FasT-fix技术联合外-内缝合系统治疗膝半月板损伤疗效评估

Evaluation of complete internal suture FasT-fix technique combined with outside-in suture device in the treatment of meniscus tears underarthroscope

目的评价内缝合FasT-fix技术联合外-内缝合系统治疗膝关节半月板损伤的有效性。方法回顾性分析我院2011年2月至2014年2月利用关节镜下FasT-fix技术联合外-内缝合系统治疗膝半月板损伤83例。术后跟踪随访,通过MRI检查评估愈合情况,术前-术后Lysholm评分评估关节功能,探讨手术方式有效性。结果 83例均获得随访并进行MRI复查,最长26个月,最短6个月(平均16个月),术后复查MRI提示59例完全愈合,16例部分愈合,8例未愈合。所有患膝关节活动度正常,平均Lysholm评分由术前46.3±20.8提高到93.5±4.6分(t=19.28,P<0.01),差异有统计学意义。结论关节镜下全内缝合FasT-fix技术联合外-内缝合系统治疗膝关节半月板损伤疗效肯定。

Objective To assess the effect of the surgical method of repairing the meniscus tear by all-inside suture technique FasT-fix unite outside-in device （Smith ＆ Nephew Endoscopy, Andover, MA）. Methods From Feb 2011 to Feb2014, 83 knees were diagnosed as meniscus tear and underwent meniscal repair using arthroscopic FasT-Fix and out-inside device with concomitant other injuries restoration. For all patients, MRI was performed for evaluating meniscal healing capacity postoperatively. Preoperative and postoperative Lysholm scores was evaluated comparatively for joint function. Results Eighty-three patients were followed up for an average of 16 months （range 6-26 months）, and normal joint function was found in all patients. MRI showed that 59 patients got complete healing, 16 patients got incomplete healing, and 8 patients failed to heal. The Lysholm scores from 46.3 ±20.8 Preoperatively to 93.5 ±4.6 postoperatively had improvedwith statistical significance（t=19.28, P〈0.01 ）. Conclusion Using all-inside suture technique FasT-fix and outside- in device for meniscus tear under arthroscope had excellent effect.