Asik Mehmet, Sen Cengiz, Erginsu Müjdat
Medical College of Istanbul, 34250 Istanbul-Topkapi, Turkey.
Knee Surg Sports Traumatol Arthrosc. 2002 Sep;10(5):284-8. doi: 10.1007/s00167-002-0296-9. Epub 2002 Jun 11.
We evaluated the arthroscopic meniscal repair using T-fix and present our preliminary results. The series included 47 consecutive patients who underwent meniscal repair using T-fix. Mean follow-up was 26 months (range 12-42 months). The overall number of T-fixes used in the repairs was 163, with a mean of three (range two to five) per patient. Patients were evaluated according to the modified Marshall scoring system. Results were rated as excellent in 32, good in 10, fair in 2, and poor in 3 patients. Second-look arthroscopy was performed in 18 patients as the part of our protocol. In 15 patients meniscal tears were considered to be healed, according to Henning's criteria. Six of those who underwent anterior cruciate ligament reconstruction healed completely. There were no neurovascular complications. Repair of the menisci using T-fix proved successful and reliable. In view of satisfactory functional results and the observation of healing of tears on second-look arthroscopy, we believe that preservation and repair of menisci should be attempted in appropriate cases.
我们评估了使用T-fix进行关节镜下半月板修复的情况，并展示我们的初步结果。该系列研究纳入了47例连续接受T-fix半月板修复的患者。平均随访时间为26个月（范围12 - 42个月）。修复中使用的T-fix总数为163个，每位患者平均使用三个（范围为两个至五个）。根据改良的Marshall评分系统对患者进行评估。结果评定为：32例优秀，10例良好，2例尚可，3例差。作为我们方案的一部分，18例患者接受了二次关节镜检查。根据Henning标准，15例患者的半月板撕裂被认为已愈合。其中接受前交叉韧带重建的6例患者完全愈合。未出现神经血管并发症。使用T-fix修复半月板被证明是成功且可靠的。鉴于功能结果令人满意以及二次关节镜检查观察到撕裂愈合情况，我们认为在适当的病例中应尝试保留和修复半月板。
