In modern life, people face very high pressure in life, which causes many people to bear greater risks to their bodies. For example, various disease risks often make people unable to guard against them carefully, especially the increasing proportion of accidents of some external injuries, which has had a great impact on people in life and work. The meniscus is a part that is very easy to be injured, because the meniscus is an important tissue in the leg, it is very easy to be injured by various mechanical injuries, also known as secondary meniscus injury. In this case, people's ability to move is greatly restricted, affecting their work and life, etc. Let's take a look at the explanation of how to deal with secondary meniscus injury. Acute phase: If there is obvious effusion (or blood accumulation) in the joint, the effusion should be drained under strict aseptic operation; if the joint is "locked", the "locking" should be released by manipulation, and then a tubular plaster from the upper 1/3 of the thigh to the ankle should be used to fix the knee joint in the extended position for 4 weeks (Figure 3-135). The cast should be properly shaped and the patient should be able to walk with it on. During the fixation period and after the fixation is removed, the quadriceps muscles should be actively exercised to prevent muscle atrophy. Chronic stage: If non-surgical treatment is ineffective, symptoms and signs are obvious, and the diagnosis is clear, the damaged meniscus should be surgically removed as soon as possible to prevent traumatic arthritis. After the operation, pressure bandage is applied in the extended knee position, and quadriceps static contraction exercises are started the next day. Straight leg raising exercises are started 2 to 3 days later to prevent quadriceps atrophy. Walking is started after two weeks. Normal function can usually be restored 2 to 3 months after the operation. Application of arthroscopy: Arthroscopy can be used to treat meniscus injuries. The edge tears of the meniscus can be repaired by sutures. Usually, a partial meniscus resection is performed to retain the undamaged part. For those who are suspected of meniscus injury at an early stage, emergency arthroscopy can be performed to treat meniscus injury early, shorten the course of treatment, improve treatment effects, and reduce the occurrence of traumatic arthritis. Arthroscopic surgery is less invasive and has a quicker recovery. A few special types of meniscus injuries can be treated with repair surgery, while the vast majority require meniscus resection. By removing the damaged meniscus, knee joint symptoms can be eliminated or significantly alleviated. As time goes by, a structure similar to the meniscus will grow in the original place. Although it is inferior to the original normal one, it still has most of its functions. |
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