全内缝合半月板纵裂临床研究

发布时间：2018-07-05 09:16

  本文选题：半月板纵裂 + 关节镜　； 参考：《国际骨科学杂志》2016年05期

【摘要】：目的探讨关节镜下FAST-FIX缝合修复半月板纵裂初期临床效果。方法 2011年10月至2013年4月,对46例半月板纵裂患者采用关节镜下FAST-FIX缝合器全内缝合修复术。根据大腿周径、单腿跳远测试及关节活动范围进行临床客观评估,并采用疼痛视觉模拟评分(VAS)、Lysholm评分、Tegner评分及国际膝关节文献委员会膝关节评估表(IKDC)主观评分进行膝关节主观功能评估。结果术后随访30~36个月,平均(32.95±2.48)个月。患者切口均一期愈合,无其他并发症发生。术前健侧与末次随访患侧大腿周径、单腿跳远测试及关节活动范围差异有统计学意义;术前与末次随访患侧VAS评分、Lysholm评分、Tegner评分及IKDC主观评分差异有统计学意义。结论采用关节镜下FAST-FIX缝合修复半月板纵裂能最大限度地保留半月板功能,临床疗效好。
[Abstract]:Objective to investigate the clinical effect of arthroscopic FAST-FIX suture for meniscus longitudinal fissure. Methods from October 2011 to April 2013, 46 patients with longitudinal meniscus were treated with arthroscopic total suture with FAST-FIX suture. According to thigh circumference, single leg long jump test and joint motion range, The subjective function of knee joint was evaluated by visual analogue pain score (VAS), Lysholm score and Tegner score, as well as the subjective score of the knee Joint Assessment form (IKDC) of the International knee Literature Committee. Results the follow-up period was 30 ~ 36 months (mean 32.95 卤2.48 months). All the incisions healed at the first stage, and no other complications occurred. There were significant differences in thigh circumference, single leg long jump test and joint motion range between the healthy side and the last follow-up, and there were significant differences between the preoperative and the last follow-up VAS score, Lysholm score, Tegner score and IKDC subjective score. Conclusion arthroscopic FAST-FIX suture for meniscus longitudinal fissure can preserve the meniscus function to the maximum extent, and the clinical effect is good.
【作者单位】： 沈阳市骨科医院运动医学科;辽宁中医药大学;
【分类号】：R873
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本文编号：2099720