由外向内FasT-Fix缝合联合纤维血凝块填塞术修复难愈性半月板损伤的疗效分析

Clinical Effect of External-to-internal FasT-Fix Suture Combined with Fibro-hemagglutination Tamponade in the Repair of Refractory Meniscus Injury

【目的】探讨由外向内FasT-Fix缝合联合纤维血凝块填塞术修复难愈性半月板损伤的临床效果。【方法】选择回顾性分析2015年3月至2018年3月在本院诊治难愈性半月板损伤51例,其中29例由外向内FasT-Fix缝合联合纤维血凝块填塞术治疗(观察组),32例仅由外向内FasT-Fix缝合(对照组)。随访11~24个月,采用IKDC评分、Lysholm评分及Tegner评分评估临床疗效。【结果】所有的患者术后均未出现关节交锁、膝关节活动障碍、血管神经损伤、伤口感染、排异反应等并发症。两组患者伤口均未见明显感染,且均未进行二次手术。两组末次随访IKDC评分、Lysholm评分和Tegner评分均显著高于术前,且观察组IKDC评分、Lysholm评分和Tegner评分显著高于同期对照组,其差异具有统计学意义(P<0.05)。【结论】由外向内FasT-Fix缝合联合纤维血凝块填塞技术修复难愈性半月板损伤效果确切,术后功能恢复好,值得临床推广应用。

[Objective] To investigate the clinical effect of external-to-internal FasT-Fix suture combined with fibro-hemagglutination tamponade in the repair of refractory meniscus injury.[Methods]Fifty-one cases of refractory meniscus injury in our hospital from March 2015 to March 2018 were retrospectively analyzed.Among them,29 cases were treated by external-to-internal FasT-Fix suture combined with fibro-hemagglutination(observation group).32 cases were sutured only by outward-to-inside FasT-Fix(control group).All patients were followed up for 11 months.IKDC score,Lysholm score and Tegner score were used to evaluate theclinical efficacy.[Results]No complications such as joint interlock,knee joint movement disorder,vascular and nerve injury,wound infection and rejection occurred in all patients after operation.No obvious infection was found in the wounds of both groups,and no second operation was performed.The IKDC score,Lysholm score and Tegner score of the two groups were significantly higher than those of the pre-operation,and theIKDC score,Lysholm score and Tegner score of the observation group were significantly higher than those of the control group(P<0.05).[Conclusion]The repair of refractory meniscus injury by external-to-internal FasT-Fix suture combined with fibro-hemagglutination technique is effective,and the functional recovery after operation is good.It is worth popularizing and applying in clinical practice.