带线锚钉治疗Ⅲ度膝关节内侧副韧带损伤临床疗效观察

Clinical efficacy of suture anchor for treatment of medial collateral figament Ⅲ injuries of knee

目的探讨采用带线锚钉治疗Ⅲ度膝关节内侧副韧带损伤临床疗效。方法选取2012年9月至2016年9月收治的64例Ⅲ度膝关节内侧副韧带损伤病人行临床分析研究,随机分成两组,每组32例,观察组患者采用带线锚钉修复手术方法,对照组患者采用可吸收缝合线修复手术方法,对比两组病人术后病情治疗情况。结果共64例患者均获随访,随访时间6~9个月,平均7.7个月。膝关节功能按改良Lysholm-Scale功能评定标准:带线锚钉组优20例,良10例,可2例,差0例,优良率93.75%;可吸收缝线组优16例,良4例,可8例,差4例,优良率62.50%;两组差异有统计学意义(2=4.442,=0.047)。结论采用带线锚钉治疗Ⅲ度膝关节内侧副韧带损伤临床疗效,手术操作简便,创伤小,能有效提高疗效,改善患者生活质量,临床可推广应用。

Objective To observe the clinical results of the treatment of medial collateral figament Ⅲ injuries of knee using suture anchor. Methods Thirty-two patients who had received suture anchor repair and 32 ones who had absorbable suture repair of medial collateral figament Ⅲ injuries of knee in our hospital between Sep 2012 to Sep 2016 were involved in our retrospective investigation. The clinical results of the 2 groups were statistically compared in our study. Results Patients were followed up for 6 months to 9 months, average of 7.7 months. According to the modified Lysholm-scale, 20 cases had an excellent score, 10 cases had a good score, 2 cases had a may score, and no case had a poor score in suture anchor repair group, the rate of excellent and good was 93.75%, while in absorbable suture repair group were 16 cases had an excellent score, 4 cases had a good score, 8 cases had a may score and 4 cases had a poor score, the rate of excellent and good was 62.50%, and there was a significant difference （χ^2=4.442, P=0.047）. Conclusion Suture anchor can improve the curative effect and the quality of life in repair of medial collateral figament Ⅲ injuries of knee with simple operation, minimally invasive.