关节镜下青少年盘状半月板成形术的近期疗效观察

Study on short-term effectiveness of arthroscopic discoid meniscus plasty in adolescents

目的探讨关节镜下青少年膝关节盘状半月板成形术的近期疗效。方法2007-01～2008-06收治的26例青少年膝关节盘状半月板损伤患者行关节镜下盘状半月板成形术,术后根据Ikeuchi膝关节功能评分对患者进行随访评价手术疗效。结果术后26例患者均获得随访。随访时间为3-18个月,其疗效为:优16例(61.5%),良8例(30.8%),可1例(3.8%),差1例(3.8%)。优良率为92.3%。结论关节镜下青少年盘状半月板成形术可以获得良好的近期疗效,是治疗青少年膝关节盘状半月板损伤的主要方法。

Objective To explore the short-term effectiveness of arthroscopic discoid meniscus plasty in adolescents. Methods Arthroscopie meniscus plasty were performed in 26 adolescent patients with the discoid cartilage of knee joint from January 2007 to June 2008. The surgical effectiveness was evaluated with Ikeuchi knee function scales. Results All patients were followed up for 3 - 18 months. The surgical effectiveness was excellent in 16 cases, good in 8 cases, fair in 1 ease, and poor in 1 case. The rate of excellent and good result was 92.3%. Conclusion In adolescents arthroscopic discoid meniscus plasty can achieve a good short-term effect,and is a preferred method for discoid meniscus injury.