关节镜下FasT-Fix半月板内缝合技术治疗膝半月板损伤的临床分析

Clinical analysis of the suture techniques of arthroscopic FasT-Fix meniscus treatment of knee meniscus injury

目的：分析关节镜下FasT-Fix半月板内缝合技术治疗膝半月板损伤的临床效果。方法选取我院2012年12月～2013年12月收治98例膝半月板损伤患者，予以所有患者进行关节镜下FasT-Fix半月板内缝合技术治疗，观察患者治疗后的临床效果。结果经过治疗后，98例患者中，88例优，7例良，3例中。术后膝关节评分为（82.5±0.5）分，明显比术前评分（50.0±0.5）分高，差异有统计学意义（P＜0.05）。其中，仅有1例出现植入体T2“卡壳”，3例置入T2后于种植部脱落，并经调整植入点后取得良好的治疗效果。96例McMurray’s试验阴性，98例Apley’s试验阴性。结论关节镜下FasT-Fix半月板内缝合技术治疗膝半月板损伤的临床效果显著，具有微创、操作便捷等优点，可以有效地避免植入体“卡壳”“绕结”“脱落”等，因此具有十分重要的临床应用价值。

Objective To analyze the clinical effect of the suture techniques of arthroscopic FasT-Fix meniscus in the treatment of knee meniscus injury. Methods 98 patients with knee meniscus injury,who were treated with arthroscopic FasT-Fix meniscus in our hospital from December 2012 to December 2013,were selected to observe the clinical effect. Results After the treatment,of the 98 patients,there were excellent in 88 cases,good in 7 cases,and falr in 3 cases.The score of knee joint after operation （82.5±0.5） were obviously higher than preoperative score （50.0±0.5）,the difference was statistical significance （P 〈 0.05）.1 case had got stuck of T2 implantation materials,while 3 cases had galned good clinical effect after T2 implantation materials had been abscission,through the adjustment of implantable location.There were 96 cases with negative of McMurray＇s test,and 98 cases with negative of Apley＇s test. Conclusion The suture techniques of arthroscopic FasT-Fix meniscus in the treatment of knee meniscus injury has significantly clinical effect, has the advantages of minimally invasive and convenient operation,could effectively avoid to stuck,knot, and abscise of the implantation materials,and has very important value in clinical application.