关节镜下腹壁吻合器辅助修复半月板前角损伤的疗效

Effect of arthroscopic repair of meniscal anterior horn injury with abdominal stapler

目的评价关节镜下腹壁吻合器辅助修复半月板前角损伤的近期疗效。方法回顾性分析2019年5月-2020年5月32例行关节镜下腹壁吻合器辅助治疗半月板前角损伤的患者的临床资料。14例体部损伤患者应用全内缝合,所有患者应用腹壁吻合器辅助行外向内缝合。临床治愈评价标准为:无膝关节前方疼痛,关节无交锁和肿胀,关节间隙无压痛,且McMurray试验为阴性。结果所有患者均得到随访,随访时间12~22个月。每例患者缝合2~4针,平均每针操作时间2 min;住院时间为3~7 d,平均4.2 d;术后1年手术成功率为92.5%。术后患者Lysholm膝关节评分由术前的(44.13±11.65)分增加至术后的(88.56±13.23)分,差异有统计学意义(t=3.14,P<0.01)。结论关节镜下腹壁吻合器辅助修复半月板前角损伤,简便快捷,疗效可靠,值得临床推广。

Objective To evaluate the short-term effects of the arthroscopic repair of the meniscal anterior horn injury with the abdominal stapler.Methods From May 2019 to May 2020,the clinical data of 32 patients with meniscus anterior horn injury treated with abdominal stapler under arthroscopy were retrospectively analyzed.The meniscal body injury of 14 cases were dealt with all-inside method,all patients were dealt with outside-in method assisted by abdominal stapler.The clinical cure criterion of menical injury included:no lock,no pain,no swell and negative McMurray test.Results All the patients were followed-up from 12~22 months,Lysholm rating system was used to determine the function of the knee and the level of activity of the patients.After operation,all the patients were clinical cured.Each patient was sutured with 2~4 stitches,and the average operation time of each stitch was about 2 min,the time stayed in hospital was 3~7 d(mean 4.2 d),the achievement radio of surgery were 92.5%one year after operation.The preoperative Lysholm score of operated knees was(44.13±11.65)and the postoperative Lysholm score was(88.56±13.23),and there was significant difference between them(t=3.14,P<0.01).Conclusion Assisted by the abdominal stapler under arthroscopy,it is efficient,safe and economic for meniscal anterior horn repair,and deserved popularity.