past 10 years from scientific databases NCBI Pubmed, ScienceDirect, Healio Orthopedics, Medline, such methods of surgical treatment of menisci as partial resection, reconstruction of menisci using techniques outside-in, inside-out, everything inside, including using a self-regulating fixator are highlighted, as well as an approach to surgical treatment of meniscus root rupture.

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The authors declare that there are no conflicts of interest present.