带线锚钉固定修复膝关节内侧副韧带的临床分析

Clinical analysis of the repair of the medial collateral ligament of the knee with the wire anchor and the anchor pin

目的对带线锚钉固定修复膝关节内侧副韧带的临床效果进行研究分析。方法选取54例膝关节内侧副韧带损伤患者按照治疗方法将其分为两组(各27例),观察组给以带线锚钉固定术,对照组给以内侧副韧带修复术,比较手术时间、术中出血量、住院时间、切口甲级愈合率、并发症发生率和随访结果。结果两组患者手术时间比较差异无统计学意义(P>0.05);观察组患者术中出血量和住院时间均显著低于对照组患者,差异有显著性(P<0.05);观察组患者切口甲级愈合率显著高于对照组患者(100.00%和59.26%),但并发症发生率显著低于对照组患者(11.11%和37.03%),差异均有统计学意义(P<0.01);观察组患者随访半年后Lysholm和IKDC量表评分均显著高于对照组和治疗前,差异有统计学意义(P<0.05)。结论在治疗膝关节内侧副韧带损伤临床上带线锚钉固定效果较为理想。

Objective To study the clinical effect of the treatment of the medial collateral ligament of the knee joint with the wire anchors. Methods A total of 54 cases of knee medial collateral ligament injury patient divides according to the method of treatment which is divided into two group（27 cases）, observe group give suture anchors fixation, the control group give medial collateral ligament repair, operative time, intraoperative bleeding, hospitalization time, incision Class-A healing rate, complication incidence and follow-up results. Results Two groups of patients with operation time difference was not significant（P〉0.05）; observation group patients bleeding and hospitalization time were significantly lower than those of the control group, the difference is significant（P〈0.05）; observation group incision Class-A healing rate was significantly higher than in the control group（100.00% and 59.26%）, but the complication rate was significantly lower than that of the control group（11.11% and 37.03%）, the differences were statistical significance（P〈0.01）; observation group patients were followed up for six months after the Lysholm and IKDC score were significantly higher than those in the treatment group and control group, the difference was significant（P〈0.05）. Conclusion In the treatment of knee joint medial collateral ligament injury, the clinical results of the treatment of the bolt with wire anchor is more ideal.