缝合锚钉治疗急性膝关节内侧副韧带损伤

Treatment of acute injury of medial collateral ligament of knee joint with suture anchors

目的探讨缝合锚钉治疗急性膝关节内侧副韧带Ⅲ度损伤的临床效果。方法自2005年1月-2006年3月对23例（男14例、女9例）急性膝关节内侧副韧带Ⅲ度损伤患者采用缝合锚钉进行缝合固定,受伤至手术时间6-15d,平均8d。结果随访14-19个月,平均15.7个月,所有患者膝关节稳定好,在伸直0°和屈曲30°时外翻应力试验阴性,Lysholm评分平均为89分,其中优16例,良4例,中3例。结论缝合锚钉修复急性膝关节内侧副韧带Ⅲ度损伤具有组织剥离范围小,操作方法简单,固定牢靠的优势。

Objective To evaluate the clinical effects of suture anchors on third-degree acute injury of medial collateral ligament （MCL） of knee joint. Methods Twenty-three patients （14 males, 9 females） with third degree acute injury of MCL of knee joint were treated with suture anchors from January 2005 to March 2006. The time of injury to operation was 6-15 days, averaged 8 days. Results The patients were followed up for 14-19 months, averaged 15.7 months. The stability of knee joints was good in all patients. Abduction stress test was negative when the knee joint was straightened to 0 degree and flexed at 30 degree. The average Lysholm score was 89. Of the 23 patients, 16 had an excellent score, 4 had a good score, and 3 had a poor score. Conclusion Acute injury of MCL of knee joint can be repaired with suture anchors, which has the following advantages： small in tissue dissection, simple in procedure, and good in fixation.