全内缝合半月板纵裂临床研究

All-inside meniscal repair of the longitudinal tears

目的探讨关节镜下FAST-FIX缝合修复半月板纵裂初期临床效果。方法 2011年10月至2013年4月,对46例半月板纵裂患者采用关节镜下FAST-FIX缝合器全内缝合修复术。根据大腿周径、单腿跳远测试及关节活动范围进行临床客观评估,并采用疼痛视觉模拟评分（VAS）、Lysholm评分、Tegner评分及国际膝关节文献委员会膝关节评估表（IKDC）主观评分进行膝关节主观功能评估。结果术后随访30-36个月,平均（32.95±2.48）个月。患者切口均一期愈合,无其他并发症发生。术前健侧与末次随访患侧大腿周径、单腿跳远测试及关节活动范围差异有统计学意义;术前与末次随访患侧VAS评分、Lysholm评分、Tegner评分及IKDC主观评分差异有统计学意义。结论采用关节镜下FAST-FIX缝合修复半月板纵裂能最大限度地保留半月板功能,临床疗效好。

Objective To evaluate the clinical outcome of arthroscopic repair of the longitudinal tears of the meniscus using the Fast-Fix suturing devices. Methods Forty-six cases of meniscus tears were treated using the all-inside technique with the Fast-Fix suturing devices underarthroscopy from October 2011 to April 2013. According to the thigh circumference, single-leg-hop test, range of m otion, Lysh o l m scores,Tegner scores and the international kneedocumentationcommitteekneeuationform （IKDC） subject scores, l^he patients were evaluated. Results Forty-six caseswere followed up for 30 to 36 months （average,32. 95 ±2. 48 months）. All incisionswerehealed by first intention,and no infection or complication occurred. There was statistically significant difference in the thigh circumference,single-leg-hop test and range of motion between the rnjured side at the last follow-up and the contralastatisticaly significant difference in the Lysholm scores,Tegner scores and IKDC subject scores of the injured and preoperative evaluation. Conclusion The arthroscopic repair of the longitudinal tears of the meniscus using the al-inside technique with theFast-Fix suturing devices could preserve themeniscus function maximally,thus obtaining satisfactory clinical outcomes.