关节镜下全内缝合法修补半月板53例疗效观察

Clinical observation on 53 cases of meniscus tears treated by srthroscopic all-inside suture technique

目的探讨关节镜下全内缝合法在半月板修补中的应用及临床疗效。方法对53例半月板损伤患者采用全内缝合法进行半月板修补。其中采用可吸收半月板箭5例，Fast—Fix全内半月板缝合系统48例。对患者进行术后6～12个月的随访，随访时进行Lysholm评分、主观症状及查体检查。结果53例患者获得随访，Lysholm评分，术前（47．26±14．58）分，术后（90．31±17．63）分，手术前后差异有统计学意义（t=-13．6993，P〈0．01）。患者临床表现：无交锁复发，膝关节无疼痛，无内侧与后外侧关节间隙压痛，研磨挤压试验阴性。术后未见神经、血管或肌腱损伤的并发症，未见感染病例。结论关节镜下全内缝合法是修补半月板损伤的理想方法，其操作简单，并发症少，疗效确切，治愈率高。

Objective To investigate the application and clinical effect of arthroscopic al-inside suture technique for repairing tears of meniscus. Methods There were, 53 cases with meniscus tears were repaired by arthroscopic all-inside suture technique, 5 cases were fixed with bio-absorbable meniscus arrow. 48 cases were used Fast-Fix all-inside suture technique. Results All 53 patients were followed up, the follow-up time were 6~12 months after operation, meanwhile, Lysholm score, subjective symptoms and examination were recorded. Preoperative Lysholm scores were （47.26 ± 14.58）, whereas, postoperative ones were （90.31 ± 17.63）. There were significant differences between before and after operation（t=1.85, P〈0.01）. No recurrent interlocking, no pains in joint medialis and post-medialis space. Grinding test was negative.The complications about injury of blood vessel, nerves and tendons were not found during 6~12 months follow-up. Conclusion Arthroscopic all-inside suture technique is an ideal way to repair meniscus. The technology is simple to operate with fewer comphcations, high efficacy and cure rate.