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使用 FasT-Fix 装置修复慢性半月板损伤患者的半月板。

Meniscal repair using the FasT-Fix device in patients with chronic meniscal lesions.

机构信息

Department of Orthopedic and Trauma Surgery, Hospital Clínic, C/Vilarroell 170, 08036, Barcelona, Spain.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2010 Apr;18(4):546-50. doi: 10.1007/s00167-009-0926-6. Epub 2009 Sep 26.

Abstract

The aim of this prospective study was to evaluate meniscal suturing using the FasT-Fix device for chronic meniscal tears. This procedure was carried out on 25 patients between 2006 and 2007. Nineteen patients were male and the median age was 31 (14-47) years. The median waiting time to surgery was 27 (6-80) months and the median follow-up was 20 (14-29) months. Eleven patients (44%) required reconstruction of an associated anterior cruciate ligament (ACL) injury. 20 patients (80%) showed medial meniscus tears. All tears were located in the red zone or red-white zone. According to Barett's criteria, meniscal tear healing was achieved in 21 patients (84%). Lysholm and Tegner scale scores improved from 60 (47-77) preoperatively to 95 (58-100) postoperatively and from 3 (2-6) preoperatively to 6 (3-9) postoperatively, respectively. There were no neurovascular complications. Revision surgery was necessary in one patient, in whom a partial meniscectomy was performed. The results obtained suggest that chronic meniscal tears in the zones described can be healed.

摘要

本前瞻性研究旨在评估 FasT-Fix 装置在慢性半月板撕裂中的应用。2006 年至 2007 年间对 25 例患者进行了该手术。19 例为男性,平均年龄为 31(14-47)岁。中位数手术等待时间为 27(6-80)个月,中位数随访时间为 20(14-29)个月。11 例(44%)需要重建合并的前交叉韧带(ACL)损伤。20 例(80%)显示内侧半月板撕裂。所有撕裂均位于红区或红白区。根据 Barett 的标准,21 例(84%)患者的半月板撕裂愈合。Lysholm 和 Tegner 评分分别从术前的 60(47-77)分提高到术后的 95(58-100)分,从术前的 3(2-6)分提高到术后的 6(3-9)分。无神经血管并发症。1 例患者需要进行翻修手术,行部分半月板切除术。结果表明,描述部位的慢性半月板撕裂可以愈合。

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